Margarita Alegria

Summary

Affiliation: Center for Multicultural Mental Health Research
Country: USA

Publications

  1. pmc Patient-clinician ethnic concordance and communication in mental health intake visits
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, USA Harvard Medical School, Boston, USA Electronic address
    Patient Educ Couns 93:188-96. 2013
  2. pmc Role of referrals in mental health service disparities for racial and ethnic minority youth
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, MA, USA
    J Am Acad Child Adolesc Psychiatry 51:703-711.e2. 2012
  3. pmc The impact of insurance coverage in diminishing racial and ethnic disparities in behavioral health services
    Margarita Alegria
    Department of Psychiatry, Harvard Medical School and Cambridge Health Alliance, 120 Beacon St, 4th Floor, Somerville, MA 02143, USA
    Health Serv Res 47:1322-44. 2012
  4. pmc Community-based partnered research: new directions in mental health services research
    Margarita Alegria
    Center for Multicultural Mental Health Research, Harvard Medical School, 120 Beacon St, Fourth Floor, Somerville, MA 02116, USA
    Ethn Dis 21:S1-8-16. 2011
  5. ncbi request reprint Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, 120 Beacon Street Fourth Floor, Somerville, MA 02143, USA
    Psychiatr Serv 53:1547-55. 2002
  6. pmc Disparities in treatment for substance use disorders and co-occurring disorders for ethnic/racial minority youth
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance and Harvard Medical School, 120 Beacon Street, Somerville, MA 02143, USA
    J Am Acad Child Adolesc Psychiatry 50:22-31. 2011
  7. pmc Understanding differences in past year psychiatric disorders for Latinos living in the US
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, USA Harvard University Medical School, USA
    Soc Sci Med 65:214-30. 2007
  8. pmc Prevalence and correlates of eating disorders in Latinos in the United States
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance Harvard Medical School, Boston, Massachusetts, USA
    Int J Eat Disord 40:S15-21. 2007
  9. pmc Racial and ethnic disparities in pediatric mental health
    Margarita Alegria
    Department of Psychiatry, Harvard Medical School, MA, USA
    Child Adolesc Psychiatr Clin N Am 19:759-74. 2010
  10. pmc Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups
    Margarita Alegria
    Center for Multicultural Mental Health Research, Somerville, MA 02143, USA
    Am J Psychiatry 165:359-69. 2008

Research Grants

  1. NLAAS II: Unraveling Differences for Clinical Services
    Margarita Alegria; Fiscal Year: 2007

Detail Information

Publications78

  1. pmc Patient-clinician ethnic concordance and communication in mental health intake visits
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, USA Harvard Medical School, Boston, USA Electronic address
    Patient Educ Couns 93:188-96. 2013
    ..This study examines how communication patterns vary across racial and ethnic patient-clinician dyads in mental health intake sessions and its relation to continuance in treatment, defined as attending the next scheduled appointment...
  2. pmc Role of referrals in mental health service disparities for racial and ethnic minority youth
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, MA, USA
    J Am Acad Child Adolesc Psychiatry 51:703-711.e2. 2012
    ....
  3. pmc The impact of insurance coverage in diminishing racial and ethnic disparities in behavioral health services
    Margarita Alegria
    Department of Psychiatry, Harvard Medical School and Cambridge Health Alliance, 120 Beacon St, 4th Floor, Somerville, MA 02143, USA
    Health Serv Res 47:1322-44. 2012
    ..To estimate whether racial/ethnic behavioral health service disparities are likely to be reduced through insurance expansion coverage expected through the Affordable Health Care Act...
  4. pmc Community-based partnered research: new directions in mental health services research
    Margarita Alegria
    Center for Multicultural Mental Health Research, Harvard Medical School, 120 Beacon St, Fourth Floor, Somerville, MA 02116, USA
    Ethn Dis 21:S1-8-16. 2011
    ..This article presents the content and lessons learned from a national conference designed to stimulate such an application...
