Engaging Women Who Are Depressed and Economically Disadvantaged in Mental Health Treatment

Overview

Journal Soc Work

Publisher Oxford University Press

Specialty Social Sciences

Date 2008 Feb 1

PMID 18232240

Citations 63

Authors

Nancy K Grote

Allan Zuckoff

Holly Swartz

Sarah E Bledsoe

Sharon Geibel

Affiliations

Soon will be listed here.

Abstract

Women disadvantaged by poverty, as well as racial or ethnic minority status, are more likely to experience depression than the rest of the U.S. population. At the same time, they are less likely to seek or remain in treatment for depression in traditional mental health settings. This article explores a therapeutic, psychosocial engagement strategy developed to address the barriers to treatment engagement and the application of this strategy to a special population--women of color and white women who are depressed and living on low incomes. The conceptual foundations of this intervention-ethnographic and motivational interviewing--as well as its key techniques and structure are reviewed. Finally, a case example description and promising pilot data demonstrate the usefulness of this strategy.

Citing Articles

Proof-of-Concept of an Integrated Yoga and Psychological Intervention in Mitigating Distress Among Diverse Women With Gynecologic, Gastrointestinal, and Thoracic Cancers.

Hanvey G, Kacel E, Bacharz K, Wilborn A, Mesa S, McCracken H Integr Cancer Ther. 2024; 23:15347354241283113.

PMID: 39423043 PMC: 11490981. DOI: 10.1177/15347354241283113.

Investigating the Barriers and Facilitators to Using Antiretroviral Therapy among Women Living with HIV in Plateau State, Nigeria.

Osayi E, Blake S, Afolaranmi T, Ajayi O, Onyeji J, Sagay A Int J Environ Res Public Health. 2024; 21(5).

PMID: 38791761 PMC: 11121114. DOI: 10.3390/ijerph21050546.

Sex Differences in the Association Between Depression and Incident Cardiovascular Disease.

Senoo K, Kaneko H, Ueno K, Suzuki Y, Okada A, Fujiu K JACC Asia. 2024; 4(4):279-288.

PMID: 38660110 PMC: 11035952. DOI: 10.1016/j.jacasi.2023.11.015.

Effect of Immediate Referral vs a Brief Problem-solving Intervention for Screen-Detected Peripartum Depression: A Randomized Clinical Trial.

Elansary M, Kistin C, Antonio J, Fernandez-Pastrana I, Lee-Parritz A, Cabral H JAMA Netw Open. 2023; 6(5):e2313151.

PMID: 37171819 PMC: 10182435. DOI: 10.1001/jamanetworkopen.2023.13151.

Is collaborative care a key component for treating pregnant women with psychiatric symptoms (and additional psychosocial problems)? A systematic review.

Klatter C, van Ravesteyn L, Stekelenburg J Arch Womens Ment Health. 2022; 25(6):1029-1039.

PMID: 36163596 PMC: 9734206. DOI: 10.1007/s00737-022-01251-7.

References

Ciechanowski P, Katon W, Russo J, Walker E . The patient-provider relationship: attachment theory and adherence to treatment in diabetes. Am J Psychiatry. 2001; 158(1):29-35. DOI: 10.1176/appi.ajp.158.1.29. View

Miranda J, Azocar F, Organista K, Munoz R, Lieberman A . Recruiting and retaining low-income Latinos in psychotherapy research. J Consult Clin Psychol. 1996; 64(5):868-74. DOI: 10.1037//0022-006x.64.5.868. View

Kulkarni S . Interpersonal violence at the crossroads between adolescence and adulthood: learning about partner violence from young mothers. Violence Against Women. 2005; 12(2):187-207. DOI: 10.1177/1077801205280933. View

Armstrong Jr H, Ishiki D, Heiman J, Mundt J, Womack W . Service utilization by black and white clientele in an urban community mental health center: revised assessment of an old problem. Community Ment Health J. 1984; 20(4):269-81. DOI: 10.1007/BF00757076. View

