Provided by David Satcher, M.D., Ph.D.
Surgeon General of the United States of America
Chapter 2
Overview of Cultural Diversity and Mental Health Services
Help-Seeking Behavior
Among adults, the evidence is considerable that persons from minority
backgrounds are less likely than are whites to seek outpatient treatment in the
specialty mental health sector (Sussman et al., 1987; Gallo et al., 1995; Leong
& Lau, 1998; Snowden, 1998; Vega et al., 1998a, 1998b; Zhang et al., 1998). This
is not the case for emergency department care, from which African Americans are
more likely than whites to seek care for mental health problems, as noted above.
Language, like economic and accessibility differences, can play an important
role in why people from other cultures do not seek treatment (Hunt, 1984;
Comas-Diaz, 1989; Cook & Timberlake, 1989; Taylor, 1989).
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