  5. ncbi request reprint Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, 120 Beacon Street Fourth Floor, Somerville, MA 02143, USA
    Psychiatr Serv 53:1547-55. 2002
    ..The authors investigated whether there are disparities in the rates of specialty mental health care for Latinos and African Americans compared with non-Latino whites in the United States...
  6. pmc Disparities in treatment for substance use disorders and co-occurring disorders for ethnic/racial minority youth
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance and Harvard Medical School, 120 Beacon Street, Somerville, MA 02143, USA
    J Am Acad Child Adolesc Psychiatry 50:22-31. 2011
    ..To review the literature on racial and ethnic disparities in behavioral health services and present recent data, focusing on services for substance use disorders (SUD) and comorbid mental health disorders for children and adolescents...
  7. pmc Understanding differences in past year psychiatric disorders for Latinos living in the US
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, USA Harvard University Medical School, USA
    Soc Sci Med 65:214-30. 2007
    ..Our results uncover that nativity may be a less important independent risk factor for current psychiatric morbidity than originally thought...
  8. pmc Prevalence and correlates of eating disorders in Latinos in the United States
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance Harvard Medical School, Boston, Massachusetts, USA
    Int J Eat Disord 40:S15-21. 2007
    ..To present national estimates and correlates of lifetime and 12-month DSM-IV eating disorders for Latinos...
  9. pmc Racial and ethnic disparities in pediatric mental health
    Margarita Alegria
    Department of Psychiatry, Harvard Medical School, MA, USA
    Child Adolesc Psychiatr Clin N Am 19:759-74. 2010
    ....
  10. pmc Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups
    Margarita Alegria
    Center for Multicultural Mental Health Research, Somerville, MA 02143, USA
    Am J Psychiatry 165:359-69. 2008
    ..The authors examined whether this paradox applies to all Latino groups by comparing estimates of lifetime psychiatric disorders among immigrant Latino subjects, U.S-born Latino subjects, and non-Latino white subjects...
  11. pmc Evaluation of a patient activation and empowerment intervention in mental health care
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Boston, Massachusetts, USA
    Med Care 46:247-56. 2008
    ..Patient activation and empowerment interventions may be effective in increasing minority patients' attendance and retention...
  12. pmc One size does not fit all: taking diversity, culture and context seriously
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance and Harvard Medical School, 120 Beacon Street, Somerville, MA 02143, USA
    Adm Policy Ment Health 37:48-60. 2010
    ..To conclude, we suggest changes in organizational culture to build natural supports to enhance children's mental health...
  13. pmc The role of patient activation on patient-provider communication and quality of care for US and foreign born Latino patients
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance and Harvard Medical School, 120 Beacon Street, 4th Floor, Somerville, MA, 02143, USA
    J Gen Intern Med 24:534-41. 2009
    ..Little data are available on whether patient activation is associated with healthcare outcomes for Latino patients and whether activation varies by language proficiency and nativity status...
  14. pmc How missing information in diagnosis can lead to disparities in the clinical encounter
    Margarita Alegria
    Department of Psychiatry, Harvard Medical School, and Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, Massachusetts 02143, USA
    J Public Health Manag Pract 14:S26-35. 2008
    ..Differential discussion of symptom areas, depending on patient ethnicity, may lead to differential diagnosis and increased likelihood of diagnostic bias...
  15. pmc Lessons learned from the clinical reappraisal study of the Composite International Diagnostic Interview with Latinos
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Cambridge, MA, USA
    Int J Methods Psychiatr Res 18:84-95. 2009
    ..Yet, our data suggests that the CIDI presents problems for assessing post-traumatic stress disorder (PTSD) and generalized anxiety disorder (GAD). Recommendations on how to improve future versions of the CIDI for Latinos are offered...
  16. pmc Disparity in depression treatment among racial and ethnic minority populations in the United States
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance and Harvard Medical School, Somerville, MA 02143, USA
    Psychiatr Serv 59:1264-72. 2008
    ..Using nationally representative data for 8,762 persons, the authors evaluated differences in access to and quality of depression treatments between patients in racial-ethnic minority groups and non-Latino white patients...
