More than 25 years ago,
|
|
- Lizbeth Anderson
- 5 years ago
- Views:
Transcription
1 Mental Health Care for Latinos A Research Agenda to Improve the Accessibility and Quality of Mental Health Care for Latinos Steven Regeser López, Ph.D. Given the persistent underutilization of mental health services by Latino persons, the mental health research agenda for this population should be shaped by a single practical issue: how to get quality mental health services to Latino consumers and their families. To address this issue, studies are needed that are longitudinal in design, that assess social factors in Latino communities, and that evaluate new and existing interventions. Collaborative investigations that draw on multidisciplinary perspectives and that are informed by multiple stakeholders (service providers, consumers, and policy makers) will increase the likelihood that such research has an impact on existing services. Moreover, careful planning of dissemination and implementation of research findings will enhance the influence that these findings have. A research agenda focused on questions that can be directly translated into accessible high-quality mental health care is needed to address the mental health needs of the nation s growing Latino communities. (Psychiatric Services 53: , 2002) More than 25 years ago, Padilla, Ruiz, and Alvarez (1) provided evidence from multiple sources that Latinos underutilized mental health services. More recent research using state-of-the-art epidemiological methods indicates that the problem of access to services persists for adults (2,3) and children (4) in Latino communities. A failure to address the mental health needs of Latinos results in considerable social and economic loss, as suggested by a report on the global burden of disease that found mental disorders to be among the most disabling illnesses worldwide (5). Considering that Latinos are among the fastest growing minority groups in the United States growing from 35 million in the year 2000 (6) to an estimated 61 million in 2025 (7) disparities in mental health Dr. López is affiliated with the department of psychology and psychiatry at the University of California, Los Angeles (UCLA), Los Angeles, California ( , lopez@psych.ucla.edu). This article is part of a special section on disparities in mental health care for Latinos. care for Latinos will result in an increasing burden to the United States. Researchers have made an important contribution in documenting the problem of Latinos underutilization of services and identifying some of the correlates. Ultimately such research will be able to assist service providers, policy makers, and even consumers in improving services to Latinos. However, it is important that research go beyond documenting underutilization to help shape the delivery of much-needed services. The agenda for Latino mental health research should focus on a single practical issue: how to get high-quality mental health services to Latino persons. The Surgeon General s recent report is consistent with this view (8). Addressing this goal requires an important shift in what is studied, how research is carried out, and how the findings are used. Types of studies Longitudinal studies Even though there have been important methodological developments in current psychiatric epidemiological research on Latinos, current studies lack a prospective design to follow persons help-seeking behavior in local communities. Longitudinal studies can contribute in two important ways: by identifying with increased precision the factors that both enable and restrict utilization, and by increasing the reliability of the assessment of service use. With a cross-sectional approach it is difficult to disentangle the processes that underlie help seeking. For example, on the basis of the Los Angeles Epidemiologic Catchment Area (LA-ECA) study, Wells and colleagues (9) found that Mexican Americans who were less acculturated relied more on general medical providers for mental health care than on mental health specialists. However, it is unclear whether this finding reflects a tendency for Mexican Americans to express mental health problems in somatic terms (10), the greater availability of medical care providers than mental health care providers, stigma, or other possible reasons. A longitudinal design would provide the best method for discerning the key factors associated with help-seeking. Better identification of enabling or restricting factors will result in interventions that have a greater chance of succeeding in improving the accessibility of services. Current cross-sectional studies are also limited by problems of recall that PSYCHIATRIC SERVICES December 2002 Vol. 53 No
2 can affect both the assessment of service use and predictors of service use. The extent to which a person has used various types of services for a specific emotional problem during the previous six or 12 months can be difficult to determine from a single interview. Inconsistencies between the service use data of the National Comorbidity Study (NCS) (11) and the Mexican American Prevalence and Services Study (MAPSS) (12), for example, raise questions about the reliability of service use data across studies. In the MAPSS, proportionately fewer Mexican Americans (8.8 percent) sought services from mental health specialists than was reflected in the NCS data (12.4 percent), yet the MAPSS suggested that more Mexican Americans sought services from their general medical provider (18.4 percent) and any provider (28.1 percent) than was suggested by the NCS data (7.9 percent and 24.7 percent, respectively). It is curious that Mexican Americans use relatively fewer mental health services but use more services from other service providers. It may be that the pattern of service use suggested by both the NCS and the MAPSS is indeed valid. An alternative interpretation is that methodologic differences between studies, as well as the limitation of retrospective accounts, contributed to the inconsistencies in the results. A longitudinal approach one that prospectively assesses service use over smaller time intervals, such as one to three months would likely enhance the reliability of this important measure. Given that the assessment of service use is the foundation for studying service accessibility, it is important that this measure include as little error variance as possible. Social factors To advance our understanding of service use and the provision of highquality care it is critical that we give at least equal attention to broadly defined social factors as we do to clinical factors, such as level of impairment and treatment adherence. There are many ways to include an assessment of social factors in studies of service accessibility and the quality of care. It is important to examine the economic and social costs of mental illness to society, systems of care, families, and individuals. One such way is to consider social factors as predictors of service use, such as economic factors, cultural models, and organizational factors. Pescosolido and Boyer (13) have also provided a framework for the social context. A frequently studied barrier to care is the economic status of individuals and families. For example, Flisher and colleagues (14) found that children and adolescents from families with fewer financial resources were more likely to have unmet needs: youths identified as being in need of services were less likely to obtain services if their families received public assistance or if the youths were not covered by health insurance. Similarly, the MAPSS (15) found that among adults of Mexican descent who had a mental disorder, those with private rather than public insurance were more likely to visit a mental health provider. The fact that Latinos as a group are poor 23 percent live below the poverty line (7) and many (35 percent) do not have health insurance (16) suggests that financial barriers to obtaining mental health care are considerable. Another set of social factors that can serve as predictors of help seeking pertains to cultural models of disorders and conditions. Cultural