Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Psychiatric Quarterly
Published in: Psychiatric Quarterly 1/2012

01-03-2012 | Original Paper

Racial Differences Among Supported Housing Clients in Outcomes and Therapeutic Relationships

Authors: Jack Tsai, Robert A. Rosenheck

Published in: Psychiatric Quarterly | Issue 1/2012

Login to get access

Abstract

This study examined racial differences between African American and White supported housing clients in clinical outcomes and in their relationships with their landlords, medical and mental health care providers, and religious faith. Housing, mental health, and substance abuse outcomes of 204 White clients and 269 Black clients participating in a national homeless initiative were examined, along with their ratings of their relationships with landlords, health care providers, and religious participation. There were no significant racial differences found on outcomes or on client ratings of the helpfulness of relationships with landlords and health care providers. However, Black participants reported significantly stronger religious faith and religious participation than White participants. Together, these results suggest the religious faith of Black clients should be appreciated as a potential asset in supported housing services and that efforts to maintain racial equality should be continued in the delivery of health services.
Literature
1.
Ayanian JZ, Cleary PD, Weissman JS, et al.: The effect of patients’ preferences on racial differences in access to renal transplantation. New England Journal of Medicine 341:1661–1669, 1999.PubMedCrossRef
2.
Boulware LE, Cooper LA, Ratner LE, et al.: Race and trust in the health care system. Public Health Reports 118(4):358–365, 2003.PubMed
3.
Gamble VN: Under the shadow of Tuskegee: African Americans and health care. American Journal of Public Health 87(11):1773–1778, 1997.PubMedCrossRef
4.
Schneider EC, Zaslavsky AM, Epstein AM: Racial disparities in the quality of care for enrollees in medicare managed care. Journal of the American Medical Association 287(10):1288–1294, 2002.PubMedCrossRef
5.
Gornick ME, Eggers PW, Reilly TW, et al.: Effects of race and income on mortality and use of services among Medicare beneficiaries. New England Journal of Medicine 335(11):791–799, 1996.PubMedCrossRef
6.
Saha S, Arbelaez JJ, Cooper LA: Patient-physician relationships and racial disparities in the quality of health care. American Journal of Public Health 93(10):1713–1719, 2003.PubMedCrossRef
7.
Williams DR, Mohammed SA: Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine 32:2, 2009.CrossRef
8.
U.S. Department of Health and Human Services: Mental health: Culture, race, and ethnicity—A supplement to mental health: A report of the surgeon general. Rockville, U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, 2001.
9.
Kessler RC, McGonagle KA, Zhao S, et al.: Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the US: Results from the National Comorbidity Survey. Archives of General Psychiatry 51(1):8–19, 1994.PubMedCrossRef
10.
Center of Mental Health Services: Cultural competence standards in managed care mental health services for four underserved/underrepresented racial/ethnic groups. Rockville, Center of Mental Health Services, 1998.
11.
Wells KB, Klap R, Koike A, et al.: Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. American Journal of Psychiatry 158(12):2027–2032, 2001.PubMedCrossRef
12.
Cook BL, McGuire T, Miranda J: Measuring trends in mental health care disparities, 2000–2004. Psychiatric Services 58(12):1533–1540, 2007.PubMedCrossRef
13.
Young AS, Klap R, Sherbourne CD, et al.: The quality of care for depressive and anxiety disorders in the United States. Archives of General Psychiatry 58(12):55–61, 2001.PubMedCrossRef
14.
Smedley BD, Stith AY, Nelson AR: Unequal treatment: Confronting racial & ethnic disparities in health. Washington, The National Academies Press, 2003.
15.
Luborsky L, Rosenthal R, Diguer L, et al.: The dodo bird verdict is alive and well—mostly. Clinical Psychology: Science and Practice 9:2–12, 2002.CrossRef
16.
Martin DJ, Garske JP, Davis MK: Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology 68(3):438–450, 2000.PubMedCrossRef
17.
Horvath AO, Luborsky L: The role of the therapeutic alliance in psychotherapy. Journal of Consulting and Clinical Psychology 61(4):561–573, 1993.PubMedCrossRef
18.
Frank AF, Gunderson JG: The role of the therapeutic alliance in the treatment of schizophrenia: Relationship to course and outcome. Archives of General Psychiatry 47(3):228–236, 1990.PubMedCrossRef
19.
Gelberg L, Andersen RM, Leake BD: The Behavioral Model for Vulnerable Populations: Application to the medical care use and outcomes for homeless people. Health Services Research 34(6):1273–1302, 2000.PubMed
20.
Chinman MJ, Rosenheck RA, Lam JA: Client-case manager racial matching in a program for homeless persons with serious mental illness. Psychiatric Services 51(10):1265–1272, 2000.PubMedCrossRef
21.
Ortega A, Rosenheck RA: Hispanic client-case manager matching: Differences in outcomes and service use in a program for homeless persons with severe mental illness. Journal of Nervous and Mental Disease 190(5):315–323, 2002.PubMedCrossRef
22.
