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Psychology of Latino American Older Adults: Strengths and Challenges to Mental Health in a Shifting Society

Chapter

Abstract

This chapter presents information on mental health issues in Latino American older adults, focusing on communication difficulties, acculturative stress, and service utilization as major challenges to the maintenance of mental health in this group; family, cultural values, and religion as strengths contributing to resilience in this group; and several issues relevant to bringing the cultural strengths of this group more effectively into the service of increasing their overall mental health.

Keywords

Mental Health Mental Illness Mental Health Service Mental Health Treatment Mental Health Issue 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Abramson, T. A., Trejo, L., & Lai, D. W. L. (2002). Culture and mental health: Providing appropriate services for a diverse older population. Generations, 26(1), 21–28.Google Scholar
  2. Administration on Aging. (2001). Cultural competency. www.aoa.gov/may2001/factsheets/Cultural-Competency.html. Accessed February 1, 2002.
  3. Applewhite, S. L. (1995). Curanderismo: Demystifying the health beliefs and practices of elderly Mexican Ameircans. Health and Social Work, 20(4), 247–254.Google Scholar
  4. Applewhite, S.L., & Torres, C. (2003). Rural Latino Elders. Journal of Gerontological Social Work, 41(1/2), 151–174.Google Scholar
  5. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.), Text Revision. Washington: American Psychiatric Association.Google Scholar
  6. American Psychiatric Association. (2003, July). Mental health care and older adults: Facts and policy recommendations. http://www.apa.org/ppo/issues/oldermhfact03.html. Zugegriffen: 21. April 2008.Google Scholar
  7. Angel, J. L., Angel, R. J., McClellan, J. L., & Markides, K. S. (1996). Nativity, declining health, and preferences in living arrangements among elderly Mexican-Americans: Implications for long-term care. Gerontologist, 36(4), 464–473.PubMedCrossRefGoogle Scholar
  8. Antshel, K. M. (2002). Intergrating culture as a means of improving treatment adherence in the Latino population. Psychology Health & Medicine, 7(4), 437–438.CrossRefGoogle Scholar
  9. Arean, P. A., Gum, A., McCulloch, C. E., Bostrom, A., Gallagher-Thompson, D., & Thompson, L., et al. (2005). Treatment of depression in low-income older adults. Psychology & Aging, 20(4), 601–609.CrossRefGoogle Scholar
  10. Arredondo, P., Toporek, R., Brown, S. P., Jones, J., Locke, D., Sanchez, J. (1996). Operationalization of the multicultural counseling competencies. Journal of Multicultural Counseling & Development, 24(1), 42–78.CrossRefGoogle Scholar
  11. Barron, F., Hunter, A., Mayo, R., Willoughby, D. (2004). Accultration and adherence: Issues for health care providers working with clients of Mexican origin. Journal of Transcultural Nursing, 15(4), 331–337.PubMedCrossRefGoogle Scholar
  12. Bartels, S. J., Coakley, E. H., & Zubritsky, C. (2004). Improving access to geriatric mental health services: A randomized trial comparing treatment engagement with integrated versus enhanced referral care for depression, anxiety, and at-risk alcohol use. American Journal of Psychiatry, 161(8), 1455–1462.Google Scholar
  13. Berry, J. W., & Kim, U. (1988). Acculturation and mental health. In P. Dasen, J. W. Berry, & N. Satorius (Eds.), Health and cross-cultural psychology: Towards application (pp. 207–236). London: Sage.Google Scholar
  14. Black, S. A., Goodwin, J. S., Markides, K. S. (1998). The association between chronic diseases and depressive symptomatology in older Mexican-Americans. Journals of Gerontology: Medical Sciences, 53A(3), M188–M194.CrossRefGoogle Scholar
  15. Brennan, M., Vega, M., Garcia, I., Abad, A., Friedman, M. B. (2005). Meeting the mental health needs of elderly Latinos affected by depression: Implications for outreach and service provision. Care Management Journals, 6(2), 98–106.PubMedCrossRefGoogle Scholar
  16. Callahan, C. M., Kroenke, K., Counsell, S. R., Hendrie, H. C., Perkins, A. J., Katon, et al. (2005). Treatment of depression improves physical functioning in older adults. Journal of American Geriatrics Society, 53(3), 367–373.CrossRefGoogle Scholar
  17. Carrillo, E. (2001). Assessment and treatment of the Latino patient. In A. G. Lopez & E. Carrillo (Eds.), The Latino psychiatric patient: Assessment and treatment. Washington: American Psychiatric Publishing.Google Scholar
  18. Centers for Disease Control and Prevention (CDC). (2004). The state of aging and health in America. www.cdc.gov/aging. Accessed June 15, 2007.
