Disparities in Assessment, Treatment, and Recommendations for Specialty Mental Health Care: XXXX Reports of Medical Provider Behavior.

@entity1 @entity1032 @entity734
OBJECTIVE: To examine perceptions of medical doctor behavior in @entity1032 ( @entity1032 ) utilization disparities. DATA SOURCES: Secondary data analyses of the National Comorbidity Survey-Replication and the National Latino and Asian American Study (2001-2003). STUDY DESIGN: Sample included non-Hispanic whites (NHWs), blacks, Asians, and Latinos. Dependent variables were @entity1 reports of providers' assessment of and counseling on @entity1032 and @entity734 ( @entity734 ) problems, and recommendation for medications or specialty @entity1032 care. The initial sample consisted of 9,100 adults; the final sample included the 3,447 individuals who had been asked about @entity1032 and @entity734 problems. PRINCIPAL FINDINGS: Bivariate analyses indicated that Asians were the least likely to report being assessed, counseled, and recommended medications and specialty care. In multivariate logistic regression analyses, there were no racial/ethnic differences in assessment of @entity1032 or @entity734 problems. Compared to NHWs, black @entity1 were less likely to report receiving a medication recommendation. Latinos were more likely to report counseling and a recommendation to specialty care. U.S.-born @entity1 were more likely to report a medication recommendation. CONCLUSIONS: Perceptions of provider behavior might contribute to documented disparities in @entity1032 utilization. Further research is needed to determine other points in the treatment utilization process that might account for racial/ethnic disparities.
