Learning and Teaching Latino Mental Health, Social Justice and Recovery to Visiting Students: A Pilot Study
Learning and Teaching Latino Mental Health, Social Justice and Recovery to Visiting Students: A Pilot Study

Contenido principal del artículo


Andrea Patricia Mendiola Iparraguirre https://orcid.org/0000-0002-1022-584X

Maria Restrepo-Toro https://orcid.org/0000-0003-1733-6240

Natalia Gomez https://orcid.org/0000-0002-4283-7736

Mark Costa https://orcid.org/0000-0002-8572-5590

Esperanza Diaz


Almost 18% of the U.S. population is estimated to be Hispanic (United States Census Bureau, 2019), and of that, 15% had a diagnosable mental illness in the past year (Substance Abuse and Mental Health Services Administration, 2020); still, Latinos receive half as often mental health services compared to Caucasians (Office of Mental Health, 2020). Evidence suggests that minority ethnic groups may receive more inferior care standards due to biased beliefs or attitudes held by health professionals (Shepherd et al., 2018). The number of Latino Psychiatrists is not enough to care for the on-growing Latino population in the U.S. (Alarcón, 2001; American Psychiatric Association, 2017). There is a need to train medical students and residents in cultural competencies pertained to the Latino Culture and Health Services (Alarcón, 2001). We developed a pilot study of a curriculum created by Latino bilingual and bicultural mental health providers. The course lessons include (a) Health Disparities and Implicit Bias, (b) Recovery in Mental Health, (c) Immigration and Acculturation, (d) Cultural Formulation Interview, (e) Latino Values, and (f) Mental Health Systems. All topics focused on Latino Mental Health and used the “reverse classroom” teaching technique with interactive exercises. We measured the impact on knowledge, attitudes, and comfort level related to the concept taught in the lessons of this course. Teaching Latino Mental Health has a positive impact on improving the comfort level and knowledge of students. Nevertheless, there are not enough educational opportunities and information about these topics. Therefore, replicating this curriculum and expanding the education in Latino Mental Health will improve the health services provided to this community.

Detalles del artículo


Akhtar, S. (1995). A third individuation: Immigration, identity, and the psychoanalytic process. Journal of the American Psychoanalytic Association, 43(4), 1051-1084. https://doi.org/10.1177/000306519504300406

Alarcón, R. (2001). Hispanic Psychiatry: From Margin to Mainstream. Transcultural Psychiatry, 38, 5-25. https://journals.sagepub.com/doi/10.1177/136346150103800102

Alcalá, H. E., Chen, J., Langellier, B. A., Roby, D. H., & Ortega, A. N. (2017). Impact of the Affordable Care Act on Health Care Access and Utilization Among Latinos. The Journal of the American Board of Family Medicine, 30(1), 52-62. https://pubmed.ncbi.nlm.nih.gov/28062817/

American Psychiatric Association. (2017). Mental Health Disparities: Hispanics and Latinos. Retrieved 01/24/2020, https://www.psychiatry.org/psychiatrists/cultural-competency/education/mental-health-facts

Anez, L. M., Paris, M., Jr., Bedregal, L. E., Davidson, L., & Grilo, C. M. (2005). Application of cultural constructs in the care of first generation Latino clients in a community mental health setting. https://pubmed.ncbi.nlm.nih.gov/16041232/

Chang, C. W., & Biegel, D. E. (2018). Factors affecting mental health service utilization among Latino Americans with mental health issues. J Ment Health, 27(6), 552-559. https://pubmed.ncbi.nlm.nih.gov/28980838/

Chen, K. S., Monrouxe, L., Lu, Y. H., Jenq, C. C., Chang, Y. J., Chang, Y. C., & Chai, P. Y. (2018). Academic outcomes of flipped classroom learning: a meta-analysis. Med Educ, 52(9), 910-924. https://pubmed.ncbi.nlm.nih.gov/29943399/

Corrigan, P., Sheehan, L., Morris, S., Larson, J. E., Torres, A., Lara, J. L., . . . Doing, S. (2018). The Impact of a Peer Navigator Program in Addressing the Health Needs of Latinos With Serious Mental Illness. Psychiatr Serv, 69(4), 456-461. https://pubmed.ncbi.nlm.nih.gov/29241431/

Davidson, L., Lawless, M. S., & Leary, F. (2005). Concepts of recovery: competing or complementary? Current Opinion in Psychiatry, 18, 664-667. https://psycnet.apa.org/record/2005-14955-011

