Evidence map›Paper›PMID 27269014›Full record

ArticleHealth affairs (Project Hope)2016

Removing Obstacles To Eliminating Racial And Ethnic Disparities In Behavioral Health Care.

Margarita Alegría, Kiara Alvarez, Rachel Zack Ishikawa, Karissa DiMarzio, Samantha McPeck

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Mindfulness-based interventions among people of color: A systematic review and meta-analysis.Psychotherapy research : journal of the Society for Psychotherapy Research · 2022
    Pooled it
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  10. Brief Behavioral Therapy for Pediatric Anxiety and Depression in Primary Care: A Follow-up.Journal of the American Academy of Child and Adolescent Psychiatry · 2020
    Trial
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  12. Reducing Preschool Behavior Problems in an Urban Mental Health Clinic: A Pragmatic, Non-Inferiority Trial.Journal of the American Academy of Child and Adolescent Psychiatry · 2019
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  20. Multi-Stakeholder Perspectives on Barriers to Mental Health Support for Informal Caregivers.International journal of environmental research and public health · 2026
    Article

28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Margarita AlegríaMargarita Alegría (malegría@mgh.harvard.edu) is a professor of psychology in the Department of Psychiatry at Harvard Medical School and chief of the Disparities Research Unit, Department of Medicine, at Massachusetts General Hospital (MGH), both in Boston.
Kiara AlvarezKiara Alvarez is a postdoctoral research fellow in the Disparities Research Unit, Department of Medicine, at MGH.
Rachel Zack IshikawaRachel Zack Ishikawa is project director in the Disparities Research Unit, Department of Medicine, at MGH.
Karissa DiMarzioKarissa DiMarzio is a research assistant in the Disparities Research Unit, Department of Medicine, at MGH.
Samantha McPeckSamantha McPeck is a research assistant in the Disparities Research Unit, Department of Medicine, at MGH.

Funding

NLAAS II: Unraveling Differences for Clinical ServicesU01MH062209 · NIMH · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI ALEGRIA, MARGARITA · 2000 to 2008
$10.6M
Building Community Capacity for Disability Prevention for Minority Elders Diversity Supplement IIR01AG046149 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI ALEGRIA, MARGARITA · 2014 to 2024
$9.4M
UPR-CHA Research Center of Excellence: Making a Difference for Latino HealthP60MD002261 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI CANINO, GLORISA J · 2007 to 2011
$8.7M
Project 1: Improving Clinical Assessment of Diagnosis for Latinos (261-295)P50MH073469 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI ALEGRIA, MARGARITA · 2005 to 2009
$4.6M
Effects of Social Context, Culture and Minority Status on Depression and AnxietyR01MH098374 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI ALEGRIA, MARGARITA, CANINO, GLORISA J · 2012 to 2016
$3.3M
International Latino Research Partnership (ILRP)R01DA034952 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI ALEGRIA, MARGARITA · 2013 to 2017
$2.8M
NIA NIH HHS R01 AG046149NIDA NIH HHS R01 DA034952NIMHD NIH HHS P60 MD002261NIMH NIH HHS P50 MH073469NIMH NIH HHS R01 MH098374NIMH NIH HHS U01 MH062209Patient-Centered Outcomes Research Institute CD-12-11-4187
6 · The paper itself

Abstract

Despite decades of research, racial and ethnic disparities in behavioral health care persist. The Affordable Care Act expanded access to behavioral health care, but many reform initiatives fail to consider research about racial/ethnic minorities. Mistaken assumptions that underlie the expansion of behavioral health care run the risk of replicating existing service disparities. Based on a review of relevant literature and numerous observational and field studies with minority populations, we identified the following three mistaken assumptions: Improvement in health care access alone will reduce disparities, current service planning addresses minority patients' preferences, and evidence-based interventions are readily available for diverse populations. We propose tailoring the provision of care to remove obstacles that minority patients face in accessing treatment, promoting innovative services that respond to patients' needs and preferences, and allowing flexibility in evidence-based practice and the expansion of the behavioral health workforce. These proposals should help meet the health care needs of a growing racial/ethnic minority population.

Indexed as

Racial GroupsSocioeconomic FactorsEvidence-Based PracticeHealthcare DisparitiesHealth Services AccessibilityHumansMental Health ServicesPatient Protection and Affordable Care ActUnited StatesBehavioral HealthDisparitiesMental Health/Substance AbuseMinority HealthRacial/Ethnic Minorities

Identifiers

PMID27269014
PMCPMC5027758

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.