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Abstract The primary care provider PCP is the first treatment stop for many individuals suffering from symptoms of depression. This is particularly true of Latinos, who are the largest and fastest-growing ethnic minority group in the United States, and who demonstrate low rates of specialty mental health treatment utilization.

Although PCPs frequently prescribe antidepressant medications and refer their patients to mental health specialists, very little is known about what predicts the likelihood that patients will follow through on their PCP's recommendation. I am proposing the first systematic investigation into Latino patient follow-up to PCP mental health treatment recommendations, with a particular emphasis on the relationship between the Port lavaca girls - patient working alliance, provider cultural competency, and intended and actual follow-up to treatment recommendations.

The study's broad, long-term goal is to identify a new area for intervention to improve Horny sex texting in Brownsville rates of mental health service use among Latinos with depression.

The sundbyberg orgy will cover such topics as the quality of patients'relationship with their PCP, patients'assessment of their PCP's cultural competency, their own attitudes, beliefs, and level of stigma about Copper Center girls wanting sex and its treatment, and their intention to seek treatment for depression.

In addition, patients will be asked whether they received a referral from their PCP, and whether they followed up on that referral at the time of the interview.

The specific aims of this study are: 1 To determine whether the PCP-patient working alliance is associated with the patient's intention of following up on the PCP's treatment recommendation for depression, Female company Evansville 36 36 with patients'actual follow-up.

Public Health Relevance Depression is one of the most common and disabling psychiatric disorders, yet treatment utilization rates remain very low, particularly among Latinos and other ethnic minority groups.

This study is deed to investigate whether the relationship between primary care providers and Latino patients influences follow-up on PCP treatment recommendations for depression, thus creating the potential for new intervention opportunities for improving treatment utilization among Latinos.