  17. pmc Correlates of past-year mental health service use among Latinos: results from the National Latino and Asian American Study
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Harvard Medical School, Somerville, Mass 02143, USA
    Am J Public Health 97:76-83. 2007
    ..We examined correlates and rates of past-year mental health service use in a national sample of Latinos residing in the United States...
  18. pmc Prevalence of psychiatric disorders across Latino subgroups in the United States
    Margarita Alegria
    Center for Multi cultural Mental Health Research, Cambridge Health Alliance, Harvard Medical School, Somerville, Mass 02143, USA
    Am J Public Health 97:68-75. 2007
    ..We examined the prevalence of depressive, anxiety, and substance use disorders among Latinos residing in the United States...
  19. ncbi request reprint Rethinking a universal framework in the psychiatric symptom-disorder relationship
    Margarita Alegria
    Harvard Medical School, Center for Multicultural Mental Health Research, Cambridge Health Alliance, 120 Beacon St, 4th Floor, Somerville, MA 02143, USA
    J Health Soc Behav 44:257-74. 2003
    ..These findings should encourage testing relativistic frameworks in diagnostic nosology as a step to improve clinical decision-making and reduce diagnostic and treatment disparities in mental health services...
  20. ncbi request reprint Understanding caregivers' help-seeking for Latino children's mental health care use
    Margarita Alegria
    Cambridge Health Alliance, Center for Multicultural Mental Health Research, Somerville, Massachusetts, USA
    Med Care 42:447-55. 2004
    ..Latino children have persistent low rates of mental health service use. Understanding the factors that influence caregivers' decisions about whether to use mental health care for their children can help explain why...
  21. pmc Considering context, place and culture: the National Latino and Asian American Study
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance Harvard Medical School, Boston, MA 02143, USA
    Int J Methods Psychiatr Res 13:208-20. 2004
    ..This paper presents new concepts and methods utilized in the development of the NLAAS to capture and investigate ethnic, cultural and environmental considerations that are often ignored in mental health research...
  22. pmc Cultural relevance and equivalence in the NLAAS instrument: integrating etic and emic in the development of cross-cultural measures for a psychiatric epidemiology and services study of Latinos
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance Harvard Medical School, Boston, MA 02143, USA
    Int J Methods Psychiatr Res 13:270-88. 2004
    ..Additionally, the integration of both the etic and emic perspectives in the instrument adaptation model is presented...
  23. pmc Health insurance coverage for vulnerable populations: contrasting Asian Americans and Latinos in the United States
    Margarita Alegria
    Department of Psychiatry, Harvard Medical School, USA
    Inquiry 43:231-54. 2006
    ..Potential explanations include the type of occupations available to Latinos and Asians, reforms in immigration laws, length of time in the United States, and regional differences in safety-net coverage. Policy implications are discussed...
  24. ncbi request reprint Managed care and systems cost-effectiveness: treatment for depression
    Margarita Alegria
    Department of Psychiatry, Harvard Medical School, Boston, MA, USA
    Med Care 43:1225-33. 2005
    ..The objective of this study was to assess the change in system cost-effectiveness of depression treatment after the introduction of managed care...
  25. pmc Training for research in mental health and HIV/AIDS among racial and ethnic minority populations: meeting the needs of new investigators
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, MA 02143, USA
    Am J Public Health 99:S26-30. 2009
    ..The teaching of scientific research and mentoring of young investigators who study minority populations should evolve along with the changing research environment...
  26. ncbi request reprint Improving drug treatment services for Hispanics: research gaps and scientific opportunities
    Margarita Alegria
    Department of Psychiatry, Center for Multicultural Mental Health Research, 120 Beacon St, 4th Floor, Cambridge Health Alliance, Harvard Medical School, Somerville, MA 02143, USA
    Drug Alcohol Depend 84:S76-84. 2006
    ....
  27. pmc Lessons from the use of vignettes in the study of mental health service disparities
    Sheri Lapatin
    Center for Multicultural Mental Health Research, Cambridge Health Alliance Harvard Medical School, 120 Beacon Street, 4th Floor, Somerville, MA 02143, USA
    Health Serv Res 47:1345-62. 2012
    ..To examine the development, feasibility, and use of a vignette approach as an important tool in health services disparities research...
