Engaging African Americans in Depression Care · Sidney Hankerson, MD, MBA Low Country Mental...

EngagingAfricanAmericansin

DepressionCare

SidneyHankerson,MD,MBALowCountryMentalHealthConference

July28,2016

WorldHealthOrganiza1on,2015.

Majordepressionisthe#1causeofdisabilityworldwide

DSM-5 Diagnos-c Criteria of MDD

• Depressedorirritablemood• LackofinterestorpleasureinacIviIes

• 5of9symptoms• Lastsatleast2weeks

AmericanPsychiatricAssocia1on.Diagnos1candSta1s1cManual5.2013.

AfricanAmericansandMexicanAmericans

havethelowestratesofdepressiontreatment

intheUnitedStates

Hankersonetal.JournalofNa+onalMedicalAssocia+on.2011.Gonzalezetal.ArchivesofGeneralPsychiatry.2010.

What are Barriers to Mental Health Care?

What are Barriers to Mental Health Care?

Racism

CulturalDistrust

Metzl.“ProtestPsychosis.”2010.

Misdiagnosis=Labeling

Micro-aggressions

NegaIveracialslightsandinsultstowardpeopleofcolor

• briefandcommonplace

• verbal,behavioral,orenvironmental

• inten1onaloruninten1onal

Sueetal.2007

Share the Story of Your Name

Community-basedpartnershipsmayovercomebarriers

Morepeopleseekhelpfromclergy

Hankersonetal.2013Wangetal.2003

Depression

Screening

withPHQ-9

Depressionwascommonin3NYCChurches

Men(n=49)

Women(n=62)

MajorDepression

22.5%

17.7%

Hankersonetal.(2015).AmericanJPreven+veMedicine

Strategies to Increase Engagement

1)  Exploreyourunconsciousbiases2)  Focusontotalbody-wellness3)Mobilizesocialsupportinthecommunity

Exploreyourunconsciousbiases

Focusontotal-bodywellness

Mobilizesocialsupport