  19. Choi, N. G., & Gonzalez, J. M. (2005a). Barriers and contributors to minority older adults’ access to mental health treatment: Perceptions of geriatric mental health clinicians. Journal of Gerontological Social Work, 44(3/4), 115–135.CrossRefGoogle Scholar
  20. Choi, N. G., & Gonzalez, J. M. (2005b). Geriatric mental health clinician’s perceptions of barriers and contributors to retention of older minorities in treatment: An exploratory study. Clinical Gerontologist, 28(3), 3–25.CrossRefGoogle Scholar
  21. Chrisman, N. J. (1977). The health seeking process: An approach to the natural history of illness. Culture Medicine & Psychiatry, 1, 351–377.CrossRefGoogle Scholar
  22. Christensen, C. (1992). Multicultural competencies in early intervention: training professionals in a pluralistic society. Infants & Young Children, 4(3), 49–63.CrossRefGoogle Scholar
  23. Collins, K. S., Hughes, D. L., Doty, M. M., Ives, B. L., Edwards, J. N., Tenney, K., et al. (2002). Diverse communities, common concerns: Assessing health care quality for minority Americans. Findings from the Commonwealth Fund 2001 Health Care Quality Survey. New York: Commonwealth Fund.Google Scholar
  24. Cooper, L. A., Gonzales, J. J., Gallo, J. J., Rost, K. M., Meredith, L. S., Rubenstein, L., et al. (2003). The acceptability of treatment for depression among African-American, Hispanic, and White primary care patients. Medical Care, 41, 479–489.PubMedGoogle Scholar
  25. Crystal, S., Sambamoorthi, U., Walkup, J. T., Akincigil, A. (2003). Diagnosis and treatment of depression in the elderly medicare population: Predictors, disparities, and trends. Journal of American Geriatrics Society, 51, 1718–1728.CrossRefGoogle Scholar
  26. Delgado, P. L., Alegria, M. Canive, J. M., Diaz, E., Escobar, J. I., Kopelowicz, A., et al. (2006). Depression and access to treatment among U.S. Hispanics: Review of literature and recommendations for policy and research. Focus: The Journal of Lifelong Learning in Psychiatry, IV(1), 38–47.Google Scholar
  27. Delgado, M. (2007). Social work with Latinos: A cultural assets paradigm. New York: Oxford University Press.Google Scholar
  28. Derose, K. P., & Baker, D. W. (2000). Limited English proficiency and Latinos’ use of physician services. Medical Care Research & Review, 57(1), 76–91.CrossRefGoogle Scholar
  29. Dunlop. D. D., Song, J., Lyons, J. S., Manheim, L. M., Rowland, R. W. (2003). Racial/ethnic differences in rates of depression among preretirement adults. American Journal of Public Health, 93, 1945–1952.PubMedCrossRefGoogle Scholar
  30. Falcon, L. M., & Tucker, K. L. (2000). Prevalence and correlates of depressive symptoms among Hispanic elders in Massachusetts. Journal of Gerontology: Social Sciences, 55B(2), S108–S116.CrossRefGoogle Scholar