models of mental health related problems are particularly salient in the study of nervios, a prominent idiom of distress among Latinos. Jenkins (17) found that many Mexican-American families construe ill relatives schizophrenia as nervios, which she argues helps reduce the stigma associated with the illness and promotes family support and cohesiveness. Guarnaccia and associates (18) found evidence that among Puerto Ricans, primarily women, ataques de nervios often reflect a lack of power and disrupted social relations, such as divorce and death. Salgado de Snyder and associates (19) discuss how conceptualizations of distress, including nervios, and the social context for example, the availability of social and professional support are related to help seeking among rural Mexicans. Both groups of researchers point out the importance of nervios and related cultural models for advancing our understanding of how individuals and families cope with the identified problem, including seeking help. Organizational factors of mental health services are other social predictors of care. To date the best test of the importance of practitioners ethnic and linguistic background key organizational characteristics was carried out by Sue and associates (20). Among their many findings was that Mexican-American patients with practitioners who were ethnically similar to themselves were more likely to continue in treatment and to improve their level of functioning than Mexican Americans who had ethnically dissimilar providers. Thus ethnic match is one of many organizational factors to be considered. Ortega and Rosenheck (21) provide an alternative perspective. Financing of the mental health system is another aspect of the delivery system that needs significant attention. The social world and its elements are not only relevant as predictors of service use and quality of care but also can be conceptualized as consequences or outcomes of mental health care or a lack thereof. In particular, it is important to examine the economic and social costs of mental illness to society, systems of care, families, and individuals. Considerable attention has been given to assessing the costs of various treatments (22). Much less attention has been 1570 PSYCHIATRIC SERVICES December 2002 Vol. 53 No. 12
3 given to assessing the costs associated with persons who need services but are not receiving them. Among the economic costs are lost wages of individuals and families as well as the costs of lost productivity to society. There are also social costs, such as the burden to the family and the fact that the individual is not fulfilling various social roles and obligations. In addition to advancing a more complete understanding of service use in Latino populations, studying Latinos social world has important practical implications. Such implications include the potential to garner support from policy makers, because social and economic outcomes are tangible and easily understood by the general public. Also, data on the social context of mental disorders serves to remind providers to address social factors for example, employment and attitudes toward mental illness and its treatment in addition to the clinical aspects of illness. Such data could inform the development of interventions to improve the accessibility and quality of care and to address social as well as clinical outcomes. It will be important to test generic cultural competency models or guidelines, which have been developed to apply across treatment modalities and across disorders and presenting symptoms. Interventions Treatment studies constitute a third approach that has considerable potential to improve access to care and the quality of the services provided to Latino persons. The value of treatment studies is that their findings can be readily exported to clinical settings so that practitioners can be trained to provide services according to specified guidelines. The most ambitious intervention study carried out thus far with Latinos involved the treatment of primary care patients with depression in 46 clinics in six managed systems of care, including one in San Luis, Colorado, and one in San Antonio, Texas (23). Latinos accounted for nearly a third (30 percent) of the enrolled sample of 1,356 patients. The purpose of the study was to assess the effects of programs to improve the quality of care for depression. One program involved the administration of medications, and the other involved cognitive-behavioral treatment provided by psychotherapists. Although analyses related to ethnicity have yet to be published, initial findings indicate that compared with usual care, the qualityimprovement programs had significant effects on treatment process, clinical outcome, and even some social outcomes, such as employment. The implications of this research for Latino populations are great. First, the data build on previous findings (24) that mental health treatment within a primary care context improves the accessibility of mental health services for a broad spectrum of people, in particular Latinos, who make greater use of medical services than mental health services (3). Second, this research team demonstrated that a cadre of health and mental health care professionals can be trained at several sites across the nation to deliver effective mental health care. Finally, future analyses of these data will be able to identify what constitutes usual mental health care for Latinos with depression in a primary care setting and whether efforts to improve the quality of care will have a positive impact on functioning among Latino patients. Assessing whether interventions within existing services improves care for Latino patients will help identify specific ways in which services can be modified. The study by Wells and associates (23) applied existing treatment models medication management and cognitive-behavioral therapy to the treatment of Latino patients. Other studies of specific interventions for specific disorders have targeted disorders such as schizophrenia (25,26) and depression (27). Some of these investigators pointed out the importance of the cultural adaptations they made in carrying out the specific treatment (28). For example, Kopelowicz (25) included families in skills-training sessions that were originally developed for patients only. As we build on this general line of treatment research in which cultural themes are implicated, it will be important to test directly whether specific cultural adaptations or specific treatment components of existing models are related to positive or negative outcomes. Such research will help us determine whether evidence-based treatments require cultural adaptation for Latino populations and, if so, what specifically should be altered. To complement research on models of treatment for specific disorders, it will be important to test generic cultural competency models or guidelines (29 35), which have been developed to apply across treatment modalities and across disorders and presenting symptoms. The advantage of generic cultural competence models is that they can be incorporated across a wide range of practitioners, regardless of their chosen treatment approaches or of the disorders of their patients. Although a number of models or guidelines have been developed, little attention has been given to evaluating them. Testing both generic cultural competence models as well as specific treatments for specific disorders are two lines of research that have considerable potential to improve the quality of treatment for Latino persons (36). The research process Collaborative efforts are critical to carrying out research that is likely to be translated into improved services for Latinos. Collaborations are needed across disciplines epidemiology, anthropology, psychology, and economics as well as across stakehold- PSYCHIATRIC SERVICES December 2002 Vol. 53 No
