Are Assessment and Treatment Influenced by Ethnicity and Gender?

By Jeanette M. Jerrell, Ph.D.
| October 1, 2003

Dr. Jerrell is professor of neuropsychiatry at the University of South Carolina School of Medicine. Her current studies focus on improving clinical practice in the assessment and treatment of various disorders, especially the factors related to achieving more effective outcomes for African-American patients.

The final finding that African-American youths are less likely to have a mood stabilizer or antidepressant medication prescribed is comparable to the extensive literature on African-American adults being more likely to be diagnosed with schizophrenia and less likely to have the affective component of their illness diagnosed or treated appropriately (Chen et al., 1996; Lawson, 1996; Strickland et al., 1991). These results may indicate that differential care patterns are in place early for ethnically diverse youths.

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References
1. Chen YR, Swann AC, Burt DB (1996), Stability of diagnosis in schizophrenia. Am J Psychiatry 153(5):682-686.
2. Dulcan M (1997), Practice parameters for the assessment and treatment of children, adolescents, and adults with attention-deficit/hyperactivity disorder. American Academy of Child and Adolescent Psychiatry. J Am Acad Child Adolesc Psychiatry 36(10 suppl):85S-121S.
3. Faraone SV, Biederman J, Wozniak J et al. (1997), Is comorbidity with ADHD a marker for juvenile-onset mania? J Am Acad Child Adolesc Psychiatry 34(8):1046-1055.
4. Kovacs M, Pollock M (1995), Bipolar disorder and comorbid conduct disorder in childhood and adolescence. J Am Acad Child Adolesc Psychiatry 34(6):715-723.
5. Lawson WB (1996), Clinical issues in the pharmacotherapy of African-Americans. Psychopharmacol Bull 32(2):275-281.
6. McClellan J, Werry J (1997), Practice parameters for the assessment and treatment of children and adolescents with bipolar disorder. American Academy of Child and Adolescent Psychiatry. J Am Acad Child Adolesc Psychiatry 36(10 suppl):157S-176S.
7. Steiner H (1997), Practice parameters for the assessment and treatment of children and adolescents with conduct disorder. American Academy of Child and Adolescent Psychiatry. J Am Acad Child Adolesc Psychiatry 36(10 suppl):122S-139S.
8. Strickland TL, Ranganath V, Lin KM et al. (1991), Psychopharmacologic considerations in thetreatment of black American populations. Psychopharmacol Bull 27(4):441-448.
9. Wozniak J, Biederman J, Kiely K et al. (1995), Mania-like symptoms suggestive of childhood-onset bipolar disorder in clinically referred children J Am Acad Child Adolesc Psychiatry 34(7):867-876 [see comments].
10. Wozniak J, Biederman J, Richards JA (2001), Diagnostic and therapeutic dilemmas in the management of pediatric-onset bipolar disorder. J Clin Psychiatry 62(suppl 14):10-15.

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Are Assessment and Treatment Influenced by Ethnicity and Gender?

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