Systemic Barriers Sample Clauses

Systemic Barriers. Systemic barriers to quality and culturally appropriate mental health services may be inherent to health care delivery systems (Xxxxx & Ford, 2004). There is a growing body of literature indicating significant disparities between the quality of mental health services provided to African Americans and the quality of services provided to whites. Some of these disparities include under-diagnosis and ineffective treatment of affective disorders (i.e. depression and anxiety), over-diagnosis and overtreatment of psychotic disorders (i.e. schizophrenia), prescribing of older and/or less utilized antidepressant medications, which typically have more side effects, and disparities in evidence-based care that is in keeping with professional treatment guidelines (Holden & Xanthos, 2009). Factors that contribute to the poorer quality of mental health care provided to African Americans are lack of African American providers, lack of cultural competency and culturally appropriate assessments; and clinical bias.
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