Race, Stigma and Mental Health Recommendations Among Depressed Older Persons in Aging Services

Objective—The mental health needs of the growing older adult population are often detected informally by the Aging Service Network (ASN) funded by the U.S. Health and Human Services to provide nutrition and support services to older persons. Stigma has been a barrier to mental health treatment. This study examines the rates of anticipated stigma and its impact on successful mental health referrals among depressed elderly. Methods—ASN Elderly Nutrition Program admissions (N=732) were assessed for depression (PHQ-9), cognitive impairment and anticipated stigma. Gender and race comparisons were conducted and predictors of a successful mental health referral were identified. Results—Anticipated stigma was higher among African Americans, with African American men endorsing the highest anticipated stigma. There were no race differences in depression rates depression or mental health referrals. Among depressed elders, lower stigma, younger age, and an interaction of race and anticipated stigma predicted a successful mental health referral. Conclusion—Anticipated stigma can hinder the process of referring older adults to mental health treatment.

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