...Mental Health Care Disparities: Consequences of Ineffectiveness and Lack of Access for Minorities Ebony Marinnie RN Rowan University Mental Health Care Disparities: Consequences of ineffectiveness and lack of access for minorities For ages mental illness has been seen as the ultimate curse. The mentally ill were seen as possessed, hidden from society, and never talked about. In America, it is estimated that 26.2 percent of people ages 18 and older suffer from a diagnosed mental disorder in a given year (Kessler,Chiu, Walters, & Demler, 2005). The aforementioned statistics reflect those that have sought or been forced into treatment. There are many left uncounted due to lack of access and ineffective treatment secondary to a number of reasons. Considering history, discrimination, personal perception, socioeconomic status, educational backgrounds and a host of other reasons many minority groups are reluctant to seek out treatment in what many may consider a system of mental health created and sustained primarily for the middle and upper-class White America. In fact, 60 percent of people with mental illnesses do not receive treatment (Kessler et al., 2005). The purpose of this paper is to discuss mental health care disparities in minority populations within American society, and to suggest some needed changes to close the gap in America. One quarter of all Americans meet the criteria for having a mental illness and a quarter of those have a disorder that significantly...
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...Health disparities are defined as unequal burdens in disease morbidity and mortality rates which are often experienced by the minority racial/ethnic groups. In today’s population ethnic and racial disparities exist for various and intricate reasons, which has grave impacts on an individual’s access to health care. These disparities have been around for several centuries and continue to be problematic despite the little progression being made with the revisions of preexisting health care laws. Laws and regulations are continually being revised to allow further health insurance expansions in hopes to reduce the ethnic and racial disparities for access to adequate care. Even with the increase in awareness, policymakers and clinicians have...
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...Health Promotion Among Diverse Populations Kristi Donau Grand Canyon University Family Centered Health Promotion NRS-429V Dana McKay May 3, 2015 Health Promotion Among Diverse Populations The United States has seen much transformation within its healthcare advances and delivery system over the last century. It has also demographically transformed from a nation of a predominantly white population to an ever growing culturally diverse population. Many of these cultural groups are documented minority groups, which face many problems with accessing and receiving adequate health care. Looking at the 2010 U.S. Census, close to 36 percent of the population was a part of an ethnic or racial minority group. These minority groups include American Native Indian, African American, American Asian, Pacific Islander, and Latino or Hispanic. Some minority groups have increased risk factors and experience a greater and disproportionate burden of disease, preventable illnesses and disability and morbidity rates compared with non-minority groups ("Centers for Disease Control and Prevention," 2014). In this paper, the author will compare and contrast the health status for the minority group of Hispanic/ Latinos to the national average, describe how health promotion is defined and what barriers and disparities exist for this minority population, and will describe three levels of health promotion prevention and which would be optimal for teaching the Hispanic/Latino people. ...
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...have learned about diversity in nursing and the effect that diversity has on the nursing community as well as the impact it has on the public related to health disparities. Diversity comes in many forms such as age, gender, socioeconomic status, culture, and ethnicity. The purpose of this paper is to discover the importance of diversity in the nursing profession. Importance of Diversity in the Workplace The lack of diversity in the healthcare setting could be linked to health disparities. Health disparities are gaps in the quality of health and health care that mirror differences in socioeconomic status, racial and ethnic background and education level (Minority Health, n.d.). Baldwin states, “A lack of minority health care providers has a trickle down effect on the health care of ethnic and racial minorities (2003).” These groups are already at risk for increased morbidity and mortality rates. They have less access to proper health care and are a greater risk for declining health due to the small number of minority health care providers (Baldwin, 2003). Efforts have been made to recruit and retain minorities into the nursing profession however they have not been very successful. According to Huston, recruiting underrepresented groups has been difficult for many reasons. One of which could be that minorities receive inadequate preparatory education leading to poor reading, writing and critical thinking skills (Professional Issues in Nursing, p. 139-140). Other...
