Aims: Minority groups are underrepresented in the research on coordinated specialty care (CSC). New Mexico (NM) has the highest percentage of Hispanics and Latinos (48.8%) and the second-highest percent of Native Americans (8.7%) in the U.S. Therefore, NM is in a unique position to better understand the socio-demographic and clinical characteristics of Hispanics and other minorities (H&OM) referred to and enrolled in CSC and to learn about the communities in which they live.
Methods: A cross-sectional design was used to explore differences among 67 White Non-Hispanics and 113 H&OMs referred to CSC. Several variables were explored, such as age at referral, history of substance use, referral source, and enrollment status. Zip code data were also examined to explore differences in poverty and high school graduation rates.
Results: H&OMs were significantly more likely than non-Hispanics to (i) be referred from inpatient and outpatient mental health services rather than communities sources (86% vs 65%), (ii) have a history of substance use (69% vs .46%), (iii) be lost to follow-up after initial referral (64% vs. 28%), and (iv) reside in communities with higher rates of poverty (20% vs. 16%) and lower rates of high school graduates (85% vs. 91%).
Conclusions: These exploratory findings suggest the importance of (i) increasing psychosis literacy among H&OM families and community agencies that serve these individuals, and (ii) identifying ways to engage H&OMs referred to CSC. The community-level differences also suggest that H&OMs may benefit more than their non-Hispanics counterparts from vocational services within CSC and linkage to other community resources, such as food stamps.
Crisanti, A.S., Friedman, B., Halperin, D., Nestsiarovich, A., Bustillo, J., Lenroot, R., and Tohen, M.
Who should attend?This is a basic level workshop designed for psychologists, mental health counselors, social workers, graduate students, and other mental health professionals working with Latino populations.
About the presenter:
Mauricio Tohen, MD, DrPH, MBA- Mauricio Tohen, MD, DrPH, MBA is a tenured Professor and the Chairman of the Department of Psychiatry & Behavioral Sciences at the University of New Mexico Health Sciences Center in Albuquerque NM, USA.
Dr. Tohen was born and raised in Mexico City. He earned his medical degree from the National University of Mexico and his Doctorate in Public Health (Epidemiology) from Harvard University (1988). His postdoctoral training included a residency in Psychiatry at the University of Toronto (1979-1982) where he also obtained a DPsych (Diploma) in Psychiatric Research, and a fellowship at McLean Hospital, Harvard Medical School in Psychopharmacology (1982-1985). Dr. Tohen also obtained an MBA degree from the Indiana University Kelly School of Business.
Dr Tohen was the Clinical Director of the Bipolar and Psychotic Disorders Program at McLean Hospital (1988-1997). In 1997 he joined Lilly Research Laboratories where he reached the senior most scientific rank of Distinguished Lilly Scholar. From 2009-2013 he was the Head of the Division of Mood & Anxiety Disorders and the Krus Endowed Tenured Professor in Psychiatry at the University of Texas Health Science Centre at San Antonio. Dr Tohen has been recognized professionally, has received several grants and his work has been published in professional journals.
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