4 ers consumers, providers, and researchers. Interdisciplinary research will lead to the examination of multiple domains, and the inclusion of multiple stakeholders will increase the likelihood that the research will have relevance for different parties, particularly those most affected by available services consumers and providers. The value of interdisciplinary research could be illustrated in a future line of inquiry examining factors that enable service use and those that restrict it. An epidemiologic study would serve as the foundation of such research to identify persons with unmet needs. A second phase of the research would be to follow up persons with various mental health disorders to identify the economic, cultural, social, and psychological factors that best predict their use of services. In addition, the economic and social costs associated with receiving and not receiving needed care could be assessed. As a third phase, interventions could be developed to target the factors that enable and restrict service use. Such interventions could range from modifying organizational factors of mental health institutions to developing public mental health campaigns to inform the public about the nature of prevalent behavioral disorders and the availability of services and treatment. The effectiveness of such interventions could then be assessed directly with a follow-up study of the original epidemiologic sample. It would be important to examine, among the many possible outcomes, whether persons with unmet needs increased their use of services and benefited from such services. A research project of this nature, with its multiple domains, would require an interdisciplinary team. In addition, collaborations are needed among a wide range of stakeholders. Treatment studies in particular require the involvement of at least providers and researchers (23). To encourage the participation of mental health care delivery systems, clear benefits of such participation must be articulated, such as training of staff to perform specific interventions during the efficacy or effectiveness part of research. Then, if the treatments were found to be successful, they could be disseminated across a wide range of clinicians. Consumers would also play an important role. They could consult with clinical researchers in developing the treatment packages and could serve as advocates in promoting treatments that had been proven effective. Including the voices of consumers and providers may serve to enhance the science as well as the implementation of findings. Dissemination, implementation, and social advocacy Although research findings often have little influence in changing mental health systems, there are exceptions. In Santa Clara County, researchers collaborated with the county s mental health department in carrying out epidemiologic studies of the population overall as well as their diverse ethnic communities (37). The epidemiologic approach identified a specific group s need for services, which was then contrasted with the group s actual use of services. For example, 19.1 percent of Mexican Americans used services in , yet the projected need for services in this ethnic group was 26.5 percent, suggesting that there was some unmet need for mental health care among Mexican Americans. On the basis of these findings, resources were shifted to best meet the needs of all ethnic communities. This is one example of how research can be used to enhance services for Latinos. Another example can be found in the article by Aguilar-Gaxiola and colleagues (38) in this issue of Psychiatric Services. If studies are to have an impact on current systems of care, it is most important that researchers think carefully about the dissemination and promotion of their findings. Planning before actually carrying out the research, and even incorporating as much as possible the dissemination and implementation phase of research in grant proposals, will increase the likelihood that the results of the research will be used. In fact, evaluation of the implementation of the findings can serve as the next phase of the research project. Established collaborations with providers, consumers, and even policy planners, as suggested by the Santa Clara County example, will also serve to facilitate the distribution of findings among interested parties and facilitate their implementation. In addition, findings need to be packaged in formats that are most accessible to policy makers, service providers, and consumer groups. Press releases, Web sites, fact sheets, and press conferences are some avenues to consider. Presenting the available data as they pertain to pending legislation can also be useful. These formats can be used in conjunction with the usual professional outlets. Conclusions The need for researchers to address the mental health needs of Latino persons who live in the United States and its territories is urgent. The Latino population is not only growing but is also spreading to new parts of the United States (39). The continued failure to address the significant unmet needs for mental health services among Latinos will result in an increasing burden to Latino families and communities and to the United States overall. An action-oriented research agenda one that focuses on improving the accessibility of services and quality of care will help address the considerable need for mental health services in Latino populations. Acknowledgments The author thanks William Vega, Ph.D., Alex Kopelowicz, M.D., and Lonnie Snowden, Ph.D., for their helpful comments. Preparation of this article was supported by grant K08-MH-0499 from the National Institute of Mental Health. References 1. Padilla AM, Ruiz RA, Alvarez R: Community mental health services for the Spanishspeaking/surnamed population. American Psychologist 30: , Hough RL, Landsverk JA, Karno M, et al: Utilization of health and mental health services by Los Angeles Mexican Americans and non-hispanic whites. Archives of General Psychiatry 44: , Vega WA, Kolody B, Aguilar-Gaxiola S, et al: Gaps in service utilization by Mexican Americans with mental health problems. American Journal of Psychiatry 156: , 4. Leaf PJ, Alegria M, Cohen P, et al: Mental health service use in the community and schools: results from the four-community MECA study. Journal of the American 1572 PSYCHIATRIC SERVICES December 2002 Vol. 53 No. 12
5 Academy of Child and Adolescent Psychiatry 35: , Murray CJL, Lopez, AD: The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to Cambridge, Mass, Harvard University Press, Profiles of General Demographic Characteristics: 2000 Census of Population and Housing. US Census Bureau. Available at pdf 7. Therrien M, Ramirez R: The Hispanic Population of the United States: Population Characteristics. Current Population Reports. Washington, DC, US Department of Commerce, Available at census.gov/population/socdemo/hispanic/p pdf 8. Mental Health: Culture, Race, and Ethnicity: A Supplement to Mental Health: A Report of the Surgeon General. Rockville, Md, US Department of Health and Human Services, Wells KB, Hough RL, Golding JM, et al: Which Mexican-Americans underutilize health services? American Journal of Psychiatry 144: , Escobar JI, Burnam MA, Karno M, et al: Somatization in the community. Archives of General Psychiatry 44: , Kessler RC, Stang PE, Wittchsen H, et al: Past-year use of outpatient services for psychiatric problems in the National Cormorbidity Survey. American Journal of Psychiatry 156: , 12. Vega WA, Kolody B, Aguilar-Gaxiola S, et al: Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Archives of General Psychiatry 55: , Pescosolido BA, Boyer CA: How do people come to use mental health services? Current knowledge and changing perspectives, in A Handbook for the Study of Mental Health: Social Contexts, Theories, and Systems. Edited by Horwitz AV, Scheid TL. New York, Cambridge University Press, 14. Flisher AJ, Kramer RA, Gorsser RC, et al: Correlates of unmet need for mental health services by children and adolescents. Psychological Medicine 27: , Vega WA, Kolody B, Aguilar-Gaxiola S: Help seeking for mental health problems among Mexican Americans. Journal of Immigrant Health 3: , Campbell JA: Health insurance coverage: 1998, in Current Population Reports. Washington, DC, US Department of Commerce, 