Psychological Issues in Medically Underserved Patients.
The US population has a subset of those that are underserved who are in need of primary care and also suffer from mental health disorders. In this article, categories of underserved populations are described. Each section defines the population being presented, identifies the mental health problems each is likely to encounter, explores the barriers that prevent access to care, and identifies potential methods to minimize such barriers. The ways in which psychiatric issues vary in underserved settings compared with the general population are differentiated. Recommendations are offered for primary care physicians to support improved recognition and management of psychosocial stressors and psychiatric illness among the underserved.
Department of Family Medicine, University of Rochester, 777 South Clinton Avenue, Rochester, NY 14620, USA; Accountable Health Partners, 135 Corporate Woods Suite 320, Rochester, NY 14623, USA. Electronic address: Mathew_devine@urmc.rochester.edu.
Mathew
M
Devine
Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Boulevard, Box Psych, Rochester, NY 14642, USA; Department of Medicine, University of Rochester Medical Center, 300 Crittenden Boulevard, Box Psych, Rochester, NY 14642, USA; Department of Surgery, University of Rochester Medical Center, 300 Crittenden Boulevard, Box Psych, Rochester, NY 14642, USA.
Lauren
L
DeCaporale-Ryan
Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Boulevard, Rochester, NY 14642, USA; Department of Medicine, University of Rochester Medical Center, 300 Crittenden Boulevard, Rochester, NY 14642, USA.
Magdalene
M
Lim
Department of Family Medicine, University of Rochester Family Medicine Resident, 777 South Clinton Avenue, Rochester, NY 14620, USA.
Juliana
J
Berenyi
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods; D012036:Refugees / Q000523:psychology; D012424:Rural Population; D000072339:Sexual and Gender Minorities / Q000523:psychology; D012923:Social Class; D014481:United States / Q000453:epidemiology; D035862:Vulnerable Populations / Q000523:psychology*; D055815:Young Adult
Depression; Mental health; Primary care; Psychosocial; Suicide; Underserved