Psychological Issues in Medically Underserved Patients

Prim Care. 2017 Mar;44(1):99-112. doi: 10.1016/j.pop.2016.09.012. Epub 2017 Jan 2.

Abstract

The US population has a subset of those that are underserved who are in need of primary care and also suffer from mental health disorders. In this article, categories of underserved populations are described. Each section defines the population being presented, identifies the mental health problems each is likely to encounter, explores the barriers that prevent access to care, and identifies potential methods to minimize such barriers. The ways in which psychiatric issues vary in underserved settings compared with the general population are differentiated. Recommendations are offered for primary care physicians to support improved recognition and management of psychosocial stressors and psychiatric illness among the underserved.

Keywords: Depression; Mental health; Primary care; Psychosocial; Suicide; Underserved.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Humans
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology*
  • Mental Disorders / therapy
  • Middle Aged
  • Primary Health Care / methods
  • Refugees / psychology
  • Rural Population
  • Sexual and Gender Minorities / psychology
  • Social Class
  • United States / epidemiology
  • Vulnerable Populations / psychology*
  • Young Adult