Bridges to Better Health and Wellness: An Adapted Health Care Manager Intervention for Hispanics with Serious Mental Illness

  • Leopoldo J. CabassaEmail author
  • Yamira Manrique
  • Quisqueya Meyreles
  • David Camacho
  • Lucia Capitelli
  • Richard Younge
  • Dianna Dragatsi
  • Juana Alvarez
  • Roberto Lewis-Fernández
Original Article


This study examined the feasibility, acceptability, and initial impact of bridges to better health and wellness (B2BHW), a culturally-adapted health care manager intervention for Hispanics with serious mental illness (SMI). Thirty-four Hispanics with SMI and at risk for cardiovascular disease were enrolled. Mixed-linear models were used to examine changes over 12-months on patient activation, self-efficacy, patient-rated quality of care, receipt of preventive primary care services, and quality of life. The majority of participants completed the intervention (85%) with high satisfaction. Significant improvements were found for patient activation, self-efficacy, patients’ ratings of quality of care, and receipt of preventive primary care.


Hispanics Latinos Serious mental illness Health care disparities Health care management Patient-centered care Cultural adaptation 



The authors would like to acknowledge all of the people who worked on this project including Arminda P. Gomes, Lorena Maldonado, Seth Thompson, Analis Lopez, and Marina Soto.


This study was funded by the National Institute of Mental Health (NIMH) K01 MH091108.

Compliance with Ethical Standards

Conflict of interest

Leopoldo J. Cabassa declares that he has no conflict of interest. Yamira Manrique declares that she has no conflict of interest. Quisqueya Meyreles declares that she has no conflict of interest. David Camacho declares that he has no conflict of interest. Lucia Capitelli declares that she has no conflict of interest. Richard Younge declares that he has no conflict of interest. Dianna Dragatsi declares that she has no conflict of interest. Juana Alvarez declares that she has no conflict of interest. Roberto Lewis-Fernández declares that he has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Leopoldo J. Cabassa
    • 1
  • Yamira Manrique
    • 2
  • Quisqueya Meyreles
    • 3
  • David Camacho
    • 2
  • Lucia Capitelli
    • 3
  • Richard Younge
    • 4
  • Dianna Dragatsi
    • 5
  • Juana Alvarez
    • 3
  • Roberto Lewis-Fernández
    • 5
  1. 1.School of Social Work, Columbia University and the New York State Center of Excellence for Cultural CompetenceNew York State Psychiatric InstituteNew YorkUSA
  2. 2.School of Social WorkColumbia UniversityNew YorkUSA
  3. 3.New York State Psychiatric InstituteNew YorkUSA
  4. 4.Columbia Center for Family and Community MedicineColumbia University Medical CenterNew YorkUSA
  5. 5.Department of PsychiatryColumbia University Medical CenterNew YorkUSA

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