Abstract
Latinos with serious mental illness get sick and die much younger than other adults. In this paper, we review findings of a community based participatory research project meant to identify important healthcare needs, barriers to these needs, solutions to the barriers, and the promise of peer navigators as a solution. Findings from focus groups reflected general concerns of people with mental illness (e.g., insurance, engagement, accessibility) and Latinos with serious mental illness (e.g., immigration, language, and family). Feedback and analyses especially focused on the potential of peer navigators. Implications of these findings for integrated care of Latinos with serious mental illness are discussed.
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References
Alegria, M., Carson, N. J., Goncalves, M., & Keefe, K. (2011). Disparities in treatment for substance use disorders and co-occurring disorders for ethnic/racial minority youth. Journal of the American Academy of Child and Adolescent Psychiatry, 50(1), 22–31. doi:10.1016/j.jaac.2010.10.005.
Alexandre, P. K., Martins, S. S., & Richard, P. (2009). Disparities in adequate mental health care for past-year major depressive episodes among caucasian and hispanic youths. Psychiatric Services, 60(10), 1365–1371. doi:10.1176/appi.ps.60.10.1365.
Bauer, A. M., Chen, C., & Alegría, M. (2010). English language proficiency and mental health service use among latino and asian americans with mental disorders. Medical Care, 48(12), 1097–1104. doi:10.1097/MLR.0b013e3181f80749.
Berg, B. L. (Ed.). (2004). Qualitative research methods for the social sciences. Boston: Pearson.
Blanco, C., Patel, S. R., Liu, L., Jiang, H., Lewis-Fernandez, R., & Schmidt, A. B. (2007). National trends in ethnic disparities in mental health care. Medical Care, 45(11), 1012–1019.
Brown, E. R., Ojeda, V. D., Wyn, R., & Levan, R. (Eds.). (2000). Racial and ethnic disparities in access to health insurance and health care. Los Angeles: UCLA Center for Health Policy Research.
Burhansstipanov, L., Dignan, M. B., Schumacher, A. S., Krebs, L. U., Alfonsi, G., & Apodaca, C. C. (2010). Breast screening navigator programs within three settings that assist underserved women. Journal of Cancer Education, 25(2), 247–252. doi:10.1007/s13187-010-0071-4.
Burhansstipanov, L., Wound, D. B., Capelouto, N., Goldfarb, F., Harjo, L., Hatathlie, L., et al. (1998). Culturally relevant “navigator” patient support. The native sisters. Cancer Practice, 6, 191–194.
Cabassa, L. J., Gomes, A. P., Meyreles, Q., Capitelli, L., Younge, R., Dragatsi, D., & Lewis-Fernández, R. (2014). Primary health care experiences of hispanics with serious mental illness: A mixed-methods study. Administration and Policy in Mental Health and Mental Health Services Research, 41(6), 724–736. doi:10.1007/s10488-013-0524-2.
Cardoso, J. B., & Thompson, S. J. (2010). Common themes of resilience among latino immigrant families: A systematic review of the literature. Families in Society, 91(3), 257–265. Retrieved from http://search.proquest.com/docview/756306633?accountid=14552.
Corrigan, P. W., Pickett, S., Batia, K., & Michaels, P. J. (2014). Peer navigators and integrated care to address ethnic health disparities. Social Work Public Health, 29(6), 581–593. doi:10.1080/19371918.2014.893854.
Corrigan, P., Pickett, S., Kraus, D., Burks, R., & Schmidt, A. (2015). Community-based participatory research examining the health care needs of African Americans who are homeless with mental illness. Journal of Health Care for the Poor and Underserved, 26(1), 119–133. doi:10.1353/hpu.2015.0018.
Diaz, V. A. (2002). Cultural factors in preventive care: Latinos. Primary Care, 29(3), 503–517.
Druss, B. G., Zhao, L., von Esenwein, S., Morrato, E. H., & Marcus, S. C. (2011). Understanding excess mortality in persons with mental illness: 17-year follow up of a nationally representative US survey. Medical Care, 49(6), 599–604. doi:10.1097/MLR.0b013e31820bf86e.
