Abstract

The overarching goal of this methodological, data-driven study is to provide service planners and policymakers with the best available data on the magnitude and sources of racial/ethnic disparities in alcohol and drug abuse treatment services, and information about the consequences of substance disorders in ethnic and racial minority populations in the United States (US). We use four new, large, nationally representative data sets with rich diagnostic and service use information: the National Comorbidity Survey Replication (NCS-R), the National Latino and Asian American Study (NLAAS), the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), and the National Survey on Drug Use and Health (NSDUH). We will provide a comprehensive picture of the extent of substance disorder treatment disparities, the potential sources of intervention to remediate these disparities, and the social and economic burden associated with substance disorders in minorities. Analyses will also provide empirical evidence regarding the mechanisms underlying disparities (e.g., the extent to which disparities reflect the influence of system barriers or state policies); this information will be translated into interventions to reduce disparities.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
5P60MD002261-05
Application #
8353393
Study Section
Special Emphasis Panel (ZMD1-MR (08))
Project Start
Project End
2014-05-31
Budget Start
2011-06-01
Budget End
2013-05-31
Support Year
5
Fiscal Year
2011
Total Cost
$164,125
Indirect Cost

  Institution

Name
University of Puerto Rico Med Sciences
Department
Type
DUNS #
948108063
City
San Juan
State
PR
Country
United States
Zip Code
00936

  Publications

Allen, Michele L; Cook, Benjamin Lê; Carson, Nicholas et al. (2017) Patient-Provider Therapeutic Alliance Contributes to Patient Activation in Community Mental Health Clinics. Adm Policy Ment Health 44:431-440
Carson, Nicholas J; Katz, Arlene M; Alegría, Margarita (2016) How patients and clinicians make meaning of physical suffering in mental health evaluations. Transcult Psychiatry 53:595-611
Alcántara, Carmela; Li, Xinliang; Wang, Ye et al. (2016) Treatment moderators and effectiveness of Engagement and Counseling for Latinos intervention on worry reduction in a low-income primary care sample. J Consult Clin Psychol 84:1016-1022
Alegría, Margarita; Alvarez, Kiara; Ishikawa, Rachel Zack et al. (2016) Removing Obstacles To Eliminating Racial And Ethnic Disparities In Behavioral Health Care. Health Aff (Millwood) 35:991-9
Canino, Glorisa; Shrout, Patrick E; Vila, Doryliz et al. (2016) Effectiveness of a multi-level asthma intervention in increasing controller medication use: a randomized control trial. J Asthma 53:301-10
Hahm, Hyeouk Chris; Cook, Benjamin Lê; Ault-Brutus, Andrea et al. (2015) Intersection of race-ethnicity and gender in depression care: screening, access, and minimally adequate treatment. Psychiatr Serv 66:258-64
Alcántara, Carmela; Chen, Chih-Nan; Alegría, Margarita (2015) Transnational ties and past-year major depressive episodes among Latino immigrants. Cultur Divers Ethnic Minor Psychol 21:486-95
Betancourt, Theresa S; Yang, Frances; Bolton, Paul et al. (2014) Developing an African youth psychosocial assessment: an application of item response theory. Int J Methods Psychiatr Res 23:142-60
Ault-Brutus, Andrea; Lee, Catherine; Singer, Sara et al. (2014) Examining implementation of a patient activation and self-management intervention within the context of an effectiveness trial. Adm Policy Ment Health 41:777-87
Ramos, Zorangelí; Alegría, Margarita (2014) Cultural adaptation and health literacy refinement of a brief depression intervention for Latinos in a low-resource setting. Cultur Divers Ethnic Minor Psychol 20:293-301

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