17. Jenkins JH: Conceptions of schizophrenia as a problem of nerves: a cross-cultural comparison of Mexican-Americans and Anglo-Americans. Social Science and Medicine 26: , Guarnaccia PJ, Canino G, Rubio-Stipec M, et al: The prevalence of ataques de nervios in the Puerto Rico study: the role of culture in psychiatric epidemiology. Journal of Nervous and Mental Disease 181: , Salgado de Snyder N, Diaz-Perez M, Maldonado M, et al: Pathways to mental health services among inhabitants of a Mexican village. Health and Social Work 23: , Sue S, Fujino DC, Hu L, et al: Community mental health services for ethnic minority groups: a test of the cultural responsiveness hypothesis. Journal of Consulting and Clinical Psychology 59: , Ortega AN, Rosenheck R: Hispanic client case manager matching: differences in outcomes and service use in a program for homeless persons with severe mental illness. Journal of Nervous and Mental Disease 190: , Hargreaves WA, Shumway M, Hu T, et al: Cost-Outcome Methods for Mental Health. San Diego, Academic Press, Wells KB, Sherbourne C, Schoenbaum M, et al: Impact of disseminating quality improvement programs for depression in managed primary care: a randomized controlled trial. JAMA 283: , Muñoz RF, Ying Y, Bernal G, et al: Prevention of depression with primary care patients: a randomized controlled trial. American Journal of Community Psychology 23: , Kopelowicz A: Social skills training: the moderating influence of culture in the treatment of Latinos with schizophrenia. Journal of Psychopathology and Behavioral Assessment 19: , Telles C, Karno M, Mintz J, et al: Immigrant families coping with schizophrenia: behavioural family intervention v case management with a low-income Spanish-speaking population. British Journal of Psychiatry 167: , Rossello J, Bernal G: The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents. Journal of Consulting and Clinical Psychology 67: , 28. Bernal G, Bonilla J, Bellido C: Ecological validity and cultural sensitivity for outcome research: issues for the cultural adaptation and development of psychosocial treatments with Hispanics. Journal of Abnormal Child Psychology 23: 67 82, Cross TL, Bazron BJ, Dennis KW, et al: Towards a Culturally Competent System of Care. Washington, DC, CAASP Technical Assistance Center, Koss-Chioino JD, Vargas LA: Working With Latino Youth: Culture, Development, and Context. San Francisco, Jossey-Bass, 31. Ridley CR, Mendoza DW, Kanitz BE, et al: Cultural sensitivity in multicultural counseling: a perceptual schema model. Journal of Counseling Psychology 41: , Sue DW, Arrendondo P, McDavis RJ: Muliticultural counseling competencies and standards: a call to the profession. Journal of Multicultural Counseling and Development 20:64 68, Sue S, Zane N: The role of culture and cultural techniques in psychotherapy: a critique and reformulation. American Psychologist 42:37 45, Cultural Competence Standards in Managed Care Mental Health Services: Four Underserved/Underrepresented Racial/ Ethnic Groups. Washington, DC, Center for Mental Health Services, Available at cmhs.html 35. Lopez SR: Cultural competence in psychotherapy: a guide for clinicians and their supervisors, in Handbook of Psychotherapy Supervision. Edited by Watkins Jr CE. New York, Wiley, Lopez SR, Kopelowicz A, Cañive J: Strategies in developing culturally congruent family interventions for schizophrenia: the case of Hispanics in Madrid and Los Angeles, in Family Interventions in Mental Illness: International Perspectives. Edited by Lefley HP, Johnson DL. Westport, Conn, Praeger, Meinhardt K, Vega W: A method for estimating underutilization of mental health services by ethnic groups. Hospital and Community Psychiatry 38: , Aguilar-Gaxiola S, Zelezny L, Garcia B, et al: Translating research into action: reducing disparities in mental health care for Mexican Americans. Psychiatric Services 53: , Mapping Census 2000: The Geography of US Diversity: Hispanic or Latino Origin. US Census Bureau, Population Estimates Program, Population Division. Available at PSYCHIATRIC SERVICES December 2002 Vol. 53 No
Office of Health Equity Advisory Committee Meeting
Office of Health Equity Advisory Committee Meeting Disparities in Mental Health Status and Care Sergio Aguilar-Gaxiola, MD, PhD Professor of Clinical Internal Medicine Director, Center for Reducing Health
More informationCalifornia 2,287, % Greater Bay Area 393, % Greater Bay Area adults 18 years and older, 2007
Mental Health Whites were more likely to report taking prescription medicines for emotional/mental health issues than the county as a whole. There are many possible indicators for mental health and mental
More informationThe Bridge Program 10 Years Later. Teddy Chen, PhD, MSSW Director Mental Health Bridge Program Charles B. Wang Community Health Center
The Bridge Program 10 Years Later Teddy Chen, PhD, MSSW Director Mental Health Bridge Program Charles B. Wang Community Health Center 1 Mental Health Needs of the Asian American Community 2 API Females
More informationDr. Hector Balcazar UT School of Public Health
Dr. Hector Balcazar UT School of Public Health GOAL OF THIS INITIATIVE Use data for building the case of reducing disparities in mental health services for 2 subgroups of Mexican origin (MO) not differentiated
More informationA CULTURALLY SENSITIVE PROGRAM FOR LATINOS TO REDUCE BARRIERS TO MENTAL HEALTH TREATMENT SERVICES: A GRANT PROPOSAL
A CULTURALLY SENSITIVE PROGRAM FOR LATINOS TO REDUCE BARRIERS TO MENTAL HEALTH TREATMENT SERVICES: A GRANT PROPOSAL Noriela Flores California State University, Long Beach May 2017 Introduction The Hispanic
More informationCULTURE-SPECIFIC INFORMATION
NAME: Sanctuary 0000: General Name Model Spelled Culture-Specific Information Out Information Engagement For which specific cultural group(s) (i.e., SES, religion, race, ethnicity, gender, immigrants/refugees,
More informationAccess to Mental Health Treatment by English Language Proficiency and Race/Ethnicity
Access to Mental Health Treatment by English Language Proficiency and Race/Ethnicity Tetine Sentell, PhD 1, Martha Shumway, PhD 1, and Lonnie Snowden, PhD 2 1 Department of Psychiatry, University of California,
More informationHealth Policy Research Brief
July 2010 Health Policy Research Brief Mental Health Status and Use of Mental Health Services by California Adults David Grant, Nicole Kravitz-Wirtz, Sergio Aguilar-Gaxiola, William M. Sribney, May Aydin
More informationAlex Zamora, LMSW. Human Services Program Specialist 211 Idaho CareLine Idaho Department of Health and Welfare Monday, June 3, 2013
Alex Zamora, LMSW Human Services Program Specialist 211 Idaho CareLine Idaho Department of Health and Welfare Monday, June 3, 2013 Licensed Master Social Worker Idaho and Oregon Idaho Dept. of Education
More informationMay 6, The White House 1600 Pennsylvania Avenue, NW Washington, DC Dear President Obama:
May 6, 2009 The White House 1600 Pennsylvania Avenue, NW Washington, DC 20500 Dear President Obama: As you and your colleagues continue to work on health reform legislation, the undersigned coalitions,
More informationClaudia Fernandez Presented to the School of Social Work California State University, Long Beach May 2015
Claudia Fernandez Presented to the School of Social Work California State University, Long Beach May 2015 Latinas are at a high risk for depression and other mental health conditions due to domestic violence,
More informationViolence Prevention: Rethinking the Standard of Care for Family Planning
Violence Prevention: Rethinking the Standard of Care for Family Planning Policy Brief For more than a decade, public health policies have been enacted to reduce health disparities in communities of color.
More informationMental Health Care For Foreign Born Latinos: A Grant Proposal. Samuel Munoz California State University, Long Beach May 2017
Mental Health Care For Foreign Born Latinos: A Grant Proposal Samuel Munoz California State University, Long Beach May 2017 Introduction One of the areas that has impacted Latino immigrants, particularly
More informationTreating Depression in Disadvantaged Women: What is the evidence?