Galster G: Racial discrimination in housing markets during the 1980s: A review of the audit evidence. Journal of Planning Education and Research 9(3):165–175, 1990.CrossRef
23.
Ondrich J, Stricker A, Yinger J: Do landlords discriminate? The incidence and causes of racial discrimination in rental housing markets. Journal of Housing Economics 8(3):185–204, 1999.CrossRef
24.
Kloos B, Zimmerman SO, Scrimenti K, et al.: Landlords as partners for promoting success in supported housing: “It takes more than a lease and a key”. Psychiatric Rehabilitation Journal 25(3):235–244, 2002.PubMed
25.
Rickards LD, McGraw SA, Araki L, et al.: Collaborative initiative to help end chronic homelessness: Introduction. Journal of Behavioral Health Services & Research 37(2):149–166, 2010.CrossRef
26.
Ware JE, Kosinski M, Keller SE: How to score the SF-12 physical and mental health summary scales, 3rd ed. Lincoln, Quality Metric, Inc., 1998.
27.
Derogatis LR, Spencer N: The brief symptom inventory: Administration, scoring, and procedure manual. Baltimore, Johns Hopkins, 1982.
28.
McLellan AT, Luborsky L, Woody GE, et al.: An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index. Journal of Nervous and Mental Disease 168:26–33, 1980.PubMedCrossRef
29.
Dohrenwend B: Psychiatric epidemiology research interview (PERI). New York, Columbia University Social Psychiatry Unit, 1982.
30.
Wright PA, Kloos B: Housing environment and mental health outcomes: A levels of analysis perspective. Journal of Environmental Psychology 27:79–89, 2007.PubMedCrossRef
31.
Center for Mental Health Services: The CMHS initiative. Rockville, Substance Abuse and Mental Health Services Administration, 2001.
32.
Tsemberis S, Rogers ES, Rodis E, et al.: Housing satisfaction for persons with psychiatric disabilities. Journal of Community Psychology 31:581–590, 2003.CrossRef
33.
Anderson LA, Dedrick RF: Development of the trust in physician scale: A measure to assess interpersonal trust in patient-physician relationships. Psychological Reports 67(3 Pt 2):1091–1100, 1990.PubMed
34.
Neale MS, Rosenheck RA: Therapeutic alliance and outcome in a VA intensive case management program. Psychiatric Services 46:719–723, 1995.PubMed
35.
Monahan J, Redlich AD, Swanson JR, et al.: Use of leverage to improve adherence to psychiatric treatment in the community. Psychiatric Services 56:37–44, 2005.PubMedCrossRef
36.
Koenig HG, Cohen HJ, Blazer DG, et al.: Religious coping and depression among elderly, hospitalized medically ill men. American Journal of Psychiatry 149(12):1693–1700, 1992.PubMed
37.
Chatters LM, Levin JS, Ellison CG: Public health and health education in faith communities. Health Education & Behavior 25(6):689–699, 1998.CrossRef
38.
Strawbridge WJ, Sherma SJ, Cohen RD, et al.: Religious attendance increases survival by improving and maintaining good health behaviors, mental health, and social relationships. Annals of Behavioral Medicine 23(1):68–74, 2001.PubMedCrossRef
39.
Steffen PR, Hinderliter AL, Blumenthal JA, et al.: Religious coping, ethnicity, and ambulatory blood pressure. Psychosomatic Medicine 63(4):523–530, 2001.PubMed
40.
Hummer RA, Rogers RG, Nam CB, et al.: Religious involvement and U.S. adult mortality. Demography 36(2):273–285, 1999.PubMedCrossRef
41.
LaVeist TA, Nickerson KJ, Bowie JV: Attitudes about racism, medical mistrust, and satisfaction with care among African American and white cardiac patients. Medical Care Research and Review 57(Suppl 1):146–161, 2000.PubMed
42.
Rosenheck RA, Fontanta A, Cottrol C: Effect of clinician-veteran racial pairing in the treatment of posttraumatic stress disorder. American Journal of Psychiatry 152(4):555–563, 1995.PubMed
43.
Brach C, Fraserirector I: Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Medical Care Research and Review 57(Suppl 1):181–217, 2000.PubMed
44.
Chin MH, Walters AE, Cook SC, et al.: Interventions to reduce racial and ethnic disparities in health care. Medical Care Research and Review 64(5 Suppl):7S–28S, 2007.PubMedCrossRef
45.
Hargraves JL, Hadley J: The contribution of insurance coverage and community resources to reducing racial/ethnic disparities in access to care. Health Services Research 38(3):809–829, 2003.PubMedCrossRef
Metadata
Title
Racial Differences Among Supported Housing Clients in Outcomes and Therapeutic Relationships
Authors
Jack Tsai
Robert A. Rosenheck
Publication date
01-03-2012
Publisher
Springer US
Published in
Psychiatric Quarterly / Issue 1/2012
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-011-9187-x

Other articles of this Issue 1/2012

Psychiatric Quarterly 1/2012 Go to the issue

Original Paper

Patients’ Preference and Experiences of Forced Medication and Seclusion

Original Paper

Prevalence and Comorbidity of Prolonged Grief Disorder in a Sample of Caregivers of Patients in a Vegetative State

Original Paper

Determinants Associated with the Utilization of Primary and Specialized Mental Health Services

Original Paper

Antipsychotic-Induced Somnolence in Mothers with Schizophrenia

Original Paper

Predictors of Rehospitalization in High-Utilizing Patients in the VA Psychiatric Medical System

Original Paper

Gene-Environment Interaction and the Intergenerational Transmission of Parenting: Testing the Differential-Susceptibility Hypothesis