  31. Flores, G., Abreu, M., Schwartz, I., & Hill, M. (2000). The importance of language and culture in pediatric care: Case studies from the Latino community. Journal of Pediatrics, 137(6), 842–848.PubMedCrossRefGoogle Scholar
  32. Fraser, M. (1997). Risk and resilience in childhood. Washington, DC: NASW Press.Google Scholar
  33. Freimen, M. P., & Cunningham, P. J. (1997). Use of health care for the treatment of mental problems among racial/ethnic subpopulations. Medical Care Research & Review, 54, 80–101.CrossRefGoogle Scholar
  34. Gonzalez, J. (2006). Older Latinos and mental health services: Understanding access barriers. Journal of Human Behavior in the Social Environment, 14(1/2), 73–93.Google Scholar
  35. Gonzalez, H. M., Haan, M. N., & Hinton, L. (2001). Acculturation and the prevalence of depression in older Mexican-Americans: Baseline results of the Sacramento Area Latino Study on Aging. Journal of American Geriatrics, 49(7), 948–953.CrossRefGoogle Scholar
  36. Grant, B. F., Stinson, F. S., Hasin, D. S., Dawson, D. A., Chou, S. P., & Anderson, K. (2004). Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican-Americans and non-Hispanic Whites in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 61, 1226–1233.PubMedCrossRefGoogle Scholar
  37. Greene, R. R. (2001). Resiliency: An integrated approach to practice, policy, and research. Washington, DC: NASW Press.Google Scholar
  38. Guarnaccia, P. J., & Farias, P. (1988). The social meanings of nervios: A case study of a central American woman. Social Science and Medicine, 26, 1223–1231.Google Scholar
  39. Hargraves, J. L., & Hadley, J. (2003). The contribution of insurance coverage and community resources to reducing racial/ethnic disparities in access to care. Health Services Research, 38(3), 809–829.PubMedCrossRefGoogle Scholar
  40. Harris, H. L. (1998). Ethnic minority elders: Issues and interventions. Educational Gerontology, 24(4), 309–324.CrossRefGoogle Scholar
  41. Hayes-Bautista, D. E., Hsu, P. Perez, A., & Gamboa, C. (2002, Fall). The ‘browning’ of the graying of America: Diversity in the elderly population and policy implications. Generations, 26(3), 15–24.Google Scholar
  42. Health Care Financing Administration. (2000). Office for civil rights’ policy guidance on limited English proficient persons. http://www.hcfa.gov/medicaid/smd83100.htm. Accessed October 2, 2003.
  43. Henry, J., Kaiser Family Foundation. (1999). The faces of Medicare. http://www.kff.org/medicare/1481-index.cfm. Accessed January 24, 2006.
  44. Hovey, J. D. (2000). Acculturative stress, depression, and suicidal ideation in Mexican Immigrants. Cultural Diversity & Ethnic Minority Psychology, 6(2), 134–151. http://www.kff.org/medicare/1481-index.cfm. Accessed January 24, 2002.
