title: Perceived needs and service use of Spanish speaking monolingual patients followed at a Hispanic clinic.
abstract: This study compared Spanish speaking monolingual patients at a Hispanic Clinic, with Hispanics and non-Hispanics at a conventional mental health center. A questionnaire in English and Spanish surveyed sociodemographic characteristics and subjectively reported health needs. The monolingual Hispanic Clinic patients perceived a significantly greater need for help with health and benefits, and better access to physical health care providers. Hispanics seen at the Hispanic Clinic report more difficulties managing medications than the other groups suggesting that this problem is not adequately addressed by receiving services in a culturally sensitive clinic, possibly due to the persistent effect of language barriers and low level of education. Additional interventions may be needed to address this problem.
authors.affiliation: Northeast Program Evaluation Center, Yale University Medical School, USA. Esperanza.Diaz@yale.edu
authors.forename: E
authors.initials: E
authors.lastname: Diaz
authors.forename: H
authors.initials: H
authors.lastname: Prigerson
authors.forename: R
authors.initials: R
authors.lastname: Desai
authors.forename: R
authors.initials: R
authors.lastname: Rosenheck
mesh_terms: D000328:Adult; D003144:Communication Barriers; D003155:Community Mental Health Centers / Q000592:standards / Q000706:statistics & numerical data*; D003237:Connecticut; D003430:Cross-Sectional Studies; D018864:Cultural Diversity; D004522:Educational Status; D005260:Female; D019538:Health Care Surveys; D006303:Health Services, Indigenous / Q000592:standards / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000706:statistics & numerical data*; D010349:Patient Compliance; D011619:Psychotropic Drugs / Q000627:therapeutic use; D011795:Surveys and Questionnaires
chemical_list: D011619:Psychotropic Drugs