Treating Depression in Disadvantaged Women: What is the evidence? Megan Dwight Johnson, MD MPH Associate Professor Medical Director, UWMC Inpatient Psychiatry Department of Psychiatry and Behavioral Sciences
More informationGuide to Learning Plan for Concentration Year MSW Field Placement. Adults and Families Advanced Practice Behaviors.
Guide to Learning Plan for Concentration Year MSW Field Placement Adults and Families Advanced Practice Behaviors Core Competencies 1) Ethical and Professional Conduct: To identify as a professional social
More informationOrange County MHSA Program Analysis. Needs and Gaps Analysis
Orange County MHSA Program Analysis Needs and Gaps Analysis May 21, 2018 Contents Executive Summary... 3 1. Introduction... 6 2. Mental Health Symptoms among Adults, Transitional-Aged Youth and Veterans
More informationFor the OT2019 Class of MScOT students entering fall 2017: Occupational Therapy Year One Course Descriptions 44 credits
For the OT2019 Class of MScOT students entering fall 2017: Occupational Therapy Year One Course Descriptions 44 credits OT 801 Conceptual Models in Occupational Therapy This course introduces students
More informationDisparities in care for depression in the United States. Disparities in Care for Depression Among Primary Care Patients
Blackwell ORIGINAL Miranda and Publishing, Cooper, ARTICLE Ltd. in Care for Depression Disparities in Care for Depression Among Primary Care Patients Jeanne Miranda, PhD, Lisa A. Cooper, MD, MPH CONTEXT:
More informationCORE COMPETENCIES IN FORENSIC PSYCHOLOGY
CORE COMPETENCIES IN FORENSIC PSYCHOLOGY A. FOUNDATIONAL COMPETENCIES 1. Relationships The Forensic Specialist (FS) recognizes and appreciates potential role boundaries with all parties involved in forensic
More informationCommunity Needs Assessment. June 26, 2013
Community Needs Assessment June 26, 2013 Agenda Purpose Methodology for Collecting Data Geographic Area Demographic Information Community Health Data Prevalence of Alcohol & Drug Use Utilization data Findings
More informationCore Competencies Clinical Psychology A Guide
Committee for Scrutiny of Individual Clinical Qualifications Core Competencies Clinical Psychology A Guide Please read this booklet in conjunction with other booklets and forms in the application package
More informationEastern Michigan University School of Social Work Field Evaluation: MSW Advanced Concentration Mental Illness and Chemical Dependency
1 Eastern Michigan University School of Social Work Field Evaluation: MSW Advanced Concentration Mental Illness and Chemical Dependency Directions: The student should come (prepared with behavioral examples)
More informationCultural Elements for Treating Hispanic and Latino populations
Cultural Elements for Treating Hispanic and Latino populations National Hispanic and Latino ATTC Task Force Meeting January, 2015 Objectives Provide a description of the training Describe possible uses
More informationF10 Addressing the Misperceptions of Bilingual, Monolingual Latino Parents towards the Mental Health Needs of their Children (repeat session)
F10 Addressing the Misperceptions of Bilingual, Monolingual Latino Parents towards the Mental Health Needs of their Children (repeat session) June 6, 2014, 10:30 am -12:00 pm Carlos Soto, Mirna Rauda,
More informationSubmission to. MBS Review Taskforce Eating Disorders Working Group
Submission to MBS Review Taskforce Eating Disorders Working Group Contact: Dr Vida Bliokas President ACPA President@acpa.org.au Introduction The Australian Clinical Psychology Association (ACPA) represents
More informationThe dramatic growth of managed. Use of Psychiatrists, Psychologists, and Master s-level Therapists in Managed Behavioral Health Care Carve-Out Plans
Use of Psychiatrists, Psychologists, and Master s-level Therapists in Managed Behavioral Health Care Carve-Out Plans Roland Sturm, Ph.D. Ruth Klap, Ph.D. Objective: Outpatient claims data from a managed
More informationMental health planners and policymakers routinely rely on utilization
DataWatch Measuring Outpatient Mental Health Care In The United States by Mark Olfson and Harold Alan Pincus Abstract: A standard definition of outpatient mental health care does not now exist. Data from
More informationSBM Annual Meeting and Scientific Sessions Topic Area Descriptions
SBM Annual Meeting and Scientific Sessions Topic Area Descriptions Cancer Abstracts that address cancer at any point along the cancer continuum (prevention, screening, diagnosis, treatment, survivorship,
More informationMultisectoral action for a life course approach to healthy ageing
SIXTY-SEVENTH WORLD HEALTH ASSEMBLY Provisional agenda item 14.4 21 March 2014 Multisectoral action for a life course approach to healthy ageing 1. The attached document EB134/19 was considered and noted
More informationSt. Cloud Field Practicum Learning Contract
St. Cloud Field Practicum Learning Contract Student Name Field Placement Objective 1: Identify as a professional social worker and conduct oneself accordingly, through the use of supervision, consultation,
More informationUnited Advocates for Children and Families. Stigma and Discrimination Reduction: Strategies for a Supportive Environment: Capacity Building
United Advocates for Children and Families Stigma and Discrimination Reduction: Strategies for a Supportive Environment: Capacity Building Background United Advocates for Children and Families (UACF) received
More informationCommunity-Based Strategies for Cancer Control
Community-Based Strategies for Cancer Control Chanita Hughes Halbert, Ph.D. Department of Psychiatry and Behavioral Sciences Hollings Cancer Center Medical University of South Carolina 1900: Ten Leading
More informationSOCIAL WORK PROGRAM Field Education Coordinator s Evaluation of Practicum Agency
SOCIAL WORK PROGRAM Field Education Coordinator s Evaluation of Practicum Agency This evaluation is to be completed by the TAMUK Social Work Field Coordinator, discussed with the agency Field Instructor,
More informationHispanics/Latinos and Hepatitis: An Overlooked Health Disparity. National Hispanic Hepatitis Awareness Day
Hispanics/Latinos and Hepatitis: An Overlooked Health Disparity National Hispanic Hepatitis Awareness Day HELLO! LUIS A. MARES, LMSW Director of Community Mobilization Latino Commission on AIDS. Lmares@latinoaids.org
More informationExecutive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services
United Nations DP/FPA/CPD/BRA/5 Executive Board of the United Nations Development Programme, the United Nations Population Fund the United Nations Office for Project Services Distr.: General 26 September
More informationChallenge. Objectives 1. Increase utilization of LIVESTRONG s culturally appropriate resources and services for Hispanic/Latinos affected by cancer.