  45. Jenkins, J. H. (1988). Ethnopsychiatric interpretations of schizophrenic illness: The problem of nervios within Mexican-American families. Culture, Medicine, & Psychiatry, 12, 301–329.Google Scholar
  46. Jenkins, C. L., & Laditka, S. B. (1998). Double jeopardy: The challenge of providing mental health services to older persons. Administration and Policy in Mental Health, 26(1), 65–74.Google Scholar
  47. Juarbe, T. (1995). Access to health care for Hispanic women: A primary health care perspective. Nursing Outlook, 43(1), 23–28.PubMedCrossRefGoogle Scholar
  48. Katon, W., Von Korff, M, & Lin, E. (1997) Collaborative management to achieve depression treatment guidelines. Journal of Clinical Psychiatry, 58(1), 20–23.Google Scholar
  49. Kenyon, G. M., & Randall, W. (2001). Narrative gerontology: An overview. In G. Kenyon, P. Clark, & B. de Vries (Eds.), Narrative gerontology. (pp. 3–18). New York: Springer.Google Scholar
  50. Kirmayer, L. J. (1984). Culture, affect, and somatization, part I. Transcultural Psychiatric Research Review, 21, 159–188.Google Scholar
  51. Kleinman, A. (1988). The illness narratives: Suffering, healing, and the human condition. New York: Basic Books.Google Scholar
  52. Lazarus, R. S. (1999). Stress and emotion: A new synthesis. New York: Springer.Google Scholar
  53. Locke, D. C. (1992). Increasing multicultural understanding: a comprehensive world. Newbury Park: Sage.Google Scholar
  54. Lopez, S. R. (2002). Mental health care for Latinos: A research agenda to improve the accessibility and quality of mental health care for Latinos. Psychiatric Services, 53, 1569–1573.PubMedCrossRefGoogle Scholar
  55. Luthar, S., & Ziegler, E. (1991). Vulnerability and competence: A review of research on resilience in childhood. American Journal of Orthopsychiatry, 61(1), 7–22.CrossRefGoogle Scholar
  56. Magilvy, J. K., Congdon, J. G., Martinez, R. J., Davis, R., & Averill, J. (2000). Caring for our own: Health care experiences of rural Hispanic elders. Journal of Aging Studies, 14(2), 171–191.CrossRefGoogle Scholar
  57. Malgady, R. G., & Zayas, L. H. (2001). Cultural and linguistic considerations in psychodiagnosis with Hispanics: The need for an empirically informed process model. Social Work, 46(1), 39–49.PubMedCrossRefGoogle Scholar
  58. Marin, H., Escobar, J. L., & Vega, W. A. (2006). Mental illness in Hispanics: A review of the literature. Focus: The Journal of Lifelong Learning in Psychiatry, IV(1), 23–37.Google Scholar
  59. Miranda, M. R. (1991). Mental health services and the Hispanic elderly. In M. Sotomayor (Ed.), Empowering Hispanic families: A critical issue for the 90s. Milwaukee: Family Service America.Google Scholar
  60. Miranda, J., & Cooper, L. A. (2004). Disparities in care for depression among primary care patients. Journal of General Internal Medicine, 19, 120–126.PubMedCrossRefGoogle Scholar
  61. Miranda, A. O., & Matheny, K. B. (2000). Socio-psychological predictors of acculturative stress among Latino adults. Journal of Mental Health Counseling, 22(4), 306–317.Google Scholar
  62. Miranda, J., Azocar, F., Organista, K. C., Dwyer, E., & Areane, P. (2003). Treatment of depression among impoverished primary care patients from ethnic minority groups. Psychiatric Services, 54(2), 219–225.PubMedCrossRefGoogle Scholar
  63. Morales, L. S., Cunningham, W. E., Brown, J. A., Lui, H., Hays, & R. D. (1999). Are Latinos less satisfied with communication by health care providers? Journal of General Internal Medicine, 14, 409–417.PubMedCrossRefGoogle Scholar
  64. National Institute of Health Office of Minority Health 1998Google Scholar
  65. Norton, D. G. (1976). Working with minority populations: The dual perspective. In B. Ross, & S. K. Khinduka (Eds.), Social work practice (pp. 134–141). New York: NASW Press.Google Scholar
  66. Padgett, D. K., Patrick, C., Burns, B. J., & Schlesinger, H. J. (1994). Ethnicity and the use of outpatient mental health services in a national insured population. American Journal of Public Health, 84(2), 222–226.PubMedCrossRefGoogle Scholar
  67. President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America: Final report. (DHHS Pub. No. SMA-03–3832). Rockville: U.S. Department of Health and Human Services.Google Scholar