McKay M, McCadam K, Gonzales J . Addressing the barriers to mental health services for inner city children and their caretakers. Community Ment Health J. 1996; 32(4):353-61. DOI: 10.1007/BF02249453. View

Kessler R, McGonagle K, Zhao S, Nelson C, Hughes M, Eshleman S . Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994; 51(1):8-19. DOI: 10.1001/archpsyc.1994.03950010008002. View

. Matching alcoholism treatments to client heterogeneity: Project MATCH three-year drinking outcomes. Alcohol Clin Exp Res. 1998; 22(6):1300-11. DOI: 10.1111/j.1530-0277.1998.tb03912.x. View

Resnicow K, Jackson A, Wang T, De A, McCarty F, Dudley W . A motivational interviewing intervention to increase fruit and vegetable intake through Black churches: results of the Eat for Life trial. Am J Public Health. 2001; 91(10):1686-93. PMC: 1446855. DOI: 10.2105/ajph.91.10.1686. View

Burke B, Arkowitz H, Menchola M . The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. J Consult Clin Psychol. 2003; 71(5):843-61. DOI: 10.1037/0022-006X.71.5.843. View

10.

Miranda J, Chung J, Green B, Krupnick J, Siddique J, Revicki D . Treating depression in predominantly low-income young minority women: a randomized controlled trial. JAMA. 2003; 290(1):57-65. DOI: 10.1001/jama.290.1.57. View

11.

Siefert K, Bowman P, Heflin C, DANZIGER S, Williams D . Social and environmental predictors of maternal depression in current and recent welfare recipients. Am J Orthopsychiatry. 2000; 70(4):510-22. DOI: 10.1037/h0087688. View

12.

Mickelson K, Kessler R, Shaver P . Adult attachment in a nationally representative sample. J Pers Soc Psychol. 1997; 73(5):1092-106. DOI: 10.1037//0022-3514.73.5.1092. View

13.

Simon G, Ludman E, Tutty S, Operskalski B, Von Korff M . Telephone psychotherapy and telephone care management for primary care patients starting antidepressant treatment: a randomized controlled trial. JAMA. 2004; 292(8):935-42. DOI: 10.1001/jama.292.8.935. View

14.

Miranda J, Azocar F, Komaromy M, Golding J . Unmet mental health needs of women in public-sector gynecologic clinics. Am J Obstet Gynecol. 1998; 178(2):212-7. DOI: 10.1016/s0002-9378(98)80002-1. View

15.

Miller W, Yahne C, Moyers T, Martinez J, Pirritano M . A randomized trial of methods to help clinicians learn motivational interviewing. J Consult Clin Psychol. 2004; 72(6):1050-62. DOI: 10.1037/0022-006X.72.6.1050. View

16.

Kessler R . Epidemiology of women and depression. J Affect Disord. 2003; 74(1):5-13. DOI: 10.1016/s0165-0327(02)00426-3. View

17.

Sue S, Fujino D, Hu L, Takeuchi D, Zane N . Community mental health services for ethnic minority groups: a test of the cultural responsiveness hypothesis. J Consult Clin Psychol. 1991; 59(4):533-40. DOI: 10.1037//0022-006x.59.4.533. View

18.

Stenius V, Veysey B . "It's the little things": women, trauma, and strategies for healing. J Interpers Violence. 2005; 20(10):1155-74. DOI: 10.1177/0886260505278533. View

19.

McKay M, Bannon Jr W . Engaging families in child mental health services. Child Adolesc Psychiatr Clin N Am. 2004; 13(4):905-21, vii. DOI: 10.1016/j.chc.2004.04.001. View

20.

Cooper L, Brown C, Vu H, Ford D, Powe N . How important is intrinsic spirituality in depression care? A comparison of white and African-American primary care patients. J Gen Intern Med. 2001; 16(9):634-8. PMC: 1495266. DOI: 10.1046/j.1525-1497.2001.016009634.x. View