title: Older depressed Latinos' experiences with primary care visits for personal, emotional and/or mental health problems: a qualitative analysis.
abstract: OBJECTIVE
  To describe salient experiences with a primary care visit (eg, the context leading up to the visit, the experience and/or outcomes of that visit) for emotional, personal and/or mental health problems older Latinos with a history of depression and recent depressive symptoms and/or antidepressant medication use reported 10 years after enrollment into a randomized controlled trial of quality-improvement for depression in primary care.
  
  
  METHODS
  Secondary analysis of existing qualitative data from the second stage of the continuation study of Partners in Care (PIC).
  
  
  METHODS
  Latino ethnicity, aged > or =50 years, recent depressive symptoms and/or antidepressant medication use, and a recent primary care visit for mental health problems. Of 280 second-stage participants, 47 were eligible. Both stages of the continuation study included participants from the PIC parent study control and 2 intervention groups, and all had a history of depression.
  
  
  METHODS
  Data analyzed by a multidisciplinary team using grounded theory methodology.
  
  
  RESULTS
  Five themes were identified: beliefs about the nature of depression; prior experiences with mental health disorders/treatments; sociocultural context (eg, social relationships, caregiving, the media); clinic-related features (eg, accessibility of providers, staff continuity, amount of visit time); and provider attributes (eg, interpersonal skills, holistic care approach).
  
  
  CONCLUSIONS
  Findings emphasize the importance of key features for shaping the context leading up to primary care visits for help-seeking for mental health problems, and the experience and/or outcomes of those visits, among older depressed Latinos at long-term follow-up, and may help tailor chronic depression care for the clinical management of this vulnerable population.
authors.forename: Adriana
authors.initials: A
authors.lastname: Izquierdo
authors.forename: Catherine
authors.initials: C
authors.lastname: Sarkisian
authors.forename: Gery
authors.initials: G
authors.lastname: Ryan
authors.forename: Kenneth B
authors.initials: KB
authors.lastname: Wells
authors.forename: Jeanne
authors.initials: J
authors.lastname: Miranda
mesh_terms: D000342:Affective Symptoms / Q000628:therapy; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D003863:Depression / Q000208:ethnology* / Q000628:therapy; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008603:Mental Health / Q000208:ethnology*; D008875:Middle Aged; D011320:Primary Health Care; D036301:Qualitative Research