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• W2296982273 abstract "BACKGROUND: Hispanic people are at an elevated risk of developing depression as compared to any other racial and ethnic groups in the United States. Hispanic women, in particular, experience depression at roughly twice the rate of Hispanic men. The projected growth of the Hispanic population coupled with the high prevalence of depression among Hispanic women will exacerbate this already serious public health conundrum if targeted and culturally competent interventions are not tailored to better tackle this illness. OBJECTIVE: The purpose of this study was to determine the effectiveness of a culturally competent intervention among Hispanic adult women who suffer from depression. METHODS: Data from a two-­‐year randomized controlled trial conducted at Massachusetts General Hospital (MGH) were analyzed. Usual care patients were offered standard referrals to MGH mental health resources. Intervention patients received a culturally focused consultation with mental health providers who were trained in culturally competent techniques, and familiar with the cultures and languages of the patients. A Mann-­‐Whitney U-­‐test was performed to examine differences in the Quick Inventory of Depressive Symptomatology-­‐Self Rated Scale (QIDS-­‐SR 16) scores between usual care and intervention groups at baseline and at 6 month-­‐follow-­‐up. A Friedman test was conducted to investigate differences between pretest and posttest Schwartz Outcome Scale (SOS-­‐10) scores in the intervention group. Parametric tests were further performed to determine differences in cumulative scores between the groups, at baseline and at 6 month-­‐follow-­‐up. RESULTS: Overall, 81 patients completed the baseline and follow-­‐up visits. At 6 month-­‐follow-­‐up, Hispanic women who received the culturally competent intervention less often reported feelings of sadness, waking up too early, decreased energy level and decreased concentration and decision-­‐making as compared to Hispanic women who received the usual -­‐non-­‐culturally competent-­‐ care. There were statistically significant differences in the average cumulative QIDS-­‐SR 16 scores between usual care and intervention groups. Hispanic women in the intervention group had, on average, higher scores of personal satisfaction (SOS-­‐10, Item 1) at two weeks as compared to baseline, but these scores remained unchanged at 6 months. CONCLUSION: These findings suggest that health care services rendered by culturally competent mental health providers can be more effective at treating Hispanic American women who suffer from depression. CULTURAL COMPETENCY AND DEPRESSION 3 INTRODUCTION According to the Centers for Disease Control and Prevention, an estimated 1 in 10 American adults report depression (Centers for Disease Control and Prevention, 2010), making it one of the most prominent mental illnesses in the U.S. Depression can result in increased work absenteeism, short-­‐term disability, and decreased productivity (Centers for Disease Control and Prevention, 2010). Consequently, the financial burden of depression is monumental: it is estimated to cause 200 million lost workdays each year at a cost to employers of $17 to $44 billion (Centers for Disease Control and Prevention, 2013). Across the nation, 88% of people who report symptoms of severe depression experience difficulties with their jobs, at home, and in social settings due to their symptoms (Pratt & Brody, 2014). According to the National Alliance on Mental Illness, Hispanic women have an increased risk of developing depression as compared to other racial/ethnic groups (Shattell, Smith, Quinlan-­‐Colwell, & Villaba, 2008). They experience depression at roughly twice the rate of Hispanic men and they are more likely to experience depression than Caucasian or African American women. According to the United States Census Bureau, the Hispanic population percentage of Massachusetts in 2013 was 10.5%, and the nationwide Hispanic population percentage in 2013 was 17.1%. In CULTURAL COMPETENCY AND DEPRESSION 4 Boston, where Massachusetts General Hospital is located, the Hispanic population percentage was 17.5% in 2010. The Department of Mental Health in Massachusetts has an initiative in place called “DMH Community Conversations,” which is a facet of the nationwide initiative of the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). This initiative seeks to increase the amount of conversations that citizens have about their mental health in order to decrease stigma about mental health and increase the number of people seeking help for mental illness. Online, the Department of Mental Health of Massachusetts has posted information, printable flyers and posters in English and Spanish, to extend this initiative to Massachusetts’ Hispanic population (Department of Mental Health, 2015). According to the Massachusetts Department of Public Health, 2% of the RNs in Massachusetts in 2012 are Hispanic, and Spanish was the second most common language spoken when providing care, at 5% (2013). The most common spoken language was English. The Massachusetts Department of Mental Health also has a Cultural and Linguistic Competence Action Plan in place. This plan’s main goals are to improve access to mental health care, achieve higher quality of care, and achieve better outcomes for the population of Massachusetts, with an emphasis on immigrants and refugees. The first objective of this plan is to decrease disparities in healthcare and mental health CULTURAL COMPETENCY AND DEPRESSION 5 services. This objective is to be carried out by partnering with Enhanced Cultural and Linguistic Appropriate Services (CLAS) and in doing so, implement their CLAS standards on cultural competence, which come from the Office of Minority Health under the U.S. Department of Health and Human Services. The CLAS standards are a list of fifteen standards created to guide healthcare organizations on their way to reducing and eliminating healthcare disparities. Other goals and objectives in the Cultural and Linguistics Competence Action Plan include promoting culturally competent leadership, strengthening culturally competent services in the area, improving interpreter services, and collecting more data on existing disparities to reduce them. The projected growth of the Hispanic population coupled with high prevalence of depression among women will become a more serious public health conundrum if targeted and culturally competent interventions are not tailored to better tackle" @default.
• W2296982273 created "2016-06-24" @default.
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• W2296982273 date "2015-06-17" @default.
• W2296982273 modified "2023-09-24" @default.
• W2296982273 title "Assessing quality of life, psychological well-being and depression in Hispanic American women: does cultural competence matter?" @default.
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