Stanford Medcast Episode 87: Minority Communities & Health Risks - Mental Health in the Hispanic and Latino Communities

In this episode, we speak with Drs. Nataly Beck, MD and Axel Valle, PsyD, founders and directors of La Clínica Latina at Stanford Medicine, who specialize in culturally sensitive care for the Hispanic and Latino communities. Both Dr. Beck and Dr. Valle are Clinical Assistant Professors in the Department of Psychiatry and Behavioral Sciences. We will discuss the significant need for Spanish-speaking care providers, considering the substantial percentage of Latinos in the U.S. We will also explore the use and meaning of “Latino” and “Hispanic,” cultural differences in this patient group, and disparities in treatment access and quality of care. Additionally, our conversation includes the barriers to care and mental health stigma among Hispanic and Latino patients and how providers can develop strategies to provide culturally sensitive care to Hispanic and Latino patients.

To Claim Credit for listening to this episode:
1.Go to 'Begin' and complete the 'Attestation.'
2.Follow prompts to complete an evaluation.
3.Credit hours will be reflected on your transcript, or you may download your certificate.

1. Review the cultural factors that influence access to care for Hispanic and Latino communities.
2. Develop strategies to provide quality care to this population of patients.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 0.50 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

American Board of Internal Medicine MOC Credit 
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.50 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

MOC Participation Threshold

Step 1: Learner completes the episode evaluation and claims credit for the session in Stanford’s CME portal here. 
Step 2: Learner completes answers to a quiz; percent of correct answers required will be set by provider.

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require accommodations, please contact the CME Office.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography
1.Ackerman-Barger, P. (2018). Social Determinants of Health and Native Peoples. The Indian Health Service, Department of Health and Human Services. https://www.ihs.gov/california/tasks/sites/default/assets/File/GPRA/BP2018-SocialDeterminantsofHealth_Ackerman-Barger.pdf 
2.Christensen, L., & Damon, S. (2022). Social Determinants of Health and Response to Disease Associated With Health Outcomes of American Indian and Alaska Native Patients. JAMA network open, 5(3), e224827. https://doi.org/10.1001/jamanetworkopen.2022.4827 
3.Fortuna, L. (2016). Working with Latino/a and Hispanic Parents. American Psychiatric Association. https://www.psychiatry.org/psychiatrists/diversity/education/best-practice-highlights/working-with-latino-patients 
4.National Alliance on Mental Illness. (2023). Mental Health Challenges and Support: Latinx Communities. National Alliance on Mental Illness. https://namica.org/mental-health-challenges-in-latino-communities/ 
5.Padilla, A. M., & Ruiz, R. A. (1974). Latino Mental Health: A Review of Literature. National Institute of Mental Health: Rockville, MD.
6.Warne, D., & Wescott, S. (2019). Social Determinants of American Indian Nutritional Health. Current developments in nutrition, 3(Suppl 2), 12–18. https://doi.org/10.1093/cdn/nzz054 

For activity related questions, please contact
     Email: [email protected]

For CME general questions, please contact 
     Email: [email protected]

Mitigation of Relevant Financial Relationships

Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education.

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity. 

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Ruth Adewuya, MD
Managing Director
Stanford University

Course Director

Nothing to disclose

Nataly S Beck, MD
Clinical Assistant Professor of Psychiatry; Co-Director, La Clinica Latina
Stanford University Department of Psychiatry and Behavioral Sciences

Faculty

Nothing to disclose

Axel Valle, PsyD
Clinical Assistant Professor
Stanford

Faculty

Nothing to disclose

Ishita Verma
Student
Stanford University

Planner

Nothing to disclose