Overview According to the Surveillance Epidemiology and End Results program of the National Cancer Institute, cancer is the second leading cause of death for Hispanics/Latinos in the U.S., accounting for
More informationConceptual framework! Definitions of race and ethnicity Census Questions, Genetics! Social Class, migration, language proficiency!
Conceptual framework! Definitions of race and ethnicity Census Questions, Genetics! Social Class, migration, language proficiency! Patient-physician communication! Clinical Research Examples! Options for
More informationExecutive Board of the United Nations Development Programme and of the United Nations Population Fund
United Nations DP/FPA/CPD/BRA/4 Executive Board of the United Nations Development Programme and of the United Nations Population Fund Distr.: General 9 October 2006 Original: English UNITED NATIONS POPULATION
More informationDeveloping Core Competencies for the Counselling Psychologist Scope: Initial Consultation and Call for Nominations
Developing Core Competencies for the Counselling Psychologist Scope: Initial Consultation and Call for Nominations INTRODUCTION: Since the implementation of the HPCA Act the Psychologists Board has, as
More informationResults from the South Dakota Health Survey. Presented by: John McConnell, Bill Wright, Donald Warne, Melinda Davis & Norwood Knight Richardson
Results from the South Dakota Health Survey Presented by: John McConnell, Bill Wright, Donald Warne, Melinda Davis & Norwood Knight Richardson May 2015 Overview Why the interest in South Dakota? Survey
More informationUniversity of Kentucky College of Social Work Field Placement Student Self- Evaluation Form Community and Social Development (CSD) Concentration
University of Kentucky College of Social Work Field Placement Student Self- Evaluation Form Community and Social Development (CSD) Concentration MSW Semester 741 743 Student Name: Agency: Agency Address/Phone:
More informationPILOT IMPLEMENTATION EVALUATION REPORT
Implementing and Disseminating a Latino MFG Program Valley Nonprofit Resources/Human Interaction Research Institute PILOT IMPLEMENTATION EVALUATION REPORT September 2009 Objective and Project Overview
More informationMINNESOTA GERONTOLOGICAL SOCIETY ANNUAL CONFERENCE 2015 Phyllis A. Greenberg, PhD Sue Humphers-Ginther, PhD Jim Tift, M.A. Missy Reichl, B.S.
CAREERS IN AGING MINNESOTA GERONTOLOGICAL SOCIETY ANNUAL CONFERENCE 2015 Phyllis A. Greenberg, PhD Sue Humphers-Ginther, PhD Jim Tift, M.A. Missy Reichl, B.S. 1 WHAT IS GERONTOLOGY? GERIATRICS? Aging is
More informationSchool of Social Work
University of Nevada, Reno School of Social Work Bachelor of Social Work (BSW) Outcome Data Academic Year 2014-2015 Spring Semester BSW Report 2014-2015: Page 1 The Council on Social Work Education s (CSWE)
More informationOccupational Therapy (OTHR)
Occupational Therapy (OTHR) 1 Occupational Therapy (OTHR) Courses OTHR 5001. Developmental Perspectives in Occupational Therapy. 2 Credit Hours. This course explores human development and the relation
More informationTREATMENT OF DEPRESSION IN AFRICAN AMERICAN PRIMARY CARE PATIENTS
TREATMENT OF DEPRESSION IN AFRICAN AMERICAN PRIMARY CARE PATIENTS Charlotte Brown, Ph.D., Department of Psychiatry, Health and Behavior Studies Program, University of Pittsburgh School of Medicine Deena
More informationEDUCATION ACADEMIC APPOINTMENTS
MERCEDES HERNANDEZ, Ph.D., LCSW The University of Texas at Austin Steve Hicks School of Social Work 1925 San Jacinto Blvd Stop D3500 Austin, TX 78712 mercedeh@utexas.edu EDUCATION 2015-2016 Postdoctoral
More informationUsing a social-ecological model in development of treatment programs that target behavior change
This is the author s final manuscript of the presented paper. The publisher-formatted version may be available through the publisher s web site or your institution s library Using a social-ecological model
More informationGuide to Learning Plan for Field Placement. Core Competencies
Guide to Learning Plan for Field Placement Core Competencies 1) Ethical and Professional Conduct: To identify as a professional social worker and conduct oneself accordingly. Social workers serve as representatives
More informationClinical Mental Health Counseling (CMHC)
Clinical Mental Health Counseling (CMHC) 1 Clinical Mental Health Counseling (CMHC) Chairperson: Alan W. Burkard, Ph.D. College of Education Master's Program in Clinical Mental Health Counseling website
More informationEffective Treatment of Depression in Older African Americans: Overcoming Barriers
Effective Treatment of Depression in Older African Americans: Overcoming Barriers R U T H S H I M, M D, M P H A S S I S T A N T P R O F E S S O R, D E P A R T M E N T O F P S Y C H I A T R Y A N D B E
More informationA guide to peer support programs on post-secondary campuses
A guide to peer support programs on post-secondary campuses Ideas and considerations Contents Introduction... 1 What is peer support?... 2 History of peer support in Canada... 2 Peer support in BC... 3
More informationHealth Disparities Research. Kyu Rhee, MD, MPP, FAAP, FACP Chief Public Health Officer Health Resources and Services Administration
Health Disparities Research Kyu Rhee, MD, MPP, FAAP, FACP Chief Public Health Officer Health Resources and Services Administration Outline on Health Disparities Research What is a health disparity? (DETECT)
More informationEvaluating Elements of Scopes of Practice in the Military Health System
Evaluating Elements of Scopes of Practice in the Military Health System Joseph D. Wehrman, Ph.D. University of Colorado at Colorado Springs Department of Counseling & Human Services Colorado Springs, CO
More informationP. Harmell, Copyright, 2014 Section C -1-
Using the DSM-5 Legally and Ethically: A Clinician s Guide Section C Insurance Fraud Considering Culture in the DSM Presented by Pamela H. Harmell, Ph.D. C-1 Parity Diagnoses http://www.dol.gov/ebsa/newsroom/fsmhpaea.html
More informationEpilepsy Across the Spectrum Promoting Health and Understanding
RECOMMENDATIONS MARCH 2012 For more information visit www.iom.edu/epilepsy Epilepsy Across the Spectrum Promoting Health and Understanding Much can be done to improve the lives of people with epilepsy.
More informationSubstance Abuse. Among current drinkers, men in nonmetro areas consume 5 or more drinks in one day than those in metro areas (56% vs.
