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MedAll Psychiatry
MedAll Psychiatry
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MedAll Editor
MedAll Editor
Posted by MedAll Editor  |  3 Jul 2024 (Edited)
3 Jul 2024 (Edited)

Case Discussion: Health Equity in MDD

Can you answer the questions about this case? Join Prof Gordon who will be chairing a session on this topic in our Major Depressive Disorder series?

Pamela is a 51-year-old African American woman who presents to her primary care physician for an annual check-up. During the visit, the physician notes that her diabetes is poorly controlled, and Pamela attributes this to stress following the murder of her son eight months ago. Her Patient Health Questionnaire-9 (PHQ-9) score is 19, indicating moderate depression. The physician offers a referral to the Integrated Behavioral Health Clinic.

Initially, Pamela is reluctant, expressing concerns about being labeled "crazy" and emphasizing that she is simply grieving. However, she is pleased to learn about the possibility of receiving prompt assistance. The physician explains the PHQ-9 results and recommends that she start taking a Selective Serotonin Reuptake Inhibitor (SSRI) medication and follow up with a behavioral health care manager within the next 48 hours. Additionally, Pamela is referred to a faith-based grief support group and encouraged to bring her daughter to the next appointment for additional support and information.

This program is funded by an independent grant from Takeda. This online education program has been designed solely for healthcare professionals in the USA. The content is not available for healthcare professionals in any other country.

👍
2
Dani Carlson and 1 other have liked this

Case Discussion: Health Equity in MDD

Can you answer the questions about this case? Join Prof Gordon who will be chairing a session on this topic in our Major Depressive Disorder series?

Pamela is a 51-year-old African American woman who presents to her primary care physician for an annual check-up. During the visit, the physician notes that her diabetes is poorly controlled, and Pamela attributes this to stress following the murder of her son eight months ago. Her Patient Health Questionnaire-9 (PHQ-9) score is 19, indicating moderate depression. The physician offers a referral to the Integrated Behavioral Health Clinic.

Initially, Pamela is reluctant, expressing concerns about being labeled "crazy" and emphasizing that she is simply grieving. However, she is pleased to learn about the possibility of receiving prompt assistance. The physician explains the PHQ-9 results and recommends that she start taking a Selective Serotonin Reuptake Inhibitor (SSRI) medication and follow up with a behavioral health care manager within the next 48 hours. Additionally, Pamela is referred to a faith-based grief support group and encouraged to bring her daughter to the next appointment for additional support and information.

This program is funded by an independent grant from Takeda. This online education program has been designed solely for healthcare professionals in the USA. The content is not available for healthcare professionals in any other country.

👍
2
Dani Carlson and 1 other have liked this
Juanita Rivera15 Jul 2024
15 Jul 2024

I think that using a team of professionals who are culturally connected with the community in need.

I think that using a team of professionals who are culturally connected with the community in need.

MedAll Editor
MedAll Editor
MedAll Editor3 Jul 2024(Edited)
3 Jul 2024(Edited)

How can healthcare providers promote health equity by tailoring treatment approaches to meet the diverse needs of minority and marginalized populations like Pamela's?

How can healthcare providers promote health equity by tailoring treatment approaches to meet the diverse needs of minority and marginalized populations like Pamela's?

Anthonette Blake12 Jul 2024
12 Jul 2024

One-stop shop! Have providers in relatively same geographic area. Such as a clinic setting.

One-stop shop! Have providers in relatively same geographic area. Such as a clinic setting.

Diana Courson
Diana Courson
Diana Courson13 Jul 2024
13 Jul 2024

I believe first is identifying communities at great risk/outreach/training the work force focusing on providing culturally informed care of the population.

I believe first is identifying communities at great risk/outreach/training the work force focusing on providing culturally informed care of the population.

MedAll Editor
MedAll Editor
MedAll Editor3 Jul 2024(Edited)
3 Jul 2024(Edited)

What role can faith-based grief support groups play in addressing the unique challenges faced by African American women who have experienced traumatic loss?

What role can faith-based grief support groups play in addressing the unique challenges faced by African American women who have experienced traumatic loss?

Anthonette Blake12 Jul 2024
12 Jul 2024

One can never have too much support when grieving. Coordination of an integrated team effort to support this client should assist her in moving forward with her life. Faith based support also provides familiarity for this client.

One can never have too much support when grieving. Coordination of an integrated team effort to support this client should assist her in moving forward with her life. Faith based support also provides familiarity for this client.