  28. ncbi request reprint Nativity and DSM-IV psychiatric disorders among Puerto Ricans, Cuban Americans, and non-Latino Whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance Harvard Medical School, Cambridge, MA, USA
    J Clin Psychiatry 67:56-65. 2006
    ..This study examined the risk of lifetime substance use disorders and mood and anxiety disorders between Island-born Puerto Ricans, foreign-born Cuban Americans, and foreign-born non-Latino whites and their U.S.-born counterparts...
  29. pmc How the relationship of attitudes toward mental health treatment and service use differs by age, gender, ethnicity/race and education
    Jodi M Gonzalez
    Department of Psychiatry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA
    Soc Psychiatry Psychiatr Epidemiol 46:45-57. 2011
    ..We investigated the influence of interactions between attitudes toward treatment and age, gender, ethnicity/race and education for both general medical and specialty care...
  30. pmc Food insecurity and mental disorders in a national sample of U.S. adolescents
    Katie A McLaughlin
    Division of General Pediatrics, Children s Hospital Boston, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115, USA
    J Am Acad Child Adolesc Psychiatry 51:1293-303. 2012
    ..To examine whether food insecurity is associated with past-year DSM-IV mental disorders after controlling for standard indicators of family socioeconomic status (SES) in a U.S. national sample of adolescents...
  31. pmc Use and quality of mental health services for Haitian youth
    Nicholas J Carson
    Center for Multicultural Mental Health Research, 120 Beacon Street, 4th Floor, Somerville, MA 02143, USA
    Ethn Health 16:567-82. 2011
    ..Groups are compared on adherence to treatment guidelines for attention-deficit/hyperactivity disorder (ADHD) and depressive disorders...
  32. pmc Whether medically unexplained or not, three or more concurrent somatic symptoms predict psychopathology and service use in community populations
    Javier I Escobar
    Department of Psychiatry, UMDNJ Robert Wood Johnson Medical School, New Brunswick, NJ, USA
    J Psychosom Res 69:1-8. 2010
    ..To examine the frequency of somatic symptoms in a community population of various ethnic backgrounds and to identify correlates of these symptoms such as psychopathology, use of services, and personal distress...
  33. pmc Valuing health in a racially and ethnically diverse community sample: an analysis using the valuation metrics of money and time
    Norah E Mulvaney-Day
    Center for Multicultural Mental Health Research, Cambridge Health Alliance and Harvard Medical School, 120 Beacon Street, 4th Floor, Somerville, MA 02143, USA
    Qual Life Res 19:1529-40. 2010
    ..A secondary objective was to analyze whether mental health disorder and immigrant status were associated with these estimates...
  34. pmc Diagnostic validity across racial and ethnic groups in the assessment of adolescent DSM-IV disorders
    Jennifer Greif Green
    School of Education, Boston University, Boston, MA, USA
    Int J Methods Psychiatr Res 21:311-20. 2012
    ..These findings document the importance of assessing fully-structured diagnostic instruments for differential accuracy in ethnic/racial subgroups...
  35. pmc English language proficiency and mental health service use among Latino and Asian Americans with mental disorders
    Amy M Bauer
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, MA 02143, USA
    Med Care 48:1097-104. 2010
    ....
  36. pmc Crowd-out and exposure effects of physical comorbidities on mental health care use: implications for racial-ethnic disparities in access
    BENJAMIN LE COOK
    Center for Multicultural Mental Health Research, 120 Beacon Street, Somerville, MA 02143, USA
    Health Serv Res 46:1259-80. 2011
    ....
  37. pmc Political violence, psychosocial trauma, and the context of mental health services use among immigrant Latinos in the United States
    Lisa R Fortuna
    Department of Psychiatry, University of Massachusetts Medical School, USA
    Ethn Health 13:435-63. 2008
    ..We present the prevalence of exposure to political violence (PV) among Latino immigrants in the US, and perceived need for and correlates of mental health services use among this population...