Ezell, J., Siantz, L., & Cabassa, L. J. (2013). Contours of usual care: Meeting the medical needs of diverse persons with serious mental illness. Journal of Health Care for the Poor and Underserved, 24(4), 1552–1573.
Folsom, D. P., Gilmer, T., Barrio, C., Moore, D. J., Bucardo, J., Lindamer, L. A., & Jeste, D. V. (2007). A longitudinal study of the use of mental health services by persons with serious mental illness: Do spanish-speaking latinos differ from english-speaking latinos and caucasians? The American Journal of Psychiatry, 164(8), 1173–1180. doi:10.1176/appi.ajp.2007.06071239.
Giese-Davis, J., Bliss-Isberg, C., Carson, K., Star, P., Donaghy, J., Cordova, M. J., & Spiegel, D. (2006). The effect of peer counseling on quality of life following diagnosis of breast cancer: An observational study. Psycho-Oncology, 15(11), 1014–1022. doi:10.1002/pon.1037.
Guarnaccia, P. J., & Parra, P. (1996). Ethnicity, social status, and families’ experiences of caring for a mentally ill family member. Community Mental Health Journal, 32(3), 243–260. Retrieved from http://search.proquest.com/docview/61560057?accountid=14552.
Han, H., Lee, H., Kim, M. T., & Kim, K. B. (2009). Tailored lay health worker intervention improves breast cancer screening outcomes in nonadherent Korean-American women. Health Education Research, 24(2), 318–329. doi:10.1093/her/cyn021.
Jurkowski, J. M., Kurlanska, C., & Ramos, B. M. (2010). Latino women’s spiritual beliefs related to health. American Journal of Health Promotion, 25(1), 19–25. doi:10.4278/ajhp.080923-QUAL-211.
Kaiser Commission on Medicaid and the Uninsured (2000). Health insurance coverage and access to care among Latinos: Key facts report. Washington, DC: The Henry J. Kaiser Family Foundation. Retrieved June 25, 2012 from https://kaiserfamilyfoundation.files.wordpress.com/2013/01/health-insurance-coverage-and-access-to-care-among-latinos.pdf.
Kim, G., Loi, C. X. A., Chiriboga, D. A., Jang, Y., Parmelee, P., & Allen, R. S. (2011). Limited english proficiency as a barrier to mental health service use: A study of latino and asian immigrants with psychiatric disorders. Journal of Psychiatric Research, 45(1), 104–110. doi:10.1016/j.jpsychires.2010.04.031.
Lara, M., Gamboa, C., Kahramanian, M. I., Morales, L. S., & Bautista, D. E. H. (2005). Acculturation and latino health in the united states: A review of the literature and its sociopolitical context. Annual Review of Public Health, 26, 367–397. doi:10.1146/annurev.publhealth.26.021304.144615.
Loftland, J., & Loftland, L. H. (Eds.). (1984). Analyzing social settings. Belmont: Wadsworth Publishing Company Inc.
Magaña, S. M., García, J. I. R., Hernández, M. G., & Cortez, R. (2007). Psychological distress among latino family caregivers of adults with schizophrenia: The roles of burden and stigma. Psychiatric Services, 58(3), 378–384. doi:10.1176/appi.ps.58.3.378.
Minkler, M., & Wallerstein, N. (Eds.). (2008). Community-based participatory research for health: From process to outcomes. San Francisco: Jossey-Bass.
Mulvaney-Day, N., Alegría, M., & Sribney, W. (2007). Social cohesion, social support, and health among latinos in the united states. Social Science and Medicine, 64(2), 477–495. doi:10.1016/j.socscimed.2006.08.030.
Murguia, A., Peterson, R. A., Zea, M. C. (2003). Use and implications of ethnomedical health care approaches among central american immigrants. Health and Social Work, 28(1), 43–51. Retrieved from http://search.proquest.com/docview/61304203?accountid=14552.
National Association of State Mental Program Directors (2005). The evolving conceptual framework for co-occurring mental health and substance use disorders: Developing strategies for systems change. Retrieved June 25, 2012 from http://www.nasmhpd.org/docs/publications/docs/2005/CoOccurringIVFinalReportsubmitted.pdf.
