Blacks and Latinos receive less adequate mental health care than Whites, finds a new study in Health Services Research.
"We found that Blacks and Latinos [remain] in care, including using outpatient services and filling psychotropic drugs, for a shorter time than whites," said lead study author, Benjamin Le Cook, Ph.D. M.P.H., assistant professor in the department of psychiatry at Harvard Medical School. "Furthermore, since Blacks often wait longer to get help, they are more likely to end up in a psychiatric ER or psychiatric inpatient facility to treat their mental illness."
The study also found significant differences in how people seek mental health care. "For those who do make it to care, African-Americans and Latinos have episodes of care that are shorter in duration," said Le Cook.
Le Cook and his colleagues analyzed data from the responses of 47,903 White, Black and Latino adults age 18 and over to mental health questions in the Medical Expenditure Panel Survey (MEPS) regarding probable need for mental health or substance abuse care.
They found that while 40 percent of Whites with a probable need for mental health care sought treatment, only 27 percent of Latinos and 24 percent of Blacks did. Efforts to reduce disparities in seeking care might focus on improving identification of clinical need among minorities, access to mental health systems of care in minority communities, and initial engagement in treatment by minorities, the researchers suggest.