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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