Barriers to Care for Hispanic Adults With ADHD
Click to enlarge page
Hispanic Americans are now the largest minority group in the United States. While they experience mental illnesses such as attention-deficit/hyperactivity disorder (ADHD) at rates similar to those of the non-Hispanic white population, their treatment levels are dramatically lower. Cultural barriers vary because Hispanic culture contains a wide range of nations with different traditions, histories, economic situations, and values. Different patients will have largely unrelated cultural experiences and, therefore, different attitudes about stigma and levels of trust in treatment. Language proficiency can complicate communication between patient and clinician. In addition, many assessment tools for ADHD were written in English, for children, and are likely to be irrelevant to a Spanish-speaking adult’s experience. Clinicians must be aware of these barriers to provide quality mental health care to all patients.
From the Department of Psychiatry and Pediatrics and the Adult Developmental Disorders Section, University of Pennsylvania Perelman School of Medicine, Philadelphia (Dr Rostain); the Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York (Dr Diaz); and the Department of Psychiatry, Mount Sinai School of Medicine, New York, New York (Dr Pedraza).
J Clin Psychiatry 2015;76(1):45-48Related Articles