  38. pmc Racial-ethnic disparities in substance abuse treatment: the role of criminal history and socioeconomic status
    BENJAMIN LE COOK
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, MA 02143, USA
    Psychiatr Serv 62:1273-81. 2011
    ..Little is known about factors underlying this apparent lack of disparities. This study examines racial-ethnic disparities in treatment receipt and mechanisms that reduce or contribute to disparities...
  39. pmc Comparative prevalence, correlates of impairment, and service utilization for eating disorders across US ethnic groups: Implications for reducing ethnic disparities in health care access for eating disorders
    Luana Marques
    Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA
    Int J Eat Disord 44:412-20. 2011
    ..The study compared the prevalence, correlates of functional impairment, and service utilization for eating disorders across Latinos, Asians, and African Americans living in the United States to non-Latino Whites...
  40. pmc Social determinants of mental health treatment among Haitian, African American, and White youth in community health centers
    Nicholas Carson
    Department of Psychiatry at the Harvard Medical School Cambridge HealthAlliance, Somerville, MA 02143, USA
    J Health Care Poor Underserved 21:32-48. 2010
    ..Socioeconomic factors and insurance status were significant determinants of care. Haitians living in poverty in the U.S. may face barriers to mental health services relative to other racial/ethnic groups...
  41. pmc The role of provider supply and organization in reducing racial/ethnic disparities in mental health care in the U.S
    BENJAMIN LE COOK
    Department of Psychiatry, Harvard Medical School, Center for Multicultural Mental Health Research, Somerville, MA 02478, USA
    Soc Sci Med 84:102-9. 2013
    ..Policymakers should consider that increasing the management of mental health care may not only decrease expenditures, but also provide a potential lever for reducing mental health care disparities between social groups...
  42. ncbi request reprint The role of public policies in reducing mental health status disparities for people of color
    Margarita Alegria
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Massachusetts, USA
    Health Aff (Millwood) 22:51-64. 2003
    ..Two of the three policies appear to have been effective in reducing social inequalities between whites and minorities. Expansion of public policies can be the mechanism to eliminate mental health status disparities for minorities...
  43. pmc Significance of endorsement of psychotic symptoms by US Latinos
    Roberto Lewis-Fernandez
    Department of Psychiatry, Columbia University and New York State Psychiatric Institute, New York, New York, USA
    J Nerv Ment Dis 197:337-47. 2009
    ..Endorsed psychotic symptoms in Latinos may constitute a clinically significant marker of general psychiatric vulnerability rather than a sign of psychotic disorder...
  44. pmc Implementing the Institute of Medicine definition of disparities: an application to mental health care
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    Health Serv Res 41:1979-2005. 2006
    ..This paper proposes an implementation of this definition, and applies it to disparities in outpatient mental health care...
  45. pmc Social cohesion, social support, and health among Latinos in the United States
    Norah E Mulvaney-Day
    Cambridge Health Alliance, Harvard Medical School, 120 Beacon Street, Somerville, MA, USA
    Soc Sci Med 64:477-95. 2007
    ..Further investigation into the role of language in the development and maintenance of social connections may help unravel the mechanisms by which they promote or decrease health...
  46. pmc The relationship between obesity and psychiatric disorders across ethnic and racial minority groups in the United States
    Myra Rosen-Reynoso
    University of Massachusetts Boston, 100 Morrissey Blvd, Boston, MA 02125 3393, USA
    Eat Behav 12:1-8. 2011
    ..Epidemiologic studies of obesity have not examined the prevalence and relationship of mental health conditions with obesity for diverse ethnic and racial populations in the United States...
  47. pmc Association between language proficiency and the quality of primary care among a national sample of insured Latinos
    Jennifer R Pippins
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, 1620 Tremont Street, Boston, MA 02120, USA
    Med Care 45:1020-5. 2007
    ..Latinos experience substantial barriers to primary care. Limited English language proficiency may be a mechanism for these deficiencies, even for Latinos with health coverage...
