snowden_cultural_differences

snowden_cultural_differences - Annu. Rev. Clin. Psychol....

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Unformatted text preview: Annu. Rev. Clin. Psychol. 2005. 1:14366 doi: 10.1146/annurev.clinpsy.1.102803.143846 Copyright c 2004 by Annual Reviews. All rights reserved First published online as a Review in Advance on December 8, 2004 C ULTURAL D IFFERENCES IN A CCESS TO C ARE Lonnie R. Snowden School of Social Welfare and Center for Mental Health Services Research, University of California, Berkeley, California 94720-7400; email: snowden@uclink4.berkeley.edu Ann-Marie Yamada School of Social Work, University of Southern California, Los Angeles, California 90089; email: amyamada@usc.edu Key Words culture and mental health, mental health services, treatment access, cultural competence, minority mental health Abstract As high-profile reviews have appeared and international interest has grown, sophisticated studies of the U.S. population continue to document racial and ethnic disparities in initiation of mental health care and in continuity of care. Many ex- planations focus on cultural factors: trust and treatment receptiveness, stigma, culturally distinctive beliefs about mental illness and mental health, culturally sanctioned ways of expressing mental healthrelated suffering and coping styles, and client preferences for alternative interventions and treatment-seeking pathways, as well as unresponsive programs and providers. The research itself has become more rigorous and informative, but it continues to lack theoretical focus and does not yet yield cumulative findings. Too few studies have addressed community and regional differences or differences between mental health treatment programs and systems, or considered mental health- related policies that are very likely linked to disparities. Theoretically well-formulated studies on representative samples can provide a comprehensive explanation of access disparities in cultural and culture-related terms that inform a broad-based plan of re- medial intervention. CONTENTS CULTURAL DIFFERENCES IN ACCESS TO CARE . . . . . . . . . . . . . . . . . . . . . . . 144 CULTURE AND HELP SEEKING: EXPLANATORY FRAMEWORKS AND THEORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146 BRINGING ETHNIC AND CULTURAL ACCESS TO MENTAL HEALTH TO THE FOREFRONT: LANDMARK REVIEWS . . . . . . . . . . . . . . . . . 147 RECENT SURVEY-BASED FINDINGS ON ACCESS . . . . . . . . . . . . . . . . . . . . . . . 148 RECENT FINDINGS ON PREMATURE TERMINATION AND CONTINUITY . . 150 CHILDREN AND YOUTHS: BEYOND THE SPECIALTY MENTAL HEALTH SECTOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151 MEDIATORS: CULTURALLY SANCTIONED BELIEFS AND PRACTICES, KNOWLEDGE, COPING, AND SYMPTOM EXPRESSION . . . . . 152 1548-5943/05/0427-0143$14.00 143 A n n u . R e v . C l i n . P s y c h o l . 2 5 . 1 : 1 4 3- 1 6 6 . D o w n l o a d e d f r o m a r j o u r n a l s . a n n u a l r e v i e w s . o r g b y S E I R o n 1 2 / 2 3 / 7 . F o r p e r s o n a l u s e o n l y . 144 SNOWDEN YAMADA...
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snowden_cultural_differences - Annu. Rev. Clin. Psychol....

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