Integrating mental health screening and abnormal cancer screening follow-up: an intervention to reach low-income women

Community Ment Health J. 2002 Aug;38(4):311-25. doi: 10.1023/a:1015901409211.


The results of implementing mental health screening within cancer screening and diagnostic programs serving low-income ethnic minority women are reported. Multi-phased screening for anxiety and depression was provided as part of structured health education and intensive case management services to improve abnormal mammogram or Pap test follow-up. Seven hundred fifty-three women were enrolled in the Screening Adherence Follow-up Program. Ten percent (n = 74) met criteria for depressive or anxiety disorder. Women with depressive or anxiety disorders were more likely to have cancer, significant psychosocial stress, fair or poor health status, a comorbid medical problem, and limitation in functional status. Forty-seven women with disorders were receiving no depression care.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anxiety / diagnosis*
  • Anxiety / ethnology
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / ethnology
  • Breast Neoplasms / psychology
  • Continuity of Patient Care*
  • Delivery of Health Care, Integrated
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / ethnology
  • Female
  • Health Services Research
  • Humans
  • Los Angeles / epidemiology
  • Mammography / statistics & numerical data
  • Mass Screening / organization & administration*
  • Mental Health Services / organization & administration*
  • Middle Aged
  • Minority Groups*
  • New York City / epidemiology
  • Patient Compliance / ethnology*
  • Pilot Projects
  • Poverty / ethnology*
  • Surveys and Questionnaires
  • Uterine Cervical Neoplasms / diagnosis*
  • Uterine Cervical Neoplasms / ethnology
  • Vaginal Smears / statistics & numerical data