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Issues Ment Health Nurs ; 29(4): 351-70, 2008 Apr.
Article in English | MEDLINE | ID: mdl-18382914

ABSTRACT

Community-based participatory research bridges the gap between academic researchers and the real-life issues of communities and offers promise for addressing racial and ethnic disparities in mental health care. The purpose of this community-based participatory research was to identify factors that affect access, use, and perception of mental health services by a Latino population at individual, organizational, and community levels. Individual level factors included health beliefs about mental illness and care, suspicions of providers, financial concerns, and culturally determined gender roles. Organizational factors included problems with access to care related to cost, lack of bilingual providers, and culturally competent care; and community level factors included distance between resources and the need for services to be provided in community sites. Immigration status and acculturation were identified as factors at all levels.


Subject(s)
Community Mental Health Services/supply & distribution , Health Services Needs and Demand , Hispanic or Latino/psychology , Hispanic or Latino/statistics & numerical data , Mental Disorders/ethnology , Mental Disorders/therapy , Patient Participation , Social Identification , Adult , Community Mental Health Services/statistics & numerical data , Cultural Characteristics , Ecology , Emigrants and Immigrants , Female , Health Services Accessibility , Humans , Male , Middle Aged , North Carolina
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