Open AccessTreatment of depression and PTSD in primary care clinics serving uninsured low-income mostly Latina/o immigrants: A naturalistic prospective evaluation.
Author(s) -
Stacey Kaltman,
Maria Rosa Watson,
Marcela Campoli,
Adriana Serrano,
Nicholas Talisman,
Laura Kirkpatrick,
Mihriye Méte,
Bonnie L. Green
Publication year - 2019
Publication title -
cultural diversity and ethnic minority psychology
Language(s) - English
Resource type - Journals
eISSN - 1939-0106
pISSN - 1099-9809
DOI - 10.1037/cdp0000251
Subject(s) - psycinfo , collaborative care , depression (economics) , psychological intervention , mental health , psychiatry , immigration , medicine , intervention (counseling) , primary care , clinical psychology , medline , psychology , family medicine , history , economics , macroeconomics , archaeology , political science , law
Uninsured immigrants to the United States are psychologically vulnerable due to limited access to mental health services. Latina/o immigrants from Central and South America are further at risk due to high levels of trauma exposure, both in their country of origin and their adopted country. Effective behavioral interventions in primary care are needed to address this services gap for common trauma-related mental disorders, including depression and posttraumatic stress disorder (PTSD). A naturalistic prospective study compared depression and PTSD outcomes for uninsured primary care patients, mostly Latina/o immigrants, in clinics with distinct models for integrating behavioral health services. One clinic had a collaborative care program, that is, a multicomponent, system-level intervention with the goals of facilitating increased screening, improving diagnostic accuracy, increasing uptake of evidence-based treatment, and utilizing measurement-based treatment to target. The other had colocated services, with an on-site therapist.