2022
Addressing Health Equity and Racism Through a Hispanic Psychiatry Fellowship
Díaz E, Nava LA, Parke S, Silva M, Lu FG, Davidson L, Restrepo-Toro M, Jordan A, Vassallo MG, Mendiola A, Steiner J, Dike C. Addressing Health Equity and Racism Through a Hispanic Psychiatry Fellowship. Psychiatric Services 2022, 73: 1061-1064. PMID: 35414187, DOI: 10.1176/appi.ps.202100220.Peer-Reviewed Original ResearchConceptsAppropriate mental health servicesMental health servicesInequitable health outcomesRacial-ethnic minority groupsLimited English proficiencyClinical careHealth outcomesHealth servicesClinical modelHealth inequalitiesHealth equitySubstance useBilingual psychiatristsFellowship programsCareYears of implementationFeasibility indicatorsBilingual professionalsPatientsSimilar programs
2016
The Connecticut Latino Behavioral Health System: A Culturally Informed Community–Academic Collaboration
Paris M, Silva MA, Diaz E, Bedregal LE, Cole RA, Añez-Nava LM. The Connecticut Latino Behavioral Health System: A Culturally Informed Community–Academic Collaboration. Psychological Services 2016, 13: 140-147. PMID: 27148948, DOI: 10.1037/ser0000065.Peer-Reviewed Original ResearchConceptsMental healthCommunity health centersBehavioral health systemCommunity-academic collaborationHealth centersAddiction servicesSouth-central ConnecticutHealth systemBehavioral healthYale University DepartmentEthnic minority groupsConnecticut DepartmentSocial rehabilitationHealthMonolingual SpanishDepartmentSystemic strategiesOverarching priorityWorkforce development
2010
Whether medically unexplained or not, three or more concurrent somatic symptoms predict psychopathology and service use in community populations
Escobar JI, Cook B, Chen CN, Gara MA, Alegría M, Interian A, Diaz E. Whether medically unexplained or not, three or more concurrent somatic symptoms predict psychopathology and service use in community populations. Journal Of Psychosomatic Research 2010, 69: 1-8. PMID: 20630257, PMCID: PMC2905311, DOI: 10.1016/j.jpsychores.2010.01.001.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAnxiety DisordersAsianCommunity Health ServicesComorbidityCross-Cultural ComparisonDepressive DisorderFemaleHispanic or LatinoHumansMaleMental DisordersMiddle AgedSomatoform DisordersStatistics as TopicSubstance-Related DisordersUtilization ReviewWhite PeopleYoung AdultConceptsGeneral physical symptomsPhysical symptomsService useSomatic symptomsCommunity populationUse of servicesPsychological distressCommon mental disordersUnexplained physical symptomsSubstance use disordersSignificant independent effectUnadjusted comparisonsPsychiatric disordersUse disordersMental disordersSymptomsMUPSSignificant predictorsIndependent effectsMedical explanationDisordersMultivariate regressionRegression analysisOne-thirdDistress
2009
Inconsistencies in Diagnosis and Symptoms Among Bilingual and English-Speaking Latinos and Euro-Americans
Díaz E, Miskemen T, Vega WA, Gara M, Wilson DR, Lesser I, Escamilla M, Neighbors HW, Arndt S, Strakowski S. Inconsistencies in Diagnosis and Symptoms Among Bilingual and English-Speaking Latinos and Euro-Americans. Psychiatric Services 2009, 60: 1379-1382. PMID: 19797380, DOI: 10.1176/ps.2009.60.10.1379.Peer-Reviewed Original ResearchConceptsMonolingual EnglishBilingual LatinosEuro-AmericansMajor depressionSecond languageCentral research questionEuro-American patientsMajor mental disordersEnglishMedical record informationStructured diagnostic interviewAccuracy of diagnosisLatino patientsSevere depressionPatient profilesClinical carePsychotic symptomsClinical sitesMental disordersClinical diagnosisDiagnostic InterviewLatinosDiagnosisDiagnostic patternsResearch questions
2005
Effects of Ethnicity on Psychotropic Medications Adherence
Diaz E, Woods SW, Rosenheck RA. Effects of Ethnicity on Psychotropic Medications Adherence. Community Mental Health Journal 2005, 41: 521-537. PMID: 16142536, DOI: 10.1007/s10597-005-6359-x.Peer-Reviewed Original ResearchConceptsCommunity mental health centerMedication adherence ratesAdherence ratesHigh adherenceLow medication adherence ratesAfrican AmericansPsychotropic medication adherenceMental health centersMedication adherenceHealth centersLow adherenceDepressive symptomsEffect of ethnicityMonolingual HispanicsOlder ageAdherenceSignificant predictorsPast treatmentCaucasiansFurther studiesHispanicsMore yearsSymptoms
2001
Perceived Needs and Service Use of Spanish Speaking Monolingual Patients Followed at a Hispanic Clinic
Diaz E, Prigerson H, Desai R, Rosenheck R. Perceived Needs and Service Use of Spanish Speaking Monolingual Patients Followed at a Hispanic Clinic. Community Mental Health Journal 2001, 37: 335-346. PMID: 11482751, DOI: 10.1023/a:1017552608517.Peer-Reviewed Original ResearchMeSH KeywordsAdultCommunication BarriersCommunity Mental Health CentersConnecticutCross-Sectional StudiesCultural DiversityEducational StatusFemaleHealth Care SurveysHealth Services, IndigenousHispanic or LatinoHumansLanguageMaleMiddle AgedNeeds AssessmentPatient CompliancePsychotropic DrugsSurveys and QuestionnairesConceptsMonolingual patientsPhysical health care providersMental health centersHealth care providersClinic patientsHealth centersAdditional interventionsCare providersService useHealth needsSociodemographic characteristicsNon-HispanicsPatientsClinicPerceived NeedsHispanicsPersistent effectsLow levelsBetter accessGreat needMedicationsMore difficultyLanguage barriers