Davidson, L., O’Connell, M., Tondora, J., Styron, T., & Kangas, K. (2006). The Top Ten Concerns About Recovery Encountered in Menta lHealth System Transformation. Psychiatric Services, 57(5), 640-645. https://pubmed.ncbi.nlm.nih.gov/16675756/

Delphin-Rittmon, M. E., Andres-Hyman, R., Flanagan, E. H., & Davidson, L. (2013). Seven essential strategies for promoting and sustaining systemic cultural competence. Psychiatr Q, 84(1), 53-64. https://pubmed.ncbi.nlm.nih.gov/22581030/

Eiroa-Orosa, F. J., & Rowe, M. (2017). Taking the Concept of Citizenship in Mental Health across Countries. Reflections on Transferring Principles and Practice to Different Sociocultural Contexts. Frontiers in Psychology, 8, 1020-1020. https://www.frontiersin.org/articles/10.3389/fpsyg.2017.01020/full

Horvat, L., Horey, D., Romios, P., & Kis-Rigo, J. (2014). Cultural competence education for health professionals. The Cochrane database of systematic reviews(5), CD009405-CD009405.

Institute for Health Care Improvement (Writer). (2018). What is Health Equity, and Why Does it Matter? https://pubmed.ncbi.nlm.nih.gov/24793445/

Jacob, K. S., Sharan, P., Mirza, I., Garrido-Cumbrera, M., Seedat, S., Mari, J. J., . . . Saxena, S. (2007). Global mental health 4. Mental health systems in countries: where are we now? Lancet, 370, 1061-1077. https://pubmed.ncbi.nlm.nih.gov/17804052/

Kolb, D. A., Boyatzis, R. E., & Mainemelis, C. (2001). Experiential learning theory: Previous research and new directions Sternberg, Robert J [Ed]; Zhang, Li-fang [Ed] (2001) Perspectives on thinking, learning, and cognitive styles (pp 227-247) x, 276 pp Mahwah, NJ, US: Lawrence Erlbaum Associates Publishers; US (pp. 227-247).https://psycnet.apa.org/record/2001-16270-009

Lewis-Fernández, R., Aggarwal, N., Lam, P., Galfalvy, H., Weiss, M., Kirmayer, L., . . . Vega-Dienstmaier, J. (2017). Feasibility, acceptability and clinical utility of the Cultural Formulation Interview: Mixed-methods results from the DSM-5 international field trial. British Journal of Psychiatry, 210(4), 290-297. https://pubmed.ncbi.nlm.nih.gov/28104738/

Nosek, B. A., Greenwald, A. G., & Banaji, M. R. (2005). Understanding and Using the Implicit Association Test: II. Method Variables and Construct Validity. Personality and Social Psychology Bulletin, 31(2), 166-180. https://faculty.washington.edu/agg/IATmaterials/PDFs/NGB2005.PSPB.pdf

O’Connell, M. J., Clayton, A., & Rowe, M. (2017). Reliability and Validity of a Newly Developed Measure of Citizenship Among Persons with Mental Illnesses. Community Mental Health Journal, 53(3), 367-374. https://pubmed.ncbi.nlm.nih.gov/27714484/

Office of Mental Health. (2020, 08/22/2019). Profile: Hispanic/Latino Americans. Minority Population Profiles. Retrieved 01/22/2020, 2020, from https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=64

Onocko Campos, R. T., Costa, M., Pereira, M. B., Ricci, E. C., da Silva Tavares Enes, G., Janeth, L., . . . Davidson, L. (2017). Recovery, citizenship, and psychosocial rehabilitation: A dialog between Brazilian and American mental health care approaches. American Journal of Psychiatric Rehabilitation, 20(3), 311-326. https://www.tandfonline.com/doi/abs/10.1080/15487768.2017.1338071

Pelletier, J.-F., Pouliot-Morneau, D., Houle, J., Bordeleau, J., Laroche, S., & Rowe, M. (2017). Evaluation of a citizenship-oriented intervention: The Citizens' Project of the University of Recovery. [Évaluation d'une intervention de promotion de la citoyenneté : le Projet citoyen de l'Université du rétablissement]. Sante mentale au Quebec, 42(1), 205-222. https://www.erudit.org/en/journals/smq/2017-v42-n1-smq03101/1040251ar/

Rowe, M., & Baranoski, M. (2011). Citizenship, mental illness, and the criminal justice system. Int J Law Psychiatry, 34(4), 303-308. doi: 10.1016/j.ijlp.2011.07.010

Rowe, M., & Davidson, L. (2016). Recovering Citizenship. Isr J Psychiatry Relat Sci, 53(1). https://pubmed.ncbi.nlm.nih.gov/28856875/