  68. Ramirez, R. R. (2004, December). We the people: Hispanics in the United States – U.S. Census Bureau, Census 2000 Special Reports, CENSR-18.Google Scholar
  69. Rivadeneyra, R., Elderkin-Thompson, V., Silver, R. C., & Waitzkin, H. (2000). Patient centeredness in medical encounters requiring an interpreter. American Journal of Medicine, 108(6), 470–474.PubMedCrossRefGoogle Scholar
  70. Salgado de Snyder, V. N., de Jesus Diaz-Perez, M. J., & Ojeda, V. D. (2000). The prevalence of nervios and associated symptomatology among inhabitants of Mexican rural communities. Culture, Medicine, and Psychiatry, 24, 453–470.Google Scholar
  71. Smart, J. F., & Smart, D. W. (1995). Acculturative stress: The experience of the Hispanic immigrant. Counseling Psychologist, 23, 25–42.CrossRefGoogle Scholar
  72. Timmins, C. L. (2002). The impact of language barriers on the health care of Latinos in the United States: A review of the literature and guidelines for practice. Journal of Midwifery & Women’s Health, 47(2), 80–96.CrossRefGoogle Scholar
  73. Torrez, D. J. (1998). Health and social service utilization patterns of Mexican-American older adults. Journal of Aging Studies, 12(1), 82–99.CrossRefGoogle Scholar
  74. Trevino, F., Moyer, M., Valdez, R., & Stroup-Benham, C. (1991). Health insurance coverage and utilization of health services by Mexican-Americans, mainland Puerto Ricans, and Cuban Americans. Journal of the American Medical Association, 265(2), 233–237.PubMedCrossRefGoogle Scholar
  75. U.S. Census Bureau. (2000). The Hispanic population: Census 2000 Brief. http://www.census.gov/prod/2001pubs/c2kbr01-3.pdf. Accessed July 1, 2005.
  76. U.S. Department of Health & Human Services (USDHHS). (1999). Mental health: A report of the Surgeon General. Rockville: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.Google Scholar
  77. U.S. Department of Health and Human Services. (2000). Healthy People 2010: Understanding and improving health (2nd ed.). Washington: U.S. Government Printing Office.Google Scholar
  78. U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, ethnicity- A Supplement to mental health: A report of the surgeon general. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General.Google Scholar
  79. U.S. Department of Health & Human Services (USDHHS). (2003). A statistical profile of Hispanic older Americans aged 65+. Administration on aging. http://www.aoa.gov/press/fact/pdf/ss_hispanic_elderly.pdf. Accessed July 5, 2007.
  80. Vasquez, C. I., & Clavijo, A. M. (1995). The special needs of minorities: A profile of Hispanics. In B. G. Knight, L. T. Wohlford, & J. Santos (Eds.), Mental health services for older adults: Implications for training and practice in geropsychology (pp. 93–99). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  81. Vega, W. A., Kolody, B., & Aguilar-Gaxiola, S. (2001). Help seeking for mental health problems among Mexican-Americans. Journal of Immigrant Health, 3(3), 133–140.PubMedCrossRefGoogle Scholar
  82. Vega, W. A., Kolody, B., Aguilar-Gaxiola, S., Alderate, E., Catalano, R., & Carveo-Anduaga, J. (1998). Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican-Americans in California. Archives of General Psychiatry, 55, 771–778.PubMedCrossRefGoogle Scholar
  83. Vega, W. A., Kolody, B., Aguilar-Gaxiola, S., Catalano, R. (1999). Gaps in service utilization by Mexican-Americans with mental health problems. American Journal of Psychiatry, 156(6), 928–934.PubMedGoogle Scholar
  84. Warda, M. (2000). Mexican-Americans’ perceptionsof culturally competent care. Western Journal of Nursing Research, 22(2), 203–224.PubMedCrossRefGoogle Scholar
  85. Wells, K., Sherbourne, C., Schoenbaum, M., Ettner, S., Duan, N., Miranda, J., et al. (2004). Five-year impact of quality improvement for depression results of a group-level randomized controlled trial. Archives of General Psychiatry, 61, 378–386.PubMedCrossRefGoogle Scholar
  86. Williams, C. L., & Berry, J. W. (1991). Primary prevention of acculturative stress among refugees: Application of psychological theory and practice. American Psychologist, 46, 632–641.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Graduate College of Social WorkUniversity of HoustonHoustonUSA
  2. 2.Department of EnglishThe University of Texas at AustinAustinUSA

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