Diana Courson
Diana Courson
Diana Courson13 Jul 2024
13 Jul 2024

It’s and important role because they have the same believes and culturally they practice the same rituals such how they remember them, the length of the mournings and others factors that are very important in the recovery process.

It’s and important role because they have the same believes and culturally they practice the same rituals such how they remember them, the length of the mournings and others factors that are very important in the recovery process.

Juanita Rivera15 Jul 2024
15 Jul 2024

Faith grief group focuses on the shared religious beliefs of the members about death. Also each member can support each other by expressing their experienes with grief.

Faith grief group focuses on the shared religious beliefs of the members about death. Also each member can support each other by expressing their experienes with grief.

MedAll Editor
MedAll Editor
MedAll Editor3 Jul 2024(Edited)
3 Jul 2024(Edited)

How can the integrated behavioral health clinic effectively collaborate with Pamela's primary care physician to ensure comprehensive and coordinated care for her depression and diabetes?

How can the integrated behavioral health clinic effectively collaborate with Pamela's primary care physician to ensure comprehensive and coordinated care for her depression and diabetes?

Anthonette Blake12 Jul 2024
12 Jul 2024

Time sensitive responses from all providers with significant changes in mental and physical health is always beneficial for the client.

Time sensitive responses from all providers with significant changes in mental and physical health is always beneficial for the client.

Diana Courson
Diana Courson
Diana Courson13 Jul 2024(Edited)
13 Jul 2024(Edited)

it will be more effective since the patient will have all of the services ( physical and mental health) in one place avoiding months or years long delayed in between the onset of the symptoms and the treatment.

it will be more effective since the patient will have all of the services ( physical and mental health) in one place avoiding months or years long delayed in between the onset of the symptoms and the treatment.

Juanita Rivera15 Jul 2024
15 Jul 2024

I believe in the integrated medical approach where each professional can come together to develop a plan of treatment where each patient need is discussed.

I believe in the integrated medical approach where each professional can come together to develop a plan of treatment where each patient need is discussed.

MedAll Editor
MedAll Editor
MedAll Editor3 Jul 2024(Edited)
3 Jul 2024(Edited)

What are the specific cultural considerations that should be taken into account when developing a treatment plan for Pamela, particularly given her African American heritage and faith background?

What are the specific cultural considerations that should be taken into account when developing a treatment plan for Pamela, particularly given her African American heritage and faith background?

Diana Courson
Diana Courson
Diana Courson13 Jul 2024
13 Jul 2024

Family, community, faith, language, personal biases.

Family, community, faith, language, personal biases.

Juanita Rivera15 Jul 2024
15 Jul 2024

Faith, family composition, race, language, support system

Faith, family composition, race, language, support system

MedAll Editor
MedAll Editor
MedAll Editor3 Jul 2024(Edited)
3 Jul 2024(Edited)

In what ways can primary care physicians like Pamela's doctor create a safe and welcoming environment for patients from diverse backgrounds to discuss mental health concerns?

In what ways can primary care physicians like Pamela's doctor create a safe and welcoming environment for patients from diverse backgrounds to discuss mental health concerns?

Diana Courson
Diana Courson
Diana Courson13 Jul 2024
13 Jul 2024

Integrating Mental Health with Primary Care practice as well as training healthcare workers from different backgrounds and providing educational instructions in their owns languages (and bilingües if possible) with pictures or animations of their own ethnic group.

Integrating Mental Health with Primary Care practice as well as training healthcare workers from different backgrounds and providing educational instructions in their owns languages (and bilingües if possible) with pictures or animations of their own ethnic group.

MedAll Editor
MedAll Editor
MedAll Editor3 Jul 2024(Edited)
3 Jul 2024(Edited)

How does Pamela's initial reluctance to seek mental health care reflect potential barriers and stigma faced by African American women in accessing treatment for depression?

How does Pamela's initial reluctance to seek mental health care reflect potential barriers and stigma faced by African American women in accessing treatment for depression?

Diana Courson
Diana Courson
Diana Courson13 Jul 2024(Edited)
13 Jul 2024(Edited)

Lack of African American therapists (wanting one of their own handling the problem) , concerning about confidentiality, fear to disclose mental health conditions and not believing they having issues (Denial).

Lack of African American therapists (wanting one of their own handling the problem) , concerning about confidentiality, fear to disclose mental health conditions and not believing they having issues (Denial).