Addressing disparities in mental health services research

The NIMH has a long history of concern and action related to health disparities and racial and ethnic groups as well as other underrepresented groups (i.e. women, children, and disabled persons). NIMH-supported researchers have shown that even when controlling for obvious confounding variables – such as health and mental health status, income, education, attitudes toward health, and status of health insurance – there are significant disparities in the use of mental health services across racial/ethnic groups. NIMH supported services research has shown that members of diverse populations are less likely than majority group members to make return visits once they are in treatment. Moreover, racial and ethnic group members are more likely to stay in treatment in an ethically oriented program regardless of the race or ethnic background of the clinician. Racial and ethnic populations are less likely to agree to enroll in clinical trials. This presentation will share findings from research studies that assess factors that produce health disparities in treatment responses, adherence, outcomes, and quality. These studies utilized large clinical trials that incorporated representative numbers of racial and ethnic groups. Other findings address the increased risk rates and the incidence and disproportionate burden of depressive disorders and suicide within racial and ethnic populations (e.g. Native American and Alaska Natives and African American males aged 15-19). We will identify factors related to disparities in access to and the use of mental health and mental health related services within and across racial/ethnic groups.