Framing the Issue Substance Abuse Among current drinkers, men in nonmetro areas consume 5 or more drinks in one day than those in metro areas (56% vs. 48-52%) Periodic heavy drinking more common among
More informationFOUNDATION YEAR FIELD PLACEMENT EVALUATION
MARYWOOD UNIVERSITY SCHOOL OF SOCIAL WORK AND ADMINISTRATIVE STUDIES MSW FIELD EDUCATION 2014-15 FOUNDATION YEAR FIELD PLACEMENT EVALUATION Student: Agency Name and Address: Field Instructor: Task Supervisor
More informationSchool of Social Work
University of Nevada, Reno School of Social Work Master of Social Work (MSW) Foundation & Concentration Outcome Data Academic Year 2015-2016 MSW Report 2015-2016: Page 1 The Council on Social Work Education
More informationWhat Do We Know about the Current and Future Psychologist Workforce?
What Do We Know about the Current and Future Psychologist Workforce? Karen Stamm, PhD Director, Center for Workforce Studies Virginia Behavioral Health Summit September 27, 2018 The opinions expressed
More informationDepartment of Social Work Florida Gulf Coast University. Foundation Practice Field Placement Learning Plan
Department of Social Work Florida Gulf Coast University Foundation Practice Field Placement Learning Plan Student: Student Email: Agency: Agency Phone: Field Instructor: Faculty Liaison: Task Supervisor
More informationOverview of Some Cultural Considerations
Overview of Some Cultural Considerations Mark Lazenby PhD FAAN Associate Professor of Nursing, Divinity, & Middle East Studies The Term Culture The ideas, customs, and social behavior of a particular people
More informationHow the New NIH Guidelines on Inclusion of Women and Minorities Apply: Efficacy Trials, Effectiveness Trials, and Validity
Journal of Consulting and Clinical Psychology October 1996 Vol. 64, No. 5, 851-855 1996 by the American Psychological Association For personal use only--not for distribution. How the New NIH Guidelines
More informationDEPARTMENT OF PROFESSIONAL COUNSELING UNIVERSITY OF WISCONSIN OSHKOSH OSHKOSH, WI Clinical Mental Health Counseling Intern Evaluation
DEPARTMENT OF PROFESSIONAL COUNSELING UNIVERSITY OF WISCONSIN OSHKOSH OSHKOSH, WI 54901 Clinical Mental Health Counseling Intern Evaluation Intern Date Site Supervisor School Directions For each item,
More informationHocus Pocus: How the National Institute of Mental Health Made Two Million People with Schizophrenia Disappear
PREVALENCE January 2018 Hocus Pocus: How the National Institute of Mental Health Made Two Million People with Schizophrenia Disappear By E. Fuller Torrey and Elizabeth Sinclair Although he has been the
More informationIllinois CHIPRA Medical Home Project Baseline Results
Illinois CHIPRA Medical Home Project Baseline Results On the National Committee for Quality Assurance Patient Centered Medical Home Self-Assessment June 25, 2012 Prepared by MetroPoint Research & Evaluation,
More informationAlberta Alcohol and Drug Abuse Commission. POSITION ON ADDICTION AND MENTAL HEALTH February 2007
Alberta Alcohol and Drug Abuse Commission POSITION ON ADDICTION AND MENTAL HEALTH POSITION The Alberta Alcohol and Drug Abuse Commission (AADAC) recognizes that among clients with addiction problems, there
More informationResolution on the 2005 White House Conference on Aging
Resolution on the 2005 White House Conference on Aging Adopted by the APA Council of Representatives on August 2005 Whereas the decennial White House Conferences on Aging (WHCoA) has been an important
More informationNAME: If interpreters are used, what is their training in child trauma? This depends upon the agency.
0000: General Name Spelled Culture-Specific Out Engagement For which specific cultural group(s) (i.e., SES, religion, race, ethnicity, gender, immigrants/refugees, disabled, homeless, LGBTQ, rural/urban
More informationHIV Interventions along the US-Mexico Border: The Southern California Border HIV/AIDS Project
HIV Interventions along the US-Mexico Border: The Southern California Border HIV/AIDS Project Institute of Medicine Roundtable on Health Literacy January 26, 2006 Rosana Scolari Director of HIV Services
More informationJOB ANNOUNCEMENT MENTAL HEALTH LICENSED CLINICIAN - GERIATRIC SPECIALTY (GS) DATE POSTED: April 22, 2016 APPLICATION DEADLINE: OPEN UNTIL FILLED
5660 Copley Drive San Diego, CA 92111 MENTAL HEALTH LICENSED CLINICIAN - GERIATRIC SPECIALTY (GS) DATE POSTED: April 22, 2016 APPLICATION DEADLINE: OPEN UNTIL FILLED Position no. / Range: Range 55.00 Union
More informationMental health and Aboriginal people and communities
Mental health and Aboriginal people and communities 10-year mental health plan technical paper Contents Background...1 Aboriginal communities and the experience of poor mental health...2 Policy and program
More informationREGULATION Update. Music Therapy Association for Alberta, AGM, September 29, 2018 Sheila Killoran, MA, MTA, FAMI
REGULATION Update Music Therapy Association for Alberta, AGM, September 29, 2018 Sheila Killoran, MA, MTA, FAMI Regulation is Provincial To protect the public from harm A College is formed to regulate
More informationHealth Literacy and Health Disparities: Opportunities for Trans-disciplinary Collaboration
Health Literacy and Health Disparities: Opportunities for Trans-disciplinary Collaboration Lisa A. Cooper, MD, MPH Professor of Medicine Johns Hopkins University School of Medicine Questions How do we
More informationFirst encounters with a health care provider
National Autism Data Center Fact Sheet Series April 2016; Issue 8 First encounters with a health care provider What were the early experiences between parents of children with autism and health care providers?
More informationRyan White HIV/AIDS Program Part B Proposal Q & A
Ryan White HIV/AIDS Program Part B Proposal Q & A Why is this being considered? In response to requests by community members and legislators and in accordance with the new National HIV/AIDS Strategy, two
More informationRecruiting and Retaining Low-Income Latinos in Psychotherapy Research
Journal of Consulting and Clinical Psychology October 1996 Vol. 64, No. 5, 868-874 1996 by the American Psychological Association For personal use only--not for distribution. Recruiting and Retaining Low-Income
More informationCareer Stages of Health Service Psychologists
Career Stages of Health Service Psychologists Special Analysis of the 2015 APA Survey of Psychology Health Service Providers American Psychological Association Center for Workforce Studies Karen Stamm,
More informationMental Health and Alcohol Use
Mental Health and Alcohol Use Mental Health Mental health has been defined as a state of successful performance of mental function resulting in productive activities, fulfilling relationships with other
More informationRevised Standards. S 1a: The service routinely collects data on age, gender and ethnicity for each person referred for psychological therapy.
