Integrating mental health screening and abnormal cancer screening follow-up: an intervention to reach low-income women.
The results of implementing mental health screening within cancer screening and diagnostic programs serving low-income ethnic minority women are reported. Multi-phased screening for anxiety and depression was provided as part of structured health education and intensive case management services to improve abnormal mammogram or Pap test follow-up. Seven hundred fifty-three women were enrolled in the Screening Adherence Follow-up Program. Ten percent (n = 74) met criteria for depressive or anxiety disorder. Women with depressive or anxiety disorders were more likely to have cancer, significant psychosocial stress, fair or poor health status, a comorbid medical problem, and limitation in functional status. Forty-seven women with disorders were receiving no depression care.
Ell
Kathleen
K
University of Southern California, School of Social Work, Los Angeles 90089-0411, USA.
Vourlekis
Betsy
B
Nissly
Jan
J
Padgett
Deborah
D
Pineda
Diana
D
Sarabia
Olga
O
Walther
Virginia
V
Blumenfield
Susan
S
Lee
Pey-jiuan
PJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000175:diagnosis* / Q000208:ethnology; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology; D003266:Continuity of Patient Care; D019033:Delivery of Health Care, Integrated; D003866:Depressive Disorder / Q000175:diagnosis* / Q000208:ethnology; D005260:Female; D006302:Health Services Research; D006801:Humans; D015141:Los Angeles / Q000453:epidemiology; D008327:Mammography / Q000706:statistics & numerical data; D008403:Mass Screening / Q000458:organization & administration*; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D008913:Minority Groups; D009519:New York City / Q000453:epidemiology; D010349:Patient Compliance / Q000208:ethnology*; D010865:Pilot Projects; D011203:Poverty / Q000208:ethnology*; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D014626:Vaginal Smears / Q000706:statistics & numerical data