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...Heath disparities or health inequalities are defined by the Centers for Disease Control and Prevention as “gaps in health outcomes or determinants between segments of the population”. The CDC has put together the CDC Health Disparities and Inequalities Report in 2013 to address the many issues concerning the health disparities of minority groups in the United States. One of the minority groups addressed in the report is the African American or black ethnic group that in 2013 comprised of 15% of the United States population. More African Americans rate health services in their community as fair to poor than whites (Becker and Newsom, 2003). Life expectancy has more than doubled for African Americans in the 20th century but they still face a higher burden of disability, disease and death than do whites (Becker and Newsom, 2003). By identifying and understanding the health disparities and being aware of the differences regarding health determinants and outcomes in the African American population the better able we are to do something to reduce these disparities (CDC Newsroom). The top three Health disparities among the African American population include heart disease as the number one cause of death, cancer, and stroke (CDC and Prevention). African Americans had the largest number of deaths from heart disease and stroke in the United States compared to other ethnic groups. They have the highest prevalence in untreated hypertension which leads to both heart disease and strokes...
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...Health Promotion Among Diverse Populations Grand Canyon University: NRS-429V Health Promotion Among Diverse Populations The United States is a Nation of diverse races and cultures. The population of the United States is broken down into two classifications: the majority and the minority. As of 2014 the majority of individuals living in the US classified themselves as white, which is defined as “a person originating from any of the original people of Europe, the Middle East, or North Africa”. As of 2014 this group made up 77.4 percent of the US population (USCB, 2014). The rest of the US population consists of many different races, collectively called the minority. The minority is made up of multiple different races, including but not limited to: American Indian/Alaskan Native, Asian American, Black or African American, Hispanic or Latino, Native Hawaiian, and Pacific Islander. Healthcare disparities for minority groups in the US are larger than for the majority group; the minority group bears a disproportionate burden of disease, injury, premature death, and disability. For persons of these racial/ethnic minority populations, health disparities can mean lower life expectancy, decreased quality of life, loss of economic opportunities, and perceptions of injustice (CDC, 2004). The Hispanic or Latino race in particular has a larger gap in quality health care and disease prevention than most others. This report will discuss the health status, health promotion...
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...disparities in health care, updated 2010, written by American College of Physicians, presents the reality of the racial and ethnic disparities in health care and made some recommendations to reduce this gaps. Although improvements have been seen in health care quality and some disparities have been reduced or eliminated, differences persist in health care quality among members of various racial and ethnic minority groups. Irrefutable evidence indicates that racial and ethnic minorities are subject to quality care less healthy than white Americans, even when factors such as insurance status are controlled. Since the population continues to grow and diversify the health care system must change and adapt to meet the needs of a patient more and more multicultural. In 2003, the American College of Physicians, which is now the greatest medical specialty society in the United States with physicians and medical student members, published racial and ethnic disparities paper Healthcare (www. acponline.org / ppvl / policies / e000904.pdf). The document provides some recommendations on how the gap between patients’s racial and ethnic minorities and their white counterparts can be reduced. Unfortunately, even though progress has been achieved in some areas the question of the racial and ethnic disparities remains a difficult and complex problem to tackle. This update of the 2003 document adopts recommendations that still need attention to solve this problem - like improving access to health insurance...
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...DISPARITY IN HEALTHCARE IN AMERICA Disparity in US Health Care is multifactorial, they reflect the differences in demographics, social-economic as well as environmental factors. The Journal of the American Medical Association identifies race as a significant determinant in the level of quality of care, with ethnic minority groups receiving less intensive and lower quality care. Ethnic minorities receive less preventative care, are seen less by specialists, and have fewer expensive and technical procedures than non-ethnic minorities. Studies have shown that this disparity affects the biological vulnerability to disease, utilization of health system in US and health care interventions. Understanding and intervening in the health disparity in the US is imperative because the US population is changing. According to the American Health Association (AHA), by 2050 Minority groups will compose almost half of the U.S. population by 2050. The biggest increase will occur within the Hispanic population. In December 2007, the American Hospital Association (AHA) created the Special Advisor Group on Improving Hospital Care for Minorities as part of effort to ensure equitable treatment of all patients. This article will discuss the issues related to disparity and how the American Hospital Association is taken several steps in helping aid in eliminating the racial disparity in health care. Health disparities in the quality of care exist and are based on language and the ethnicity/race...
