Qualitative Evaluation of a Peer Navigator Program for Latinos with Serious Mental Illness
Peer navigator programs (PNP) may help reduce physical health disparities for ethnic minorities with serious mental illness (SMI). However, specific aspects of PNP that are important to peer navigators and their clients are under-researched. A qualitative study explored the perspectives of service users (n = 15) and peer navigators (n = 5) participating in a randomized controlled trial of a PNP for Latinos with SMI. Results show PN engagement with service users spans diverse areas and that interactions with peers, trust, and accessibility are important from a service user perspective. PNs discussed needs for high-quality supervision, organizational support, and additional resources for undocumented Latinos.
KeywordsHealth care Mental health Peer navigator Serious mental illness Latinos
Collaborators for The Latino Consumer Research Team includes: Jaime Esquivel, Mavis Linda Lehmann, Patricia Muñoz, Judith Ortiz, Marilyn Perez-Aviles, Timoteo Rodriguez, Nelson Santiago, and Reverend Rudy Suarez.
Research reported in this article was funded through a Patient-Centered Outcomes Research Institute (PCORI) Award (AD-1306-01419). The statements presented in this article, are solely the responsibility of the author(s) and do not necessarily represent the views of PCORI, its Board of Governors or Methodology Committee.
Compliance with Ethical Standards
Conflict of interest
Lindsay Sheehan declares that she has no conflict of interest. Alessandra Torres declares that she has no conflict of interest. Juana L. Lara declares that she has no conflict of interest. Deysi Paniagua declares that she has no conflict of interest. Jonathon E. Larson declares that he has no conflict of interest. John Mayes declares that he has no conflict of interest. Susan Doig declares that she has no conflict of interest. The Latino Consumer Research Team declares that its members have no conflict of interest. Patrick W. Corrigan declares that he has no conflict of interest.
This article does not contain any studies with animals performed by any of the authors. 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 was obtained from all individual participants included in the study.
- Balcazar, H., Alvarado, M., & Ortiz, G. (2011). Salud Para Su Corazon (health for your heart) community health worker model: Community and clinical approaches for addressing cardiovascular disease risk reduction in Hispanics/Latinos. The Journal of Ambulatory Care Management, 34(4), 362.CrossRefPubMedPubMedCentralGoogle Scholar
- 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.CrossRefPubMedPubMedCentralGoogle Scholar
- Corrigan, P. W., Kraus, D. J., Pickett, S. A., Schmidt, A., Stellon, E., Hantke, E., & Lara, J. L. (2017). Using peer navigators to address the integrated health care needs of homeless African Americans with serious mental illness. Psychiatric Services, 68(3), 264–270.CrossRefPubMedPubMedCentralGoogle Scholar
- Corrigan, P. W., Mueser, K. T., Bond, G. R., Drake, R. E., & Solomon, P. (Eds.). (2016). The principles and practice of psychiatric rehabilitation: An empirical approach. New York: Guilford Press.Google Scholar
- Corrigan, P. W., Torres, A., Lara, J. L., Larson, J. E., Sheehan, L., Doig, S., & Mayes, J. Peer navigators for the health needs of Latinos with serious mental illness. Psychiatric Services (in press)Google Scholar
- 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.CrossRefPubMedGoogle Scholar
- Jean-Pierre, P., Hendren, S., Fiscella, K., Loader, S., Rousseau, S., Schwartzbauer, B., … Epstein, R. (2011). Understanding the processes of patient navigation to reduce disparities in cancer care: Perspectives of trained navigators from the field. Journal of Cancer Education, 26(1), 111–120.CrossRefPubMedPubMedCentralGoogle Scholar
- Jojola, C. E., Cheng, H., Wong, L. J., Paskett, E. D., Freund, K. M., & Johnston, F. M. (2017). Efficacy of patient navigation in cancer treatment: A systematic review. Journal of Oncology Navigation & Survivorship, 8(3), 106–115.Google Scholar
- Marshall, C., & Rossman, G. B. (1999). Designing qualitative research (3rd edn.). Thousand Oaks: SAGE.Google Scholar
- US Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. In Department of Health and Human Services, SAMSHA (Ed.), Center for mental health services. National Institutes of Health, National Institute of Mental Health: Rocksville, MD.Google Scholar
- Yosha, A. M., Carroll, J. K., Hendren, S., Salamone, C. M., Sanders, M., Fiscella, K., & Epstein, R. M. (2011). Patient navigation from the paired perspectives of cancer patients and navigators: A qualitative analysis. Patient Education and Counseling, 82(3), 396–401.CrossRefPubMedPubMedCentralGoogle Scholar