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Promoting Racial/Ethnic Equity in Psychosocial Treatment Outcomes for Child and Adolescent Anxiety and Depression.
Weersing, V Robin; Gonzalez, Araceli; Hatch, Brigit; Lynch, Frances L.
Afiliação
  • Weersing VR; SDSU-UC San Diego Joint Doctoral Program in Clinical Psychology San Diego California USA.
  • Gonzalez A; California State University Long Beach Long Beach California USA.
  • Hatch B; OCHIN Research Oregon Health Sciences University.
  • Lynch FL; OCHIN Research Kaiser Permanente Center for Health Research Portland Oregon USA.
Psychiatr Res Clin Pract ; 4(3): 80-88, 2022.
Article em En | MEDLINE | ID: mdl-36177440
Anxiety and depression are the most prevalent and least treated pediatric mental health problems. Racial/ethnic minority youths face greater risks for developing anxiety and depression and experience higher burden as they are less likely to receive adequate mental health services for these conditions or to have their needs met. Further, standard evidence-based interventions for youth anxiety and depression may show diminished effects with racial/ethnic minority youths and with families of lower socioeconomic status. While community-level interventions to combat structural racism and reduce population-level risk are sorely needed, many youths will continue to require acute treatment services for anxiety and depression and interventionists must understand how to bring equity to the forefront of care. In this review, we adopt a health system framework to examine racial/ethnic disparities in system-, intervention-, provider-, and patient-level factors for psychosocial treatment of pediatric anxiety and depression. Current evidence on disparities in access and in efficacy of psychosocial intervention for anxious and depressed youths is summarized, and we use our work in primary care as a case example of adapting an intervention to mitigate disparities and increase equity. We conclude with recommendations for disparity action targets at each level of the health system framework and provide example strategies for intervening on these mechanisms to improve the outcomes of racial/ethnic minority youths.

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Guideline Idioma: En Revista: Psychiatr Res Clin Pract Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Guideline Idioma: En Revista: Psychiatr Res Clin Pract Ano de publicação: 2022 Tipo de documento: Article