This concise and instructive guide outlines the specific challenges faced by the Latinx population in US health care, including language barriers, unfamiliarity with the medical system, lack of insurance, access issues, monetary factors, and most importantly the fears surrounding undocumented immigrants. It shows how health care professionals and chaplains can support and care for this population in a way that acknowledges and understands the distinct characteristics of Latinx culture. It offers advice on sensitives within this culture, such as health disparities, the importance of the family, and spirituality and religion in Latinx culture. This inclusive guide improves cultural competency among non-Latinx care staff and offers case studies and practical tips to input straight into practice.
Transnational Research in Technical Communication considers the complexities of intercultural projects from a compelling perspective: first-hand narrative reflections. Readers go behind the scenes as scholars share their experiences crossing a variety of borders in their efforts to engage in knowledge-making endeavors. Interwoven through each chapter are stories of how projects were designed, adapted, and sometimes even failed. The collection begins with an introduction situating it at the intersection of recent scholarship in storywork, intercultural research, and technical and professional communication’s social justice turn. Each chapter concludes with discussion questions and recommendations for further reading. The closing chapter reveals a nascent "ethic of transnational and intercultural research" growing out of contributors' lessons learned and generous reflections. Anyone interested in or planning to undertake a transnational or intercultural project can benefit from these storied case studies, and as a result, this collection contributes to moving the field forward as it strives to promote more ethically aware and responsive research.
This volume provides a broad and critical presentation of the behavioral and psychosocial treatments of Latinxs with dementia in the United States (U.S.) and across a representative sample of Spanish-speaking countries in the world. The compendium of chapters, written by researchers, practitioners, and policy analysts from multiple disciplines provides a deep exploration of the current state of dementia care for Latinxs in the U.S. and around the globe. The volume is designed to increase and strengthen the collective scientific and sociocultural understanding of the epidemiological and biopsychosocial factors, as well as the overlapping systemic challenges that impact diagnosis and symptom management of Latinxs with dementia. The authors introduce policy options to reduce risk factors for dementia and present culturally-responsive interventions that meet the needs of Latinx patients and their caregivers. Highlighted topics featured in the book include: Contextual, cultural, and socio-political issues of Latinxs with dementia. New meta-analysis of dementia rates in the Americas and Caribbean. Dementia-related behavioral issues and placement considerations. Educational, diagnostic, and supportive psychosocial interventions. Pharmacological, non-pharmacological, and ethnocultural healthcare interventions. Intersectionality as a practice of dementia care for sexual and gender minoritized Latinxs. Prescriptions for policy and programs to empower older Latinxs and their families. Caring for Latinxs with Dementia in a Globalized World: Behavioral and Psychosocial Treatments is a resource that accentuates and contextualizes the heterogeneity in nationality, immigration, race, sexual orientation, gender, and political realities. It is a key reference for a wide range of fields inclusive of demography, geriatrics, gerontology, medicine, mental health, neurology, neuropsychology, nursing, occupational therapy, pharmacology, psychiatry, psychology, rehabilitation, social work, sociology, and statistics all of which, collectively, bear on the problem and the solutions for better care for Latinxs affected by dementia.
In this issue of Nursing Clinics of North America, guest editor and Certified Professional Cultural Intelligence I&II and Unconscious Bias Facilitator & Coach Dr. Angela Richard-Eaglin brings her considerable expertise to the topic of Vulnerable Populations. Conditions that compound and further compromise health outcomes for vulnerable, marginalized, and stigmatized populations have existed historically and continue to exist. Clinicians may not be aware of the additional circumstances that must be considered when caring for individuals from vulnerable populations. In this issue, top experts focus on information, strategies, and interventions that health care providers can apply in academic and clinical settings. - Contains 14 practice-oriented topics including health equity: integrating determinants of health in nursing curricula; vaccine stigma in the Black community; impact of structural racism on health equity and health outcomes; lived experiences of Black and Hispanic senior women: changes in social support needs and sources of social support during the COVID-19 pandemic; opioid overuse among marginalized populations; and more. - Provides in-depth clinical reviews on vulnerable populations, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.
Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.
This book presents research by African American, Latino/a/x, and Alaskan Indian/Native American (AI/AN) communication scholars. It highlights the importance of communication and the recognition of the unique experiences that impact how health information and health care are understood through diverse racial and cultural perspectives. Each chapter advances various divergent health issues and disparities pertinent to Black, Latino/a/x, and AI/AN communities, so that the powerful aspect of the human condition to know and be known as it relates to the negotiation of health and communication can be clearly understood. Contributions to this volume unabashedly call for more equitable, community-centric, tribally-centered, and transparent scholarship on topics of health disparities, health care, marginality, medical mistrust, social justice, and media and new technology as it relates to people of color. The authors in this book are committed to research areas that invigorate and reimagine conversations among clinicians, public health professionals, classroom environments, and communities. This insightful volume seeks to shift the dominant culture paradigms and locate authors of color and their research experiences and scholarship as central to their work. It provides a space to amplify the voices of our collective lived experiences through the vehicle of rigorous engaged scholarship. The book was originally published as a special issue of Health Communication.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.
Strive for health equity and surmount institutional oppression when treating marginalized populations with this distinct resource! This unique text provides a framework for delivering culturally safe clinical care to LGBTQIA+ populations filtered through the lens of racial, economic, and reproductive justice. It focuses strongly on the social context in which we live, one where multiple historical processes of oppression continue to manifest as injustices in the health care setting and beyond. Encompassing the shared experiences of a diverse group of expert health care practitioners, this book offers abundant examples, case studies, recommendations, and the most up-to-date guidelines available for treating LGBTQIA+ patient populations. Rich in clinical scenarios that describe best practices for safely treating patients, this text features varied healthcare frameworks encompassing patient-centered and community-centered care that considers the intersecting and ongoing processes of oppression that impact LGBTQIA+ people every day--particularly people of color. This text helps health providers incorporate safe and culturally appropriate language into their care, understand the roots and impact of stigma, address issues of health disparities, and recognize and avoid racial or LGBTQIA+ microaggressions. Specific approaches to care include chapters on sexual health care, perinatal care, and information about pregnancy and postpartum care for transgender and gender-expansive people. Key Features: Emphasizes patient-centered care incorporating an understanding of patient histories, safety needs, and power imbalances Provides tools for clinician self-reflection to understand and alleviate implicit bias Fosters culturally safe language and communication skills Presents abundant patient scenarios including specific dos and don'ts in patient treatment Includes concrete objectives, conclusions, terminology, and references in each chapter and discussion questions to promote critical thought Offers charts and information boxes to illuminate key information
