Psychology of Latino American Older Adults: Strengths and Challenges to Mental Health in a Shifting Society
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.
KeywordsObesity Arthritis Depression Transportation Mold
- 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
- Administration on Aging. (2001). Cultural competency. www.aoa.gov/may2001/factsheets/Cultural-Competency.html. Accessed February 1, 2002.
- 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
- Applewhite, S.L., & Torres, C. (2003). Rural Latino Elders. Journal of Gerontological Social Work, 41(1/2), 151–174.Google Scholar
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.), Text Revision. Washington: American Psychiatric Association.Google Scholar
- 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
- 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
- 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
- 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
- Centers for Disease Control and Prevention (CDC). (2004). The state of aging and health in America. www.cdc.gov/aging. Accessed June 15, 2007.
- 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
- 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
- Delgado, M. (2007). Social work with Latinos: A cultural assets paradigm. New York: Oxford University Press.Google Scholar
- Fraser, M. (1997). Risk and resilience in childhood. Washington, DC: NASW Press.Google Scholar
- 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
- 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
- Greene, R. R. (2001). Resiliency: An integrated approach to practice, policy, and research. Washington, DC: NASW Press.Google Scholar
- 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
- 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
- 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.
- Henry, J., Kaiser Family Foundation. (1999). The faces of Medicare. http://www.kff.org/medicare/1481-index.cfm. Accessed January 24, 2006.
- 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.
- 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
- 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
- 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
- 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
- Kirmayer, L. J. (1984). Culture, affect, and somatization, part I. Transcultural Psychiatric Research Review, 21, 159–188.Google Scholar
- Kleinman, A. (1988). The illness narratives: Suffering, healing, and the human condition. New York: Basic Books.Google Scholar
- Lazarus, R. S. (1999). Stress and emotion: A new synthesis. New York: Springer.Google Scholar
- Locke, D. C. (1992). Increasing multicultural understanding: a comprehensive world. Newbury Park: Sage.Google Scholar
- 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
- 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
- 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
- National Institute of Health Office of Minority Health 1998Google Scholar
- 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
- 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
- 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
- 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
- U.S. Census Bureau. (2000). The Hispanic population: Census 2000 Brief. http://www.census.gov/prod/2001pubs/c2kbr01-3.pdf. Accessed July 1, 2005.
- U.S. Census Bureau. (2004). 2004 American Community Survey: Population 65 years and over. http://factfinder.census.gov/servlet/STTable?_bm=y&-geo_id=01000US&-qr_name=ACS_2004_EST_G00_S0103&-ds_name=ACS_2004_EST_G00_&-_lang=en&-_caller=geoselect&-state=st&-format=. Accessed June 29, 2007.
- 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
- 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
- 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
- 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.
- 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