Sharma, M., Pinto, A. D., & Kumagai, A. K. (2018). Teaching the Social Determinants of Health: A Path to Equity or a Road to Nowhere? Acad Med, 93(1), 25-30. https://pubmed.ncbi.nlm.nih.gov/28445214/

Shepherd, S. M., Willis-Esqueda, C., Paradies, Y., Sivasubramaniam, D., Sherwood, J., & Brockie, T. (2018). Racial and cultural minority experiences and perceptions of health care provision in a mid-western region. International Journal for Equity in Health, 17(1), 33. https://pubmed.ncbi.nlm.nih.gov/29548328/

Sivarajah, R. T., Curci, N. E., Johnson, E. M., Lam, D. L., Lee, J. T., & Richardson, M. L. (2019). A Review of Innovative Teaching Methods. Acad Radiol, 26(1), 101-113. https://pennstate.pure.elsevier.com/en/publications/a-review-of-innovative-teaching-methods

Smedley, B.D., Stith, A.Y., & Nelson, A.R. (2003). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington DC. https://pubmed.ncbi.nlm.nih.gov/25032386/

Soni, A. (2015). Top Five Most Costly Conditions among Adults Age 18 and Older, 2012: Estimates for the U.S. Civilian Noninstitutionalized Population. Agency for Healthcare Research and Quality, Statistical Brief #471. https://www.ncbi.nlm.nih.gov/books/NBK447186/

Stewart, A., Black, K., Benedict, P., & Benson, V. (2017). Constructing community to achieve citizenship using recognition theory, recovery, and citizenship as a reflective lens: Experiences from the United States and Scotland. American Journal of Psychiatric Rehabilitation, 20(3), 234-250. https://www.tandfonline.com/doi/abs/10.1080/15487768.2017.1338040

Substance Abuse and Mental Health Services Administration. (2020, 12/18/2018). Behavioral Health Equity. Retrieved 01/22/2020, 2020, from https://www.samhsa.gov/behavioral-health-equity

Sue, S., Fujino, D. C., Hu, L. T., Takeuchi, D. T., & Zane, N. W. (1991). Community mental health services for ethnic minority groups: a test of the cultural responsiveness hypothesis. Journal of consulting and clinical psychology, 59(4), 533-540. https://pubmed.ncbi.nlm.nih.gov/1918557/

The APA Presidential Task Force on Immigration, U. (2013). Crossroads: The psychology of immigration in the new century. Journal of Latina/o Psychology, 1(3), 133-148.

United States Census Bureau. (2019). Quick Facts United States. Retrieved 01/22/2020, 2020, from https://www.census.gov/quickfacts/fact/table/US/PST045219


Creative Commons License
Esta obra está bajo licencia internacional Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0.

Los autores que publican en la Revista Iberoamericana de Psicología están de acuerdo con los siguientes términos:

  1. El Autor o los autores, desde que presenta(n) a consideración de esta revista su manuscrito, esta(n) informado(s) acerca de la política de Acceso Abierto, como condición indisociable de publicación, lo que significa que ni él(los), ni la revista han de percibir ingreso alguno por concepto de la lectura de resúmenes o del artículo completo, tampoco por su uso o explotación para generar nuevo conocimiento o para desarrollar aprendizajes alrededor de la obra.
  2. Los autores conservan los derechos de autor y garantizan a la revista el derecho de ser la primera publicación del trabajo, al igual que licenciado bajo una Creative Commons Atribución-NoComercial-CompartirIgual 4.0 Internacionalque permite que permite a terceros utilizar lo publicado, siempre que se haga mención a la autoría del trabajo y la primera publicación en esta revista, no se utilice con fines comerciales y que las obras que se deriven del artículo se compartan en iguales condiciones. 
  1. Los conceptos y opiniones expresados en los artículos son responsabilidad exclusiva de los autores y no comprometen a la Revista Iberoamericana de Psicología ni a la Corporación Universitaria Iberoamericana. Los contenidos de esta revista se distribuyen bajo licencia de tipo Creative Commons Atribución 4.0 Internacional, la cual exige el debido reconocimiento de las obras y cuyos términos se encuentran en: https://creativecommons.org/licenses/by/4.0/deed.es
  1. La Revista Iberoamericana de Psicología es una revista de acceso abierto, por lo que tanto el proceso editorial como los contenidos publicados están disponibles para todos los usuarios sin cargo alguno: la Revista no realiza cobro alguno por acceso, lectura o descarga de contenidos ni por procesos o actividades de la editorial con fines de publicación.



La descarga de datos todavía no está disponible.

Artículos más leídos del mismo autor/a