tailieunhanh - Báo cáo y học: " A study of a culturally focused psychiatric consultation service for Asian American and Latino American primary care patients with depression"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A study of a culturally focused psychiatric consultation service for Asian American and Latino American primary care patients with depression | Trinh et al. BMC Psychiatry 2011 11 166 http 1471-244X 11 166 BMC Psychiatry STUDY PROTOCOL Open Access A study of a culturally focused psychiatric consultation service for Asian American and Latino American primary care patients with depression 1 t 2t 1 3 1 1 Nhi-Ha T Trinh C A Bedoya Trina E Chang Katherine Flaherty Maurizio Fava and Albert Yeung Abstract Background Ethnic minorities with depression are more likely to seek mental health care through primary care providers PCPs than mental health specialists. However both provider and patient-specific challenges exist. PCP-specific challenges include unfamiliarity with depressive symptom profiles in diverse patient populations limited time to address mental health and limited referral options for mental health care. Patient-specific challenges include stigma around mental health issues and reluctance to seek mental health treatment. To address these issues we implemented a multi-component intervention for Asian American and Latino American primary care patients with depression at Massachusetts General Hospital MGH . Methods Design We propose a randomized controlled trial to evaluate a culturally appropriate intervention to improve the diagnosis and treatment of depression in our target population. Our goals are to facilitate a primary care providers ability to provide appropriate culturally informed care of depression and b patients knowledge of and resources for receiving treatment for depression. Our two-year long intervention targets Asian American and Latino American adult 18 years of age or older primary care patients at MGH screening positive for symptoms of depression. All eligible patients in the intervention arm of the study who screen positive will be offered a culturally focused psychiatric CFP consultation. Patients will meet with a study clinician and receive toolkits that include psychoeducational booklets worksheets and community resources. Within two weeks of the initial .