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Mental Health and Ethnic Minority Children Mental Health and Ethnic Minority Children and Youth: Need, Access, Qualityand Youth: Need, Access, Quality
From: “Mental Health: Culture, Race, and EthnicityFrom: “Mental Health: Culture, Race, and EthnicityA Supplement to Mental Health: A Report of the A Supplement to Mental Health: A Report of the
Surgeon General”Surgeon General”
Lonnie R. SnowdenLonnie R. SnowdenProfessor of Social WelfareProfessor of Social Welfare
Director, Center for Mental Health Services ResearchDirector, Center for Mental Health Services Research
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Demographics and Areas of Special NeedDemographics and Areas of Special Need
Native Americans: .5% of California population; 42% rural; high rates of substance abuse, especially alcohol abuse.
Latinos: 32% of California population; 38% non U.S. born; high rates of depressive symptoms and substance abuse.
Asian Americans: 12% of California population; 60% non U.S. born; high rates of anxiety symptoms among some immigrant youth and PTSD among refugees.
African Americans: 7% of California population; heavily urban; symptoms of conduct disorder and depression, substance abuse.
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Family and CommunityFamily and Community
Poverty: Family and community, income and assets
High and low social capital: Ethnic enclaves and poverty communities
Family, friends, and religious figures as source of help
Functional status: family, peers, schools, police
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Promoting AccessPromoting Access
Unmet need and burden
Insurance: Medical and private coverage; the problem of differential response
High need populations: child welfare, juvenile justice, social service recipients, the homeless
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Improving QualityImproving Quality
Belief systems, idiom of distress
Practice guidelines and issues of translation
The need to improve functional status
Therapeutic alliance and trust
Large gains from small investments: toward a life course, societal perspective