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Do Latino and non-Latino White Medicaid-enrolled adults differ in utilization of evidence-based treatment for major depressive disorder?
- Source :
-
Journal of immigrant and minority health [J Immigr Minor Health] 2011 Dec; Vol. 13 (6), pp. 1048-54. - Publication Year :
- 2011
-
Abstract
- Although evidence-based practice guidelines have been developed to achieve greater consistency and quality in mental health care, insufficient research exists on implementing these guidelines among different racial/ethnic groups and the impact of guideline adherence on treatment outcomes. This study compared mental health care received by community dwelling Latino and non-Latino White Medicaid enrollees in Florida with a diagnosis of major depressive disorder (MDD) and examined predictors of adherence to American Psychiatric Association (APA) guidelines for the treatment of MDD. Latinos were more likely than Whites to receive guideline adherent treatment (OR = 1.21, P < .0001). Enrollees receiving combination drug therapy were most likely to receive treatment consistent with APA guidelines (OR = 4.25, P < .0001). Despite research demonstrating the efficacy of evidence-based practices, many study participants did not receive guideline adherent treatment. Policies and practices targeted at increasing adherence to approved guidelines and improving treatment outcomes are recommended.
- Subjects :
- Adolescent
Adult
Aged
Depressive Disorder, Major ethnology
Female
Florida
Humans
Longitudinal Studies
Male
Middle Aged
Practice Guidelines as Topic
Retrospective Studies
United States
Young Adult
Depressive Disorder, Major therapy
Evidence-Based Medicine
Guideline Adherence
Hispanic or Latino psychology
Medicaid
White People psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1557-1920
- Volume :
- 13
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of immigrant and minority health
- Publication Type :
- Academic Journal
- Accession number :
- 21805165
- Full Text :
- https://doi.org/10.1007/s10903-011-9508-z