the latino psychiatric patient

 The Latino Psychiatric Patient Assessment and Treatment  Washington, DC London, England The Latino Psychiatric Patient Assessment and Treatment Edited by Alberto G. López, M.D., M.P.H. Ernestina Carrillo, M.S.W. Note: The authors have worked to ensure that all information in this book concerning drug dosages, schedules, and routes of administration is accurate as of the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice advance, however, therapeutic standards may change. For this reason and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of a physician who is directly involved in their care or the care of a member of their family. A product’s current package insert should be consulted for full prescribing and safety information. Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Association. Copyright © 2001 American Psychiatric Publishing, Inc. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 04030201 4321 First Edition American Psychiatric Publishing, Inc. 1400 K Street, NW Washington, DC 20005 www.appi.org Library of Congress Cataloging-in-Publication Data The Latino psychiatric patient : assessment and treatment / edited by Alberto Lopez, Ernestina Carrillo. p. ; cm. Includes bibliographical references and index. ISBN 0-880480773-9 (alk. paper) 1. Hispanic Americans—Mental health. 2. Hispanic Americans— Mental health services. 3. Latin Americans—Mental health. II. Lopez, Alberto, 1952– . I. Carrillo, Ernestina. [DNLM: 1. Hispanic Americans—psychology. 2. Mental Disorders— ethnology. 3. Cultural Diversity. 4. Psychotherapy—methods. WM 140 L357 2001] RC451.5.H57 L38 2001 616.89 ′0089′68073—dc21 00-067625 British Library Cataloguing in Publication Data A CIP record is available from the British Library. For my mother, Ana Maria; my son, Gerardo; and in loving memory of my brother, Adrian. (A.G.L.) With gratitude and love to my parents, Meregildo and Josephina Carrillo, and my husband and daughter, Larry and Eliana Juanita Polon. (E.C.) Contents Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Introduction and Acknowledgments . . . . . . . . . . . . . . . . . . . . . xiii Alberto G. López, M.D., M.P.H. Ernestina Carrillo, M.S.W. PART I Latino Peoples: Overview and Treatment Issues CHAPTER 1 An Introduction to Latinos in the United States . . . . . . . . . . . . . 3 Alberto G. López, M.D., M.P.H. Israel Katz, M.D. CHAPTER 2 Physical Health Status of Latinos in the United States . . . . . . . 19 Eliseo J. Pérez-Stable, M.D. Anna M. Nápoles-Springer, Ph.D. CHAPTER 3 Assessment and Treatment of the Latino Patient . . . . . . . . . . . 37 Ernestina Carrillo, M.S.W. PART II Latino Peoples: Cultural and Psychiatric Issues CHAPTER 4 Colombians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Ramon A. Rojano, M.D., M.P.H. CHAPTER 5 Cubans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Pedro Ruiz, M.D. CHAPTER 6 Dominicans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Carmen Inoa Vazquez, Ph.D., A.B.P.P. CHAPTER 7 Salvadorans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Carlos B. Cordova, Ed.D. Felix Kury, M.A. CHAPTER 8 Mexicans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Cervando Martinez Jr., M.D. CHAPTER 9 Nicaraguans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Alvaro LaCayo, M.D. CHAPTER 10 Peruvians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Renato D. Alarcón, M.D., M.P.H. CHAPTER 11 Puerto Ricans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 Ian A. Canino, M.D. Glorisa Canino Stolberg, Ph.D. PART III Special Issues and Populations CHAPTER 12 Domestic Violence in the Latino Population . . . . . . . . . . . . . . 163 Michael A. Rodriguez, M.D., M.P.H. Heidi M. Bauer, M.D., M.P.H., M.S. Yvette Flores-Ortiz, Ph.D. CHAPTER 13 Latinas in Psychiatric Treatment . . . . . . . . . . . . . . . . . . . . . . . . 181 Jo Ellen Brainin-Rodriguez, M.D. CHAPTER 14 Substance Abuse in the Hispanic Population . . . . . . . . . . . . . . 193 Louis R. Alvarez, M.D., M.P.H. Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219 .  The Latino Psychiatric Patient Assessment and Treatment  Washington, DC London, England The Latino Psychiatric Patient Assessment and Treatment Edited. clinicians had not explored the patient s under- xiv • The Latino Psychiatric Patient: Assessment and Treatment  standing of her illness, and the exploration conducted by the psychiatrist made possible. been out of the psychiatric hospital now for the past 2 years. In the past, she had been able to be out of the hospi- tal for only 6 months at a time. The case of Ms. A illustrates the importance