engaging african americans in depression care · sidney hankerson, md, mba low country mental...
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![Page 1: Engaging African Americans in Depression Care · Sidney Hankerson, MD, MBA Low Country Mental Health Conference July 28, 2016 World Health Organizaon, 2015. Major depression is the](https://reader035.vdocument.in/reader035/viewer/2022063014/5fd0068d0bd4c6257832dc31/html5/thumbnails/1.jpg)
EngagingAfricanAmericansin
DepressionCare
SidneyHankerson,MD,MBALowCountryMentalHealthConference
July28,2016
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WorldHealthOrganiza1on,2015.
Majordepressionisthe#1causeofdisabilityworldwide
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DSM-5 Diagnos-c Criteria of MDD
• Depressedorirritablemood• LackofinterestorpleasureinacIviIes
• 5of9symptoms• Lastsatleast2weeks
AmericanPsychiatricAssocia1on.Diagnos1candSta1s1cManual5.2013.
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AfricanAmericansandMexicanAmericans
havethelowestratesofdepressiontreatment
intheUnitedStates
Hankersonetal.JournalofNa+onalMedicalAssocia+on.2011.Gonzalezetal.ArchivesofGeneralPsychiatry.2010.
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What are Barriers to Mental Health Care?
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What are Barriers to Mental Health Care?
Racism
CulturalDistrust
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Metzl.“ProtestPsychosis.”2010.
Misdiagnosis=Labeling
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Micro-aggressions
NegaIveracialslightsandinsultstowardpeopleofcolor
• briefandcommonplace
• verbal,behavioral,orenvironmental
• inten1onaloruninten1onal
Sueetal.2007
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Share the Story of Your Name
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Community-basedpartnershipsmayovercomebarriers
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Morepeopleseekhelpfromclergy
Hankersonetal.2013Wangetal.2003
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Depression
Screening
withPHQ-9
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Depressionwascommonin3NYCChurches
Men(n=49)
Women(n=62)
MajorDepression
22.5%
17.7%
Hankersonetal.(2015).AmericanJPreven+veMedicine
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Strategies to Increase Engagement
1) Exploreyourunconsciousbiases2) Focusontotalbody-wellness3)Mobilizesocialsupportinthecommunity
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Exploreyourunconsciousbiases
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Focusontotal-bodywellness
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Mobilizesocialsupport