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November 2009, Vol 99, No. 11 | American Journal of Public Health 1962-1966
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2009.167346

ANALYTIC ESSAY FORUM

Mental Health Disparities

Marc A. Safran, MD, MPA, Robert A. Mays, Jr, PhD, Larke Nahme Huang, PhD, Ron McCuan, DMD, JD, Phuong Kim Pham, PhD, Sylvia Kay Fisher, PhD, Kathleen Y. McDuffie, PhD, MPH and Alan Trachtenberg, MD, MPH

Marc A. Safran and Kathleen Y. McDuffie are with the Centers for Disease Control and Prevention, Atlanta, GA, and also serve in the US Public Health Service. Robert A. Mays Jr and Phoung Kim Pham are with the National Institute of Mental Health, National Institutes of Health, Bethesda, MD. Larke Nahme Huang and Sylvia Kay Fisher are with the Substance Abuse and Mental Health Services Administration, Rockville, MD. Ron McCuan is with the National Institute for Corrections, Washington, DC, and serves in the US Public Health Service. Alan Trachtenberg is with the Indian Health Service, Rockville.

Correspondence: Correspondence should be sent to Marc A. Safran, Centers for Disease Control and Prevention, 1600 Clifton Road, Mail Stop E-44, Atlanta, GA 30333 (e-mail: MSafran{at}cdc.gov). Reprints can be ordered at http://www.ajph.org by clicking on the "Reprints/Eprints" link.

Mental health disparities have received increased attention in the literature in recent years. After considering 165 different health disparity conditions, the Federal Collaborative for Health Disparities Research chose mental health disparity as one of four topics warranting its immediate national research attention. In this essay, we describe the challenges and opportunities encountered in developing a research agenda to address mental health disparities in the United States. Varying definitions of mental health disparity, the heterogeneity of populations facing such disparity, and the power, complexity, and intertwined nature of contributing factors are among the many challenges. We convey an evolving interagency approach to mental health disparities research and guidance for further work in the field.




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