Description
Depression is one of the largest contributor of the years lived with disability in the world. Social determinants of health impact the occurrence of depression. This presentation will describe how the social determinants of health can potentially impact depression in youth, in patients admitted to inpatient adult psychiatry especially those with medical comorbidities, also how substance abuse can play an important role in depressive symptoms. Social inequalities through life can influence the development of depressive symptoms and the progression of depressive symptoms without treatment secondary of lack of access or stigma can lead to suicide. Major social inequalities are present in the access for depression treatment. In this presentation we will examine how individual variables such as age, gender, cultural background, levels of education and having medical comorbidities impacted the probability of accessing depression care. There are several factors that can impact how an individual is impacted by depression and reaches care for depression, our talk will focus on how these factors impact the individual, the family and societal level to get care and will help clinicians integrate information about how this factors impact minority patients different (economics, insurance, availability of services), also how patients and families (beliefs, stigma, cultural barriers, language) impact access to evidence base depression care. In youth, studies have described the effect of maternal mental health during pregnancy and postpartum in children, the importance of the role as a caregiver and how economic disadvantages can seriously impact emotional wellbeing and children’s mental health. Also the impact of adverse childhood experiences early in life as one of the main risk factors for depression, suicide and substance abuse. (1) Homeless, and uninsured patients frequently receive their psychiatric care at the emergency room and the inpatient psychiatry unit. Underrepresented minorities are a particularly vulnerable population in these settings. Clinicians working in inpatient units help them reconnect with the system of care by treating them getting them resources for follow up care. (2) In a survey by the CDC nationwide during the COVID pandemic, the overall prevalence of depression, suicidal thoughts and increase in substance use were 28.6%, 8.4%, 18.2%, when comparing white with minorities the numbers were four times higher in Hispanic and two times higher in multiracial. Substance use in minorities was reported 36% in Hispanics, compared to 14% among all other participants. We will discuss how these numbers were also impacted by the ability to obtain health care, not having enough food, housing instability, possible job loss, and how the American population saw an increase of substance abuse to cope with stress during COVID-19 (3) .
Format
Recorded webinar.
This content was recorded during the APA 2023 Annual Meeting.
Learning Objectives
- Attendees will be able to recognize how social determinants impact the treatment of depression.
- Attendees will be able to recognize how social determinants of health early in life can impact the development of depression and increase suicide risk.
- Attendess will be able to identify how social determinants of health can be an important barrier to treatment.
Target Audience
Residents/Fellows, Psychiatrists, Psychologists
Estimate Time to Complete
Estimated Duration: 1.25 hours
Program Start Date: May 1, 2025
Program End Date: May 1, 2028
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit™ may do so after completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned.
Continuing Education Credit
In support of improving patient care, the American Psychiatric Association 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.
The APA designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.
Instructors
- Tatiana Falcone, MD
- Fernando Espi Forcen, MD, PhD
- Ruby Castilla Puentes, MD, DrPH, MBA, FAPA
Planners
- Vishal Madaan, MD, Chief of Education and Deputy Medical Director at the American Psychiatric Association.
Accessibility for Participants with Disabilities
The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. Please contact the American Psychiatric Association at 202-559-3900, if you require assistance seven (7) business days prior to the start of a live webinar.
Technical Requirements
This internet-based CME activity is best experienced using any of the following:
- The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
- Internet Explorer 11+
This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.
Optimal System Configuration:
- Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
- Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
- Internet Connection: 1 Mbps or higher
Minimum Requirements:
- Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
- Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content
For assistance: Contact educme@psych.org for questions about this activity | Contact learningcenter@psych.org for technical assistance