  48. pmc Measuring disparities across the distribution of mental health care expenditures
    Benjamin Lê Cook
    Center for Multicultural Mental Health Research, Somerville, MA 02143, USA
    J Ment Health Policy Econ 16:3-12. 2013
    ..Previous mental health care disparities studies predominantly compare mean mental health care use across racial/ethnic groups, leaving policymakers with little information on disparities among those with a higher level of expenditures...
  49. pmc Disparities in mental health service use of racial and ethnic minority elderly adults
    Daniel E Jimenez
    Dartmouth Centers for Health and Aging, Dartmouth Medical School, Hanover, New Hampshire, USA
    J Am Geriatr Soc 61:18-25. 2013
    ..To apply the Institute of Medicine definition of healthcare disparities, to measure disparities in different aspects of episodes of mental health care and to identify disparities in types of mental health services used...
  50. doi request reprint Implementation of Massachusetts health insurance reform with vulnerable populations in a safety-net setting
    Norah Mulvaney-Day
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, MA 02143, USA
    J Health Care Poor Underserved 23:884-902. 2012
    ..Administrative policies providing special accommodations for individuals with mental health disorders and other vulnerable populations may be important to consider during the transition to health insurance reform...
  51. pmc Investigation of racial and ethnic disparities in service utilization among homeless adults with severe mental illnesses
    Marcela Horvitz-Lennon
    Department of Psychiatry, University of Pittsburgh, 201 North Craig St, Pittsburgh, PA 15213, USA
    Psychiatr Serv 60:1032-8. 2009
    ..This study examined whether there are service disparities among homeless adults with severe mental illnesses, a vulnerable population with a high level of unmet need...
  52. pmc Assessment of physical illness by mental health clinicians during intake visits
    Nicholas Carson
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, MA 02143, USA
    Psychiatr Serv 61:32-7. 2010
    ..This study explored how mental health clinicians assess and respond to physical illness among patients presenting for mental health intake evaluations...
  53. pmc Disparities in defining disparities: statistical conceptual frameworks
    Naihua Duan
    Department of Psychiatry, Columbia University, New York, NY 10032, USA
    Stat Med 27:3941-56. 2008
    ..Using data from the Collaborative Psychiatric Epidemiology Survey, we also provide an example where the conditional disparity is misled by Simpson's paradox, whereas the marginal disparity approach handles it correctly...
  54. pmc Impact of patient language proficiency and interpreter service use on the quality of psychiatric care: a systematic review
    Amy M Bauer
    Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA 02139, USA
    Psychiatr Serv 61:765-73. 2010
    ..This literature review examined the effects of patients' limited English proficiency and use of professional and ad hoc interpreters on the quality of psychiatric care...
  55. pmc Preferences for relational style with mental health clinicians: a qualitative comparison of African American, Latino and Non-Latino White patients
    Norah E Mulvaney-Day
    Center for Multicultural Mental Health Research, Cambridge Health Alliance and Harvard Medical School, Somerville, MA 02143, USA
    J Clin Psychol 67:31-44. 2011
    ..The article suggests that closer attention to qualitative preferences for style of interaction with providers may help address disparities in mental health care for racial and ethnic minorities...
  56. pmc Prevalence and correlates of lifetime suicidal ideation and suicide attempts among Latino subgroups in the United States
    Lisa R Fortuna
    Center for Multicultural Mental Health Research, Cambridge Health Alliance Harvard Medical School, Somerville, Mass 02143, USA
    J Clin Psychiatry 68:572-81. 2007
    ..S. Latino subgroups. This article compares the prevalence of lifetime suicidal ideation and suicide attempts among major U.S. Latino ethnic subgroups and identifies psycho-sociocultural factors associated with suicidal behaviors...
  57. pmc Patient--provider communication: understanding the role of patient activation for Latinos in mental health treatment
    Dharma E Cortes
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, MA 02143, USA
    Health Educ Behav 36:138-54. 2009
    ..The authors provide recommendations for continued research on the patient activation process and further application of this strategy in the mental health field, especially with Latinos...
