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The Diabetes Educator

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Medical Care Research and Review
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Reducing Health Disparities in Depressive Disorders Outcomes between Non-Hispanic Whites and Ethnic Minorities

A Call for Pragmatic Strategies over the Life Course

Benjamin W. Van Voorhees

The University of Chicago, bvanvoor{at}medicine.bsd.uchicago.edu

Amy E. Walters

The University of Chicago

Micah Prochaska

The University of Chicago

Michael T. Quinn

The University of Chicago

There are significant disparities in treatment process and symptomatic and functional outcomes in depressive disorders for racial and ethnic minority patients. Using a life-course perspective, the authors conducted a systematic review of the literature to identify modifiable mechanisms and effective interventions for prevention and treatment at specific points—system, community, provider, and individual patient—in health care settings. Multicomponent chronic disease management interventions have produced improvements in depression outcomes for ethnic minority populations. Case management appears to be a key component of effective interventions. Socioculturally tailored treatment and prevention interventions may be more efficacious than standard treatment programs. Future research should focus on identifying key components of case management and sociocultural tailoring that are essential for effective interventions and developing new low-cost dissemination mechanisms for treatment and preventive programs that could be tailored to racial and ethnic minorities.

Key Words: depressive disorders • disparities • treatment • health services

This version was published on October 1, 2007

Medical Care Research and Review, Vol. 64, No. 5 suppl, 157S-194S (2007)
DOI: 10.1177/1077558707305424
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