title: Cross-cultural aspects of depression management in primary care.
abstract: Major depressive disorder (MDD) is a prevalent illness in minority populations. Minority patients with MDD are often unrecognized and untreated. This review examines promising interventions to address MDD in primary care settings, where minority groups are more likely to seek care. Since 2010, eleven interventions have been developed to address patient-specific and provider-specific barriers, many of which are adaptations of the collaborative care model. Other promising interventions include cultural tailoring of the collaborative care model, as well as the addition of telepsychiatry, motivational interviewing, cultural consultation, and innovations in interpreting. Overall, collaborative care was found feasible and improved satisfaction and treatment engagement of depressed minority patients in primary care. It remains inconclusive whether these newer intervention models improve MDD treatment outcomes. Future research will be needed to establish the effectiveness of these intervention models in improving the treatment outcomes of minority populations with MDD.
authors.affiliation: Depression Clinical & Research Program, Massachusetts General Hospital, One Bowdoin Square, Boston, MA 02114, USA. khails@partners.org
authors.forename: Katherine
authors.initials: K
authors.lastname: Hails
authors.forename: Charlotte D
authors.initials: CD
authors.lastname: Brill
authors.forename: Trina
authors.initials: T
authors.lastname: Chang
authors.forename: Albert
authors.initials: A
authors.lastname: Yeung
authors.forename: Maurizio
authors.initials: M
authors.lastname: Fava
authors.forename: Nhi-Ha
authors.initials: NH
authors.lastname: Trinh
mesh_terms: D003299:Cooperative Behavior; D003431:Cross-Cultural Comparison; D003466:Cultural Characteristics; D003865:Major Depressive Disorder / Q000628:therapy*; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D008913:Minority Groups / Q000523:psychology*; D011320:Primary Health Care / Q000379:methods*