  58. doi request reprint School mental health resources and adolescent mental health service use
    Jennifer Greif Green
    School of Education, Boston University, Two Silber Way, Boston, MA 02215, USA
    J Am Acad Child Adolesc Psychiatry 52:501-10. 2013
    ..This article examines associations of school resources with past-year mental health service use among students with 12-month DSM-IV mental disorders...
  59. pmc Acculturation and drug use disorders among Hispanics in the U.S
    Carlos Blanco
    Department of Psychiatry, Columbia University New York State Psychiatric Institute, New York, NY 10032, USA
    J Psychiatr Res 47:226-32. 2013
    ..Hispanic cultural features and values exert a protective effect on risk of DUD. Preservation and promotion of Hispanic values may be an important component of preventive interventions for Hispanics...
  60. pmc Pathways and correlates connecting Latinos' mental health with exposure to the United States
    Benjamin Cook
    Cambridge Health Alliance, Center for Multicultural Mental Health Research, Harvard Medical School, 120 Beacon St, 4th Floor, Somerville, MA 02143, USA
    Am J Public Health 99:2247-54. 2009
    ..We examined potential pathways by which time in the United States may relate to differences in the predicted probability of past-year psychiatric disorder among Latino immigrants as compared with US-born Latinos...
  61. pmc Immigration and generational trends in body mass index and obesity in the United States: results of the National Latino and Asian American Survey, 2002-2003
    Lisa M Bates
    School of Public Health, Harvard University, Boston, MA, USA
    Am J Public Health 98:70-7. 2008
    ..We examined patterns of body mass index (BMI) and obesity among a nationally representative sample of first-, second-, and third-generation Latinos and Asian Americans to reveal associations with nativity or country of origin...
  62. ncbi request reprint Mental health care for ethnic minority individuals and communities in the aftermath of disasters and mass violence
    Fran H Norris
    Department of Psychiatry, Dartmouth Medical School, Hanover, NH, USA
    CNS Spectr 10:132-40. 2005
    ..Notwithstanding the pain and stress they cause, disasters create opportunities to de-stigmatize mental health needs and build trust between providers and minority communities...
  63. pmc "Just be straight with me:" an exploration of Black patient experiences in initial mental health encounters
    Tara R Earl
    Boston College, Boston, MA, USA
    Am J Orthopsychiatry 81:519-25. 2011
    ..The implications of these findings will help to improve the interactions in mental health settings between minority patients and their providers...
  64. ncbi request reprint Developing systems interventions in a school setting: an application of community-based participatory research for mental health
    Norah E Mulvaney-Day
    Center for Multicultural Mental Health Research, Cambridge Health Alliance Harvard Medical School, Somerville, MA 02143, USA
    Ethn Dis 16:S107-17. 2006
    ....
  65. pmc Assessing racial/ethnic differences in the social consequences of early-onset psychiatric disorder
    Benjamin Lê Cook
    Harvard Medical School Psychiatry and Cambridge Health Alliance, USA
    J Health Care Poor Underserved 21:49-66. 2010
    ..Increasing early detection and treatment of psychiatric illness should be prioritized. Further study will clarify the association between onset and social outcomes among sub-ethnic populations...
  66. pmc Unmet need for treatment for substance use disorders across race and ethnicity
    Norah Mulvaney-Day
    Abt Associates, Cambridge, MA 02138, United States Norah
    Drug Alcohol Depend 125:S44-50. 2012
    ..The objective was to analyze disparities in unmet need for substance use treatment and to observe variation across different definitions of need for treatment...
  67. pmc Retention in depression treatment among ethnic and racial minority groups in the United States
    Lisa R Fortuna
    Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
    Depress Anxiety 27:485-94. 2010
    ..Second, we aim to identify the factors that are related to treatment retention...
  68. pmc The clinical encounter as local moral world: shifts of assumptions and transformation in relational context
    Arlene M Katz
    Department of Global Health and Social Medicine, Harvard Medical School, Boston MA 02114, USA
    Soc Sci Med 68:1238-46. 2009
    ....
