Ana Julia Bridges
J. William Fulbright College of Arts & Sciences
Broadly speaking, my research focuses on scientifically-informed clinical practice that aims to reduce health disparities. Although I have done work in the area of romantic relationships and sexually explicit media use, my research over time has focused increasingly on examining the interplay between culture, mental health, and service utilization. As a whole, my goal is to understand and ameliorate factors that interfere with vulnerable and underserved diverse groups initiating help seeking, remaining in treatment, and obtaining benefits from therapy. I have worked to establish ties with local agencies in Northwest Arkansas who serve some of the most vulnerable groups in society, including people living in poverty, recent immigrants, victims of domestic violence, and prisoners. These ties have been mutually beneficial; they simultaneously enhance my research program and create opportunities for clinical training, outreach, and service. Below I detail the two primary arms of my research program.
Latino mental health and service utilization
Latinos are the fastest-growing minority group in the United States. However, they underutilize medical and psychological health services, despite similar rates of psychiatric problems and stressors. I have been interested in understanding factors that interfere with initial service utilization, remaining in treatment, and obtaining positive outcomes. Research questions I ask in this domain include: What barriers do Latinos face when seeking help for mental health concerns? What roles due cultural values and acculturation play in help-seeking attitudes and behaviors? Are barriers primarily intrinsic (e.g., stigma, negative attitudes towards help-seeking, mental health illiteracy) or structural (e.g., lack of Spanish speaking providers, lack of health insurance, difficulties with transportation)?
Integrated Behavioral Health Care
My interest in reaching out to the Latino community to increase access to care led to a third research area: integrated behavioral health care. Because many people, especially Latinos, tend to seek help for mental health and other behavioral problems from primary care medical providers, including mental health personnel in the primary health care team makes a great deal of sense. I have partnered with a local federally qualified health center, Community Clinic, to conduct research and supervise graduate students providing interventions to primary care patients with behavioral health needs. Research questions we have been asking include: Are integrated behavioral health services efficacious? What sorts of evidence-based treatments are most suitable for primary care? Does integrated care help address and reduce health disparities?
PSYC 3023: Abnormal Psychology
PSYC 3923H: Interprofessional Collaborations for Healthcare
PSYC 4053: Psychological Testing
PSYC 5043: Assessment of Intellectual and Cognitive Abilities
PSYC 607V: Assessment Practicum
PSYC 6343: Multivariate Statistics
Ph.D., University of Rhode Island
M.S., Illinois State University
B.S., University of Illinois
Sample publications over the past few years. * Denotes graduate student co-author. ** Denotes undergraduate student co-author.
*Dueweke, A. R., & Bridges, A. J. (in press). Suicide interventions in primary care: A selective review of the evidence. Families, Systems, & Health.
*Dueweke, A. R., **Marin, M. S., Sparkman, D. J., & Bridges, A. J. (in press). Inadequacy of the PHQ-2 depression screener for identifying suicidal primary care patients. Families, Systems, & Health.
*Bilsky, S., *Dueweke, A. R., & Bridges, A. J. (in press). Health care utilization among Hispanic and non-Hispanic anxious youth. Journal of Health Psychology.
Bridges, A.J., Karlsson, M., **Jackson, J. C., *Andrews III, A. R., & *Villalobos, B. T. (in press). Barriers to and methods of help seeking for domestic violence victimization: A comparison of Hispanic and non-Hispanic women residing in the U.S. Violence Against Women.
*Villalobos, B. T., & Bridges, A. J. (in press). Prevalence of substance use disorders among Latinos in the United States: An empirical review update. Journal of Latina/o Psychology.
*Dueweke, A. R., *Rojas, S. M., *Anastasia, E. A., & Bridges, A. J. (2017). Can brief behavioral health interventions reduce suicidal and self-harm ideation in primary care patients? Families, Systems, & Health, 35, 376-381.
Bridges, A.J., *Villalobos, B.T., *Anastasia, E.A., *Dueweke, A.R., *Gregus, S.J., & Cavell, T.A. (2017). Need, access, and the reach of integrated care: A typology of patients. Families, Systems, & Health, 35, 193-206.
Bridges, A.J., Cavell, T. A., *Ojeda, C. A., *Gregus, S. J., & *Gomez, D. (2017). Doctoral training in integrated behavioral health care: Dipping a toe or diving in. The Behavior Therapist, 40, 169-179.
*Pastrana, F., Bridges, A. J., *Villalobos, B. T., *Dueweke, A. R., & *Hernandez Rodriguez, J. (2017). Cognitive behavioral therapy tools for clients with limited functional literacy. The Behavior Therapist, 40, 137-145.
Andrews, A. R., *Gomez, D., **Larey, A., **Pacl, H., **Burchette, D., *Hernandez Rodriguez, J., *Pastrana, F., & Bridges, A.J. (2016). Effectiveness of integrated behavioral health treatment for internalizing psychiatric disorders in patients with and without Type 2 diabetes. Families, Systems, and Health, 34, 367-377.
Zielinski, M. J., Karlsson, M. E., & Bridges, A. J. (2016). Adapting evidence-based trauma treatment for incarcerated women: A model for implementing exposure-based group therapy and considerations for practitioners. The Behavior Therapist, 39, 205-210.
*Villalobos, B.T., Bridges, A.J., *Anastasia, E., *Ojeda, C.A., *Hernandez Rodriguez, J., & *Gomez, D. (2016). Effects of language concordance and interpreter use on therapeutic alliance in Spanish-speaking integrated behavioral health care patients. Psychological Services, 13, 49-59.
*Dueweke, A.R., Bridges, A.J., & *Gomez, D. (2016). The effects of interpreter use on agreement between clinician- and self-ratings of functioning in Hispanic integrated care patients. Journal of Immigrant and Minority Health, 18, 1547-1550.
Larkin, K., Bridges, A.J., Fields, S., & Vogel, M. (2016). Acquiring competencies in integrated behavioral health care in doctoral, internship, and post-doctoral programs. Training and Education in Professional Psychology, 10, 14-23.
Bridges, A.J., & *Anastasia, E. (2016). Enhancing and improving treatment engagement with Hispanic patients. In W. O’Donohue & L. Benuto (Eds.), Enhancing Behavioral Health in Hispanic Populations: Eliminating Disparities Through Integrated Behavioral and Primary Care (pp. 125-143). Cham, Switzerland: Springer International Publishing.
Bridges, A.J., & Ahern, D.C. (2016). Assessment of malingering in minority populations. In R.F. Ferraro (Ed.), Minority and Cross Cultural Aspects of Neuropsychological Assessment, 2nd edition (pp. 436-458). New York: Taylor & Francis.