Anxiety in the Latino Community DIVERSITY IMPACT 2012. Felicia Heyward CFNP 90 Katrin Moskowitz CFNP 91. Clinic Scenario.
Felicia Heyward CFNP 90
KatrinMoskowitz CFNP 91
Maria Sanchez, a 34 year old married, mother of four young children, comes to your office for a complaint of headaches. She tells you she hasn’t been able to sleep. She works full time as a house mom, takes care of her sick mother-in-law who lives with her. She cooks all the meals every night and handles all household duties. Her husband is looking for full time work and spends most days doing odd jobs. She finds that she can't keep from worrying "about everything" and she has been unable to control this worry. Although on the surface she appears outgoing, she dreads being in social situations.
Source: Schmucker, W.W. (2008).
An indication for hospital treatment would be a patient with suicidal or homicidal ideations. These patients hold a threat to themselves or others and need to be under supervision.
Another reason for hospitalization would be alcohol or drug abuse requiring treatment. Many times patients self treat with other substances that maybe need to be ceased before appropriate therapy can begin.
(According to a 2006 American Psychological Association survey, nearly 1/3 of all Latinos had no health insurance in comparison to 10% of Whites.)
(Only 41% of those insured, had mental health benefits compared to 65% of Whites and 63% African Americans.)
(Many Latinos have manual labor or service jobs that require odd hours, long shifts, and overtime.)
(Shortage of Spanish speaking psychiatrists, psychologists, and therapists. There are on 29 Latino mental health professional to every 100,000 Latinas compared to 173 White providers per 100,000 whites.)
(Cultural transition caused by immigration, acculturation, and biculturalism. These stressors are often manifest in feelings of irritability, anxiety, helplessness, and despair. Hispanics may mourn the loss of family, friends, language, and culturally determined values and attitudes. These reactions are not signs of individual pathology, but rather normal responses to the often-disruptive process of change.)
Source: USDHHS, 2012.
Dr. Jeanne-Marie Stacciarini, PhD, RN
Assistant Professor at the University of Florida College of Nursing
Received the Research in Minority Health Award from Southern Nursing Research Society.
Honored for research on the mental health of rural Latinos and her mentorship of minority students.
Her research focuses on restoring the strong Latino cultural belief of “familismo” or rebuilding family bonds to promote mental wellness.
Research: Dr. Stacciarini research interests are in the area of mental health promotion among minorities, community-based participatory research for minorities and international population.
Area of expertise: Dr. Stacciarini has clinical expertise in Psychiatric Nursing and Mental Health.
Education: Dr. Stacciarini received her BSN in Nursing at the Catholic University of Goiás (Brazil). She received her master in Psychiatric Nursing and Mental Health at the University of São Paulo/ College of Nursing RibeirãoPreto and her PhD in Psychology at the University of Brasilia (Brazil). During her PhD she received a Fulbright Scholarship and came to the US as a visitor scholar at the Psychology department/University of Massachusetts.
Source: University of Florida, 2012
Schmucker, W.W. (2008). Anxiety Disorders. In T.M. Buttaro, J. Trybulski, P.P. Bailey, & J. Sandberg-Cook (Eds.), Primary Care: A collaborative practice (3rd ed., pp.1378-1383). Philadelphia, PA: Mosby Elsevier.
Shearer, S.L. (2011). Generalized Anxiety Disorder. Essential Evidence Plus. Retrieved from http://www.essentialevidenceplus.com.ezproxy.midwives.org/content/eee/623
The Providers Guide to Quality and Culture (2012). U.S. Department of Health and Human Services (USDHHS). Retrieved from http://erc.msh.org/mainpage.cfm?file=5.2.0f.htm&module=provider&languag e=english