  69. pmc One-year treatment outcomes of African-American and Hispanic patients with bipolar I or II disorder in STEP-BD
    Jodi M Gonzalez
    Department of Psychiatry, University of Texas Health Science Center, 7703 Floyd Curl Dr, San Antonio, TX 78229, USA
    Psychiatr Serv 61:164-72. 2010
    ..The U.S. Systematic Treatment Enhancement Program for Bipolar Disorder compared one-year outcomes for bipolar I or II disorder from each of these racial-ethnic groups...
  70. pmc HIV among Haitian-born persons in the United States, 1985-2007
    Linda G Marc
    Center for Multicultural Mental Health Research, Cambridge Health Alliance and Harvard Medical School, Somerville, Massachusetts 02143, USA
    AIDS 24:2089-97. 2010
    ..Haitian-born persons have been historically stigmatized for introducing HIV to North America; however, no previous study has reported on the national HIV surveillance trends among this foreign-born group...
  71. pmc Assessment of co-occurring depression and substance use in an ethnically diverse patient sample during behavioral health intake interviews
    Sarah Darghouth
    Center for Multicultural Mental Health Research, Cambridge Health Alliance Harvard Medical School, Somerville, MA 02143, USA
    Drug Alcohol Depend 125:S51-8. 2012
    ..The goals are to identify how symptoms discussed in intake, as well as patient and provider characteristics, are associated with receiving a diagnosis of co-occurring disorders or not...
  72. ncbi request reprint The DSM-IV rates of child and adolescent disorders in Puerto Rico: prevalence, correlates, service use, and the effects of impairment
    Glorisa Canino
    Behavioral Sciences Research Institute, Medical Sciences Campus, University of Puerto Rico, PO Box 365067, Rio Piedras, San Juan, Puerto Rico 00936 5067
    Arch Gen Psychiatry 61:85-93. 2004
    ..We present prevalence data for the child and adolescent population of Puerto Rico and examine the relation of DSM-IV diagnoses to global impairment, demographic correlates, and service use in an island-wide representative sample...
  73. ncbi request reprint Bridging community intervention and mental health services research
    Kenneth Wells
    Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA 90024, USA
    Am J Psychiatry 161:955-63. 2004
    ..This article explores the potential of community intervention perspectives for increasing the relevance, reach, and public health impact of mental health services research...
  74. pmc Mental health and substance use disorders among Latino and Asian American lesbian, gay, and bisexual adults
    Susan D Cochran
    Department of Epidemiology, University of California, Los Angeles, CA 90095 1772, USA
    J Consult Clin Psychol 75:785-94. 2007
    ..However, the level of morbidity among sexual orientation minorities in the NLAAS appears similar to or lower than that observed in population-based studies of lesbian, gay, and bisexual adults...
  75. ncbi request reprint Concordance of reports of mental health functioning by adolescents and their caregivers: a comparison of European, African and Latino Americans
    Robert E Roberts
    School of Public Health, University of Texas, Houston, Texas, USA
    J Nerv Ment Dis 193:528-34. 2005
    ..Future research should examine whether the extent to which greater lack of concordance on the indicators of mental health by minority parent-child dyads plays a role in entry into and retention in mental health care...
  76. pmc Survey conditioning in self-reported mental health service use: randomized comparison of alternative instrument formats
    Naihua Duan
    UCLA Health Services Research Center, 10920 Wilshire Blvd, Suite 300, Los Angeles, CA 90024, USA
    Health Serv Res 42:890-907. 2007
    ..To test the effect of survey conditioning (whether observed survey responses are affected by previous experience in the same survey or similar surveys) in a survey instrument used to assess mental health service use...
  77. pmc Lifetime and 12-month intermittent explosive disorder in Latinos
    Alexander N Ortega
    Department of Health Services, School of Public Health, University of California Los Angeles, Los Angeles, CA 90095 1772, USA
    Am J Orthopsychiatry 78:133-9. 2008
    ....
  78. doi request reprint Mental health in the mainstream of public policy: research issues and opportunities
    Howard H Goldman
    Am J Psychiatry 165:1099-101. 2008

Research Grants4

  1. NLAAS II: Unraveling Differences for Clinical Services
    Margarita Alegria; Fiscal Year: 2007
    ....