English Language Proficiency and Mental Health Service Use Among Latino and Asian Americans With Mental Disorders
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OBJECTIVE: The impact of language proficiency as a potential contributor to ethnic disparities in mental health care has received less attention than other factors. Data from the National Latino and Asian American Study were examined to assess the impact of limited English proficiency (LEP) on access to and quality of mental health care for community-dwelling Latino and Asian Americans with mental disorders. METHODS: English-proficient (EP) and LEP individuals with mental disorders were compared on lifetime use of healthcare services for a mental disorder, duration of untreated disorders, receipt of minimally adequate care, and barriers to treatment (eg, lack of identification of need for treatment, language barriers, and embarrassment or discomfort related to treatment). RESULTS: Compared with EP individuals, LEP individuals with mental disorders were significantly less likely to identify a need for mental health services, experience longer duration of untreated disorders, and use fewer healthcare services for mental disorders, particularly specialty mental health care. Receipt of minimally adequate care did not differ significantly by language proficiency. Embarrassment and discomfort were not more common among LEP individuals. Perceived need for treatment predicted lifetime mental healthcare use, whereas embarrassment and discomfort did not. CONCLUSIONS: Among Latino and Asian Americans with mental disorders, LEP contributes to disparities in access to care and longer duration of untreated disorders. Potential disparities in quality of care were difficult to detect in the context of low overall rates of mental healthcare use and quality of care among both LEP and EP individuals.
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Individuals with limited English proficiency are less likely to seek out specialty treatment like mental health care and, when diagnosed, have more severe long-term mental health complications.
“Research has shown that individuals with limited English proficiency are less likely to seek out specialty treatment like mental health care and, when diagnosed, have more severe long-term mental health complications [18].”
From Technology enabled clinical care (TECC): Protocol for a prospective longitudinal cohort study of smartphone-augmented mental health treatment (2021) · cites this paper as [18]
The Discussion reports that Latino and Asian Americans with limited English proficiency were less likely to seek mental health treatment, particularly specialty care, and had longer durations of untreated disorder. It does not report that, when diagnosed, they developed more severe long-term mental health complications; a longer untreated period is not the same as greater severity. (LLM, conf=0.88)
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Qualitative Evaluation of a Peer Navigator Program for Latinos with Serious Mental Illness
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Childhood Shadows: Psychological Distress of Childhood Maltreatment among Asian-American Women
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Policy Effects on Mental Health Status and Mental Health Care Disparities
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Mental Health Care Models in Low- and Middle-Income Countries
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- Authors
- Bauer, A. M., Chen, C.-N., & Alegría, M.
- Affiliations
- Cambridge Health Alliance (US)
- Venue
- Medical Care
- Published
- 2010-12
- Volume
- 48
- Issue
- 12
- Pages
- 1097-1104
- ISSN
- 0025-7079 (ISSN-L)
- PMC
- PMC3135417
- OpenAlex
- W2088385553
- Cited by
- 168
- References
- 39
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 18 · 2023: 21 · 2022: 10 · 2021: 9 · 2020: 9 · 2019: 13 · 2018: 4 · 2017: 15 · 2016: 7 · 2015: 16 · 2014: 10 · 2013: 7 · 2012: 8
- FWCI
- 12.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Medical Care (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5p60md002261-05)
- National Institute of Mental Health (P50MH073469, U01MH062209, T32MH019733)
- National Institute on Minority Health and Health Disparities (P60-MD-002261)
- Topics
- Health Sciences › Health Professions › General Health Professions › Interpreting and Communication in Healthcare
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- limited English proficiency, mental health service utilization, Hispanic Americans, Asian Americans, ethnic disparities, access to mental health care, barriers to treatment, language barriers, perceived need for treatment, mental health care quality
- MeSH terms
- Adult, Aged, Asian, Attitude to Health, Mental Disorders, Communication Barriers, Cross-Sectional Studies, Female, Health Services Accessibility, Hispanic or Latino, Humans, Male, Mental Health Services, Middle Aged, Social Environment, United States, Health Care Surveys, Healthcare Disparities, Young Adult
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