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...Running head: ASSIGNMENT 1, WEEK 6 Assignment 1 Teassa Eubanks Cultural Diversity in Health and Illness Mansour Rostami, Instructor November 13, 2010 Minority Population | Health disparities | Native American Indian Native Alaskan | Health disparities are believed to be the result of the complex interaction among genetic variations, environmental factors, and specific health behaviors. Compared with other Americans, Indians experience disproportionately high mortality from alcoholism, tuberculosis, diabetes, injuries, suicide, and homicide. Tribal leaders report that diabetes, unintentional injuries, alcoholism, and substance abuse are rising to crisis proportions in American Indian and Alaska Native communities | Asian | Lack of access to regular care. Asians are least likely to report having a personal doctor compared to other racial and ethnic groups in the US. 19.4 % of Asian adults compared to 12.9% of whites report being without a usual source of health care. Cambodians and Vietnamese are three times more likely to forgo visiting a doctordue to cost compared to all Asians or US residents.• Less satisfaction with care. Compared to other racial and ethnic groups, Asians are least likely to be satisfied with the speed of their care, doctor-patient communication, and office staff.• Fewer preventive services. Asians are less likely to have blood pressure monitoring and pap smears. In fact,cervical cancer screening...
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...of Care Paper December 15, 2014 Donna Rose Nur/531 Emerging Standards of Care Paper A growing problem in the United States is the increase in health disparities amongst minorities regardless that the United States is a multicultural country. This problem is due to the poor quality and accessibility of health care services. As the population of diversity continues to grow rapidly so does the importance of cultural competence in healthcare. Cultural competence is a set of behaviors, attitudes, and skills that enables nurses to work effectively in cross-cultural situations ("Cultural Competence", 2014). Organizations must have the capacity to value diversity, conduct self-assessment, manage the dynamics of difference, institutionalize cultural knowledge and adapt to the diversity and the cultural context of the communities they serve. The Office of Mental Health and Substance Abuse Services (OMHSAS) stated that inequities in service delivery and care in the health care system are associated with discrimination, and a lack of culturally competent practices, including a lack of cultural awareness and sensitivity by health care providers (Upsher, n.d). Substance abuse is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences ("The Science Of Drug Abuse And Addiction: The Basics", 2014). This paper will discuss and define the appropriateness of competent care in Substance abuse care and...
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...Discrimination and health care privacy are two laws and regulations were established to protect the people. The federal government implemented these laws with the goal of removing barriers that are institutional. These laws affect many organizations, especially those involved in the health care industry. This paper will present the role of each laws and how the health care industry currently handled the laws. An analysis of the effect of these laws will be providing as well as cases. Including ways these laws have affected one’s life. According to Maze (2005)”Discrimination continues to exist and negatively have affected the health care system and the professionals.” Discrimination occurs when an individual is treat unequal because of his or her race, religion, sex, and ethnic background, or any factors that involves ones traits. Discrimination is seen through the American Health care system if it involves the presence of injustice based on whether someone were treated unequal or unfair due to their race, religion, sex, or ethnicity. In the United States today, there is still discrimination in the health care system based upon race and income, insurance or no insurance. Discrimination in the United States is part of a long continuum dating back over hundreds of years, even though efforts were made to admit minorities into the health care system these efforts are flawed and there has been no significant improvements in the removal of barriers due to discrimination. Minorities are known...