Revised Standards S 1a: The service routinely collects data on age, gender and ethnicity for each person referred for psychological therapy. S1b: People starting treatment with psychological therapy are
More informationCrisis Visits and Psychiatric Hospitalizations Among Patients Attending a Community Clinic in Rural Southern California
Community Ment Health J (2012) 48:133 137 DOI 10.1007/s10597-010-9350-0 BRIEF REPORT Crisis Visits and Psychiatric Hospitalizations Among Patients Attending a Community Clinic in Rural Southern California
More informationDEPRESSION: THE INVISIBLE CULPRIT
DEPRESSION: THE INVISIBLE CULPRIT A depressive disorder 1 is an illness that involves the body, mood, and thoughts. It differs quantitatively and qualitatively from normal sadness or grief. Clinically,
More informationHealthVoices. Health and Healthcare in Rural Georgia. The perspective of rural Georgians
HealthVoices Health and Healthcare in Rural Georgia Issue 3, Publication #100, February 2017 Samantha Bourque Tucker, MPH; Hilton Mozee, BA; Gary Nelson, PhD The perspective of rural Georgians Rural Georgia
More informationTeaching Culturally Informed Psychological Assessment: Conceptual Issues and Demonstrations
JOURNAL OF PERSONALITY ASSESSMENT, 79(2), 226 234 Copyright 2002, Lawrence Erlbaum Associates, Inc. Teaching Culturally Informed Psychological Assessment: Conceptual Issues and Demonstrations Steven Regeser
More informationState of Alabama HIV Surveillance 2013 Annual Report Finalized
State of Alabama HIV Surveillance 2013 Annual Report Finalized Prepared by: Division of STD Prevention and Control HIV Surveillance Branch Contact Person: Allison R. Smith, MPH Allison.Smith@adph.state.al.us
More informationHRSA HIV/AIDS Bureau Updates
HRSA HIV/AIDS Bureau Updates Minority AIDS Initiative (MAI): 15 Years Later What s Been Achieved? What Are the Ongoing Barriers to Success? October 2, 2014 Harold J. Phillips Deputy Director Division of
More informationPublic Mental Health. Benedetto Saraceno University Nova of Lisbon University of Geneva Chairman Global Initiative on Psychiatry, The Netherlands
Public Mental Health Benedetto Saraceno University Nova of Lisbon University of Geneva Chairman Global Initiative on Psychiatry, The Netherlands FIVE KEY POINTS IN PMH Mental disorders: high prevalence
More informationThe Effects of Racial and Ethnic Differences or Similarities on the Therapeutic Alliance
46 College of Education The Effects of Racial and Ethnic Differences or Similarities on the Therapeutic Alliance Rafael O. Leite & Paul Peluso The increasing diversity of the United States raises the probability
More informationUniversity Training College (UTC) of UKCP
University Training College (UTC) of UKCP Standards of Education and Training in Psychotherapy (SETS) 1 Introduction The College includes University based programmes in psychotherapy education which represent
More informationTHE ROLE OF CULTURE IN INTEGRATING SCHOOLS AND MENTAL HEALTH
THE ROLE OF CULTURE IN INTEGRATING SCHOOLS AND MENTAL HEALTH Mario Hernandez, Ph.D. and Teresa Nesman, Ph.D. Department of Child and Family Studies Louis de la Parte Florida Mental Health Studies School
More informationXAVIER UNIVERSITY DEPARTMENT OF SOCIAL WORK BSW DEGREE PROGRAM SOCIAL WORK EDUCATION ASSESSMENT PROJECT (SWEAP) EXIT SURVEY [2008 CSWE EPAS] BENCHMARK
XAVIER UNIVERSITY DEPARTMENT OF SOCIAL WORK BSW DEGREE PROGRAM SOCIAL WORK EDUCATION ASSESSMENT PROJECT (SWEAP) EXIT SURVEY [2008 CSWE EPAS] Identify as a Professional Social Worker and Conduct Oneself
More informationDepression in Women Etiology & Management Strategies Diana E. Ramos, MD,MPH
Depression in Women Etiology & Management Strategies Diana E. Ramos, MD,MPH Associate Clinical Professor, Keck University of Southern California Medical Director, Reproductive Health, Los Angeles County
More informationSenior Clinician Early Intervention Youth Psychosis. DATE: May 2017 ORGANISATIONAL ENVIRONMENT
POSITION: REPORTS TO: LOCATED: Senior Clinician Early Intervention Youth Psychosis Senior Manager Melbourne CBD DATE: May 2017 ORGANISATIONAL ENVIRONMENT Melbourne City Mission is a leader and innovator
More informationIn 2001 the landmark Surgeon. Race-Ethnicity as a Predictor of Attitudes Toward Mental Health Treatment Seeking
Race-Ethnicity as a Predictor of Attitudes Toward Mental Health Treatment Seeking Ruth S. Shim, M.D., M.P.H. Michael T. Compton, M.D., M.P.H. George Rust, M.D., M.P.H. Benjamin G. Druss, M.D., M.P.H. Nadine
More informationDepression in the Workplace: Detailed Analysis of TBGH s 2016 Survey of Texas Employers. November 28, 2016
Depression in the Workplace: Detailed Analysis of TBGH s 2016 Survey of Texas Employers November 28, 2016 Depression in the Workplace: Detailed Analysis of TBGH s 2016 Survey of Texas Employers Contents
More informationLina M. Aldana, Psy.D.
to reduce violence and impulsivity, improve coping strategies, and increase activities of daily living. Assisted other treatment teams in managing difficult or violent patients. Faculty Member for APA-
More informationChildren and Adults with Attention-Deficit/Hyperactivity Disorder Public Policy Agenda for Adults
Children and Adults with Attention-Deficit/Hyperactivity Disorder Public Policy Agenda for Adults 2008 2009 Accepted by the Board of Directors October 31, 2008 Introduction CHADD (Children and Adults with
More informationGuidelines for implementation of Article 14
Guidelines for implementation of Article 14 Demand reduction measures concerning tobacco dependence and cessation Adopted by the Conference of the Parties at its fourth session (decision FCTC/COP4(8))
More informationRequest for Proposals
Request for Proposals Innovative Model for Bringing Autism Expertise and Services to Rural Areas of Pennsylvania The Pennsylvania Department of Public Welfare (DPW) through the Tuscarora Intermediate Unit
More information