Social Work Commons^™

Assessment Of Co-Occurring Depression And Substance Use In An Ethnically Diverse Patient Sample During Behavioral Health Intake Interviews, Sarah Darghouth, Ora Nakash, Alisa Miller, Margarita Alegría

School for Social Work: Faculty Publications

Background: Co-occurring disorders present a challenge for providers who often fail to diagnose them with accuracy. This study explores the assessment process of co-occurring depressive and substance use disorders in community health clinics serving ethnically diverse patients. The goals are to identify how symptoms discussed in intake, as well as patient and provider characteristics, are associated with receiving a diagnosis of co-occurring disorders or not. Methods: Participation in the study consisted of videotaping the intake, conducting a semi-structured interview, and completing demographic and clinical measures. Quantitative analyses were conducted based on information coded from videotapes of intakes with 119 patients …