@article{ref1,
title="Barriers to depression treatment among low-income, Latino emergency department patients",
journal="Community mental health journal",
year="2013",
author="Wells, Anjanette and Lagomasino, Isabel T. and Palinkas, Lawrence A. and Green, Jennifer M. and Gonzalez, Diana",
volume="49",
number="4",
pages="412-418",
abstract="Low-income and Latinos use the emergency department (ED) as a primary source of care. Also, the depression prevalence in ED patients is high, making the ED a compelling venue for depression screening and intervention. This study examined barriers and facilitators to depression treatment among low-income, predominantly Latino ED patients. We conducted telephone interviews with 24 ED patients (18-62 years of age, 79 % female) who dropped out of a depression treatment intervention. Using grounded theory, we analyzed perceptions of depression and treatment, and barriers and facilitators to mental health treatment. Although most patients acknowledged signs of depression, there was a lack of readiness to seek help. Patients reported negative perceptions about anti-depressant medication, even if they had no previous use. Barriers to treatment included transportation concerns, employment/unemployment, patient-provider issues, and immigrant documentation. Identified facilitators included consistent provider advice and &quot;talking.&quot; This study introduced new misunderstanding and miscommunication barriers.<p /> <p>Language: en</p>",
language="en",
issn="0010-3853",
doi="10.1007/s10597-012-9547-5",
url="http://dx.doi.org/10.1007/s10597-012-9547-5"
}