Clinician descriptions of communication strategies to improve treatment engagement by racial/ethnic minorities in mental health services: A systematic review

PATIENT EDUCATION AND COUNSELING

卷:99

Review

Aggarwal, Neil Krishan^1,2  Pieh, Matthew C.³  Dixon, Lisa^1,4  Guarnaccia, Peter⁵  Alegria, Margarita^6,7  Lewis-Fernandez, Roberto^1,2 

[1] Columbia Univ, Dept Psychiat, New York, NY USA

[2] New York State Psychiat Inst & Hosp, Ctr Excellence Cultural Competence, New York, NY 10032 USA

[3] Columbia Univ Coll Phys & Surg, 630 W 168th St, New York, NY 10032 USA

[4] New York State Psychiat Inst & Hosp, 1051 Riverside Dr,Unit 11, New York, NY 10032 USA

[5] Rutgers State Univ, Inst Hlth Hlth Care Policy & Aging Res, New Brunswick, NJ 08903 USA

[6] Ctr Multicultural Mental Hlth Res, Somerville, NJ USA

[7] Harvard Univ, Sch Med, Somerville, NJ USA

关键词: Medical communication;    Treatment engagement;    Cross-cultural communication;    Cultural psychiatry;    Systematic review;   

DOI  :  10.1016/j.pec.2015.09.002

来源: Elsevier

【 摘 要 】

Objective: To describe studies on clinician communication and the engagement of racial/ethnic minority patients in mental health treatment. Methods: Authors conducted electronic searches of published and grey literature databases from inception to November 2014, forward citation analyses, and backward bibliographic sampling of included articles. Included studies reported original data on clinician communication strategies to improve minority treatment engagement, defined as initiating, participating, and continuing services. Results: Twenty-three studies met inclusion criteria. Low treatment initiation and high treatment discontinuation were related to patient views that the mental health system did not address their understandings of illness, care or stigma. Treatment participation was based more on clinician language use, communication style, and discussions of patient-clinician differences. Conclusion: Clinicians may improve treatment initiation and continuation by incorporating patient views of illness into treatment and targeting stigma. Clinicians may improve treatment participation by using simple language, tailoring communication to patient preferences, discussing differences, and demonstrating positive affect. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free