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...Health of Asian Americans Professional health care in the United States is faced with many challenges when working with people of different cultures. One of the challenges is developing and practicing standards for different minority groups that are culturally sensitive, competent and can adhere to the appropriate nursing care around the globe. The basis of the existence of any state is to maintain the health of everyone. The criteria for human health among minority groups are different, but all share the happiness and joy of life, which is the beginning of health and longevity. The Asian Americans represent one of the minority groups in the United States that has its own cultural, biological, socioeconomic, education and sociopolitical barriers to health. According to Centers for Disease Control and Prevention (CDC) (2013), the population of Asians, including those of more than one race in 2011 was estimated at 18.2 million in the United States population. The three largest Asian groups in the United States in 2011 were Chinese with the estimate of 4 million people, Filipinos - 3.4 million people, and Asian Indians - 3.2 million people (CDC, 2013). The Census Bureau projects that by the year 2050, there will be more than 40.6 million Asians living in the United States, which will represent more than nine percent of the total U.S. population (CDC, 2013). Based on these numbers it is important for health care providers who are facing rapidly growing racially and ethnically...
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...trust in the health care system and a negative experience can impact their ability to trust and receive effective treatment. Throughout history African Americans have been subjected to racism and discrimination in which these past experiences can be pasted down from generation to generation effecting their beliefs in the health care system. Experimentation on slaves and the Tuskegee Experiment are just a couple of negative experiences to impact African Americans and their trust in physicians and health care in general that continue to this day. Mistrust in the health field for African Americans stems from numerous events, one being that of the experimentation on slaves. Back in the day when the white population owned slaves, they were subjected at times to very painful and unethical experimentation. In the South African Americans filled hospital beds where they were used as dissection experiments to help doctors perfect their practice in the medical field (Harris, Gorelick, Samuels, & Bempong). They were also used to test new techniques and remedies. One such example is that of a slave named Fed. Fed was “secured in an open pit in the ground that was then covered and heated to test which medication enabled him to withstand heat. Each session ended when Fed finally succumbed to the heat and fainted” (Harris, et al.). Slaves were also used to test the safety of vaccines, which was obtained by injecting them with certain diseases such as small pox. Distrust in health care only continued...
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...Hispanic American Minority Group Essay Luke M. Perry Grand Canyon University: NRS-429VN 3/19/2016 Minority Group Essay As a baby nurse here in the valley, I am starting to realize how important it is to know about and educate myself on other cultures. In my short three weeks at the bedside this writer has come across dozens of times that an interpreter was needed to be able to understand and care for them. Out of all these people, clearly the most significant amount of minorities were that of the Hispanic culture. Hispanic minorities are the second largest growing minority group in the United States. In this paper we’re going to talk about the current health status of this minority group, how health promotion is defined by them, and also what health disparities exist for this minority class. First let’s take a look at their current health status in relation to the national average. Hispanic Americans are the biggest ethnic minority population in the United States and account for about one out of every six civilians. According to the Center for Disease Control (CDC, 2016) by 2035 that number could jump to one in every four. “Heart disease and Cancer in Hispanics are the two leading causes of death, accounting for approximately two out of five deaths, which is nearly equivalent to the white population” (CDC, 2016). Out of the ten leading causes of death in Americans, this population has a lower death rate than whites in all categories with only a few exceptions...
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...HEALTH DISPARITIES Health disparity is defined as inequality in health or the gaps in the quality of health care across races, ethnic and socioeconomic groups. Health disparities can also be defined as the significant differences between one population and another. The Minority Health and Health Disparities Research and Education Act of 2000 describe these disparities as differences in the overall rate of disease incidence, prevalence, morbidity, mortality or survival rates. Disparity in health is significant among some income, racial, and ethnic groups in America and is still expanding. Many Americans are in poor health and do not receive the best medical care. While these problems affect people of all groups, the challenges are especially acute for racial and ethnic minorities. When there is element of racism, poverty, and problematic community environment converge greater overall threats to health develop. The most powerful causes of health and health disparity are social and economic determinants or the community conditions for health. There are many reasons why disparities in access to of health care exist in our society. A lot of low income people in America cannot afford health insurance and as such they neglect their health. Some people cannot afford money to buy medication. Because these people did not have insurance they lack a regular source of care. African Americans compared to white minority groups are less likely to seek medical care...
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