National Association of State Mental Program Directors (2006). The fifth national dialogue of the joint task force on co-occurring substance use and mental disorders. Retrieved June 25, 2012 from http://www.nasmhpd.org/docs/publications/docs/2006/CoOccurringVFinalReport.pdf.
Nguyen, T. N., Tran, J. H., Kagawa-Singer, M., & Foo, M. A. (2011). A qualitative assessment of community-based breast health navigation services for Southeast Asian women in Southern California: Recommendations for developing a navigator training curriculum. American Journal of Public Health, 101(1), 87–93. doi:10.2105/AJPH.2009.176743.
Osinaga, V. L. M., Furegato, A. R. F., & Santos, J. L. F. (2007). Users of three psychiatric services: Profile and opinion. Revista Latino-Americana De Enfermagem, 15(1), 70–77. doi:10.1590/S0104-11692007000100011.
Parker, V. A., Clark, J. A., Leyson, J., Calhoun, E., Carroll, J. K., Freund, K. M., & Battaglia, T. A. (2010). Patient navigation: Development of a protocol for describing what navigators do. Health Services Research, 45(2), 514–531. doi:10.1111/j.1475-6773.2009.01079.x.
Shattell, M. M., Hamilton, D., Starr, S. S., Jenkins, C. J., & Hinderliter, N. A. (2008). Mental health service needs of a latino population: A community-based participatory research project. Issues in Mental Health Nursing, 29(4), 351–370. doi:10.1080/01612840801904316.
Sorkin, D. H., Pham, E., & Ngo-Metzger, Q. (2009). Racial and ethnic differences in the mental health needs and access to care of older adults in California. Journal of the American Geriatrics Society, 57(12), 2311–2317. doi:10.1111/j.1532-5415.2009.02573.x.
Sullivan, M. M., & Rehm, R. (2005). Mental health of undocumented mexican immigrants: a review of the literature. Advances in Nursing Science, 28(3), 240–251. Retrieved from http://search.proquest.com/docview/620860534?accountid=14552.
Sundquist, J. (1993). Ethnicity as a risk factor for mental illness: A population-based study of 338 Latin American refugees and 996 age-, sex- and education-matched Swedish controls. Acta Psychiatrica Scandinavica, 87(3), 208–212.
United States Census Bureau (2014). Hispanic or Latino by specific origin (2010–2014). Retrieved from http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_14_5YR_B03001&prodType=tabl.
World Health Organization (2005). How can health care systems effectively deal with the major health care needs of homeless people. Retrieved July 2, 2012 from http://www.euro.who.int/__data/assets/pdf_file/0009/74682/E85482.pdf.
Xu, Y. (2011). Ethnic variations in the relationship between socioeconomic status and psychological distress among latino adults. Race and Social Problems, 3(3), 212–224. doi:10.1007/s12552-011-9048-0.
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This study was funded by Patient-Centered Outcomes Research Institute (PCORI)-1306-0141.
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Patrick W. Corrigan declares that he has no conflict of interest. Alessandra Torres declares that she has not conflicts of interest. Juana L. Lara declares that she has not conflict of interest. Jonathon E. Larson declares that he has no conflict of interest.
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All statements in this report, including its findings and conclusions, are solely those of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute (PCORI), its Board of Governors or Methodology Committee.
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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.
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Informed consent was obtained from all individual participants included in the study.
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The Latino Health Disparities Consumer Research Team included Jaime Esquivel, Mavis Linda Lehmann, Patricia Munoz, Judith Ortiz, Marilyn Perez-Aviles, Timoteo Rodriguez, Nelson Santiago, and Reverend Rudy Suarez.
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Corrigan, P.W., Torres, A., Lara, J.L. et al. The Healthcare Needs of Latinos with Serious Mental Illness and the Potential of Peer Navigators. Adm Policy Ment Health 44, 547–557 (2017). https://doi.org/10.1007/s10488-016-0737-2
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DOI: https://doi.org/10.1007/s10488-016-0737-2