Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jan;18(1):16-24.
doi: 10.1176/appi.focus.20190028. Epub 2020 Jan 24.

Challenges and Opportunities to Meet the Mental Health Needs of Underserved and Disenfranchised Populations in the United States

Affiliations

Challenges and Opportunities to Meet the Mental Health Needs of Underserved and Disenfranchised Populations in the United States

Francesca Mongelli et al. Focus (Am Psychiatr Publ). 2020 Jan.

Abstract

This article investigates the gap in access to and quality of mental health care in the United States. This work first discusses how minority populations are most affected by the treatment gap. It summarizes recent literature on the topic for better understanding the needs of psychiatrically underserved and disenfranchised populations and the causes of mental health disparities. It reviews some of the barriers to behavioral health care, including lack of insurance coverage, lack of community-based interventions, unequal access to evidence-based practices, stigma, mental health workforce shortages, and geographical maldistribution of providers. Second, it reviews opportunities to address these disparities. The article provides examples of effective interventions that researchers worldwide have already implemented to address the gap of mental health services within the collaborative care model and global mental health initiatives. Telepsychiatry and improvements in training of the mental health workforce are also listed as useful implementations to overcome the treatment gap for patients seeking mental health care.

Keywords: Community Mental Health; Public health.

PubMed Disclaimer

References

    1. Rehm J, Shield KD: Global burden of disease and the impact of mental and addictive disorders. Curr Psychiatry Rep 2019; 21:10. - PubMed
    1. Patel V, Maj M, Flisher AJ, et al. : Reducing the treatment gap for mental disorders: a WPA survey. World Psychiatry 2010; 9:169–176 - PMC - PubMed
    1. Berchick ER, Emily H, Barnett JC: Health Insurance Coverage in the United States: 2017. Current Population Reports. Report no. P60-264. Washington, DC, U.S. Government Printing Office, 2018. https://www.census.gov/content/dam/Census/library/publications/2018/demo...
    1. Kohn R, Ali AA, Puac-Polanco V, et al. : Mental health in the Americas: an overview of the treatment gap. Rev Panam Salud Publica 2018; 42:e165 - PMC - PubMed
    1. Butler DJ, Fons D, Fisher T, et al. : A review of the benefits and limitations of a primary care-embedded psychiatric consultation service in a medically underserved setting. Int J Psychiatry Med 2018; 53:415–426 - PubMed

LinkOut - more resources