Do Latino and Non-Latino White Medicaid-Enrolled Adults Differ in Utilization of Evidence-Based Treatment for Major Depressive Disorder?

  • Marion A. Becker
  • Dinorah Martinez-Tyson
  • Joshua DiGennaro
  • Ezra Ochshorn
Original Paper


Although evidence-based practice guidelines have been developed to achieve greater consistency and quality in mental health care, insufficient research exists on implementing these guidelines among different racial/ethnic groups and the impact of guideline adherence on treatment outcomes. This study compared mental health care received by community dwelling Latino and non-Latino White Medicaid enrollees in Florida with a diagnosis of major depressive disorder (MDD) and examined predictors of adherence to American Psychiatric Association (APA) guidelines for the treatment of MDD. Latinos were more likely than Whites to receive guideline adherent treatment (OR = 1.21, P < .0001). Enrollees receiving combination drug therapy were most likely to receive treatment consistent with APA guidelines (OR = 4.25, P < .0001). Despite research demonstrating the efficacy of evidence–based practices, many study participants did not receive guideline adherent treatment. Policies and practices targeted at increasing adherence to approved guidelines and improving treatment outcomes are recommended.


Latino Hispanic Medicaid Evidence-based treatment Depression 



This study was funded by the Florida Agency for Health Care Administration under Contract MED049.

Conflict of interest

The authors have no conflicts of interest.


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Marion A. Becker
    • 1
  • Dinorah Martinez-Tyson
    • 1
    • 2
  • Joshua DiGennaro
    • 1
    • 2
  • Ezra Ochshorn
    • 3
  1. 1.Department of Aging and Mental Health DisparitiesUniversity of South FloridaTampaUSA
  2. 2.Department of Aging and Mental Health DisparitiesUniversity of South FloridaTampaUSA
  3. 3.Department of Mental Health Law and Policy, Louis de la Parte Florida Mental Health InstituteUniversity of South FloridaTampaUSA

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