Skip to main content

Advertisement

Log in

Supporting Individuals with Mental Health and/or Addictions Issues Through Patient Navigation: A Scoping Review

  • Original Paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

Pathways through the mental health care system can be complex and laden with barriers that prevent individuals from finding the most appropriate care. Navigation has been proposed as a solution for improving access to and transition through complex health care systems. While several MHA navigation programs have emerged in the past decade, no study has explored the core themes of MHA navigation, which was the goal of the current review. A scoping review was conducted; the search yielded 11,525 unique results, of which 26 were entered into extraction and subsequent descriptive and thematic analysis. Barrier reduction, client-centered support, and integrated care emerged as the distinct themes underlying MHA services, and overall, navigation significantly improved outcomes for individuals experiencing MHA issues. These findings may support evidence-based implementation of navigation services and point to a need for increased exploration and reporting of MHA navigation outcomes in the literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Ådnanes, M., & Steihaug, S. (2013). Obstacles to continuity of care in young mental health service users' pathways-an explorative study. International Journal of Integrated Care13.

  • Anderson, J. E., & Larke, S. C. (2009a). Navigating the mental health and addictions maze: A community-based pilot project of a new role in primary mental health care. Mental Health in Family Medicine, 6(1), 15.

    Google Scholar 

  • Anderson, J. E., & Larke, S. C. (2009b). The Sooke Navigator project: Using community resources and research to improve local service for mental health and addictions. Mental Health in Family Medicine, 6(1), 21.

    Google Scholar 

  • Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32.

    Article  Google Scholar 

  • Bernstein, A., Merriless, J., Dulaney, S., et al. (2020). Using care navigation to address caregiver burden in dementia: A qualitative case study analysis. Alzheimer’s & Dementia: Translational Research & Clinical Interventions, 6(1), e12010.

    Google Scholar 

  • Bieling, P. J., Madsen, V., & Zipursky, R. B. (2013). A ‘navigator’model in emerging mental illness? Early Intervention in Psychiatry, 7(4), 451–457.

    Article  Google Scholar 

  • Binswanger, I. A., Whitley, E., Haffey, P. R., et al. (2015). A patient navigation intervention for drug-involved former prison inmates. Substance Abuse, 36(1), 34–41.

    Article  Google Scholar 

  • Bradford, J. B., Coleman, S., & Cunningham, W. (2007). HIV System Navigation: An emerging model to improve HIV care access. AIDS Patient Care and STDs, 21(Suppl 1), S49–S58.

    Article  Google Scholar 

  • Braun, V., & Clarke, V. (2012). Thematic analysis. In H. Cooper, P. M. Camic, D. L. Long, A. T. Panter, D. Rindskopf, & K. J. Sher (Eds.), APA handbooks in psychology®. APA Handbook of Research Methods in Psychology, Vol. 2. Research Designs: Quantitative, Qualitative, Neuropsychological, and Biological (pp. 57–71). American Psychological Association.

  • Brekke, J. S., Siantz, E., Pahwa, R., et al. (2013). Reducing health disparities for people with serious mental illness. Best Practices in Mentafrinl Health, 9(1), 62–82.

    Google Scholar 

  • Cheng, S. C., & Schepp, K. G. (2016). Early intervention in schizophrenia: A literature review. Archives of Psychiatric Nursing, 30(6), 774–781.

    Article  Google Scholar 

  • Children’s Mental Health Ontario (2016). Residential Treatment: Working Towards a New System Framework.

  • Compton, M. T., Hankerson-Dyson, D., Broussard, B., Druss, B. G., Haynes, N., Strode, P., C, Grimes., C, Li., JA, DiPolito., Thomas, G. V. (2011). Public-academic partnerships: Opening doors to recovery: A novel community navigation service for people with serious mental illnesses. Psychiatric Services, 62(11), 1270–1272. https://doi.org/10.1176/ps.62.11.pss6211_1270

    Article  Google Scholar 

  • Compton, M. T., Kelley, M. E., Pope, A., et al. (2016). Opening doors to recovery: recidivism and recovery among persons with serious mental illnesses and repeated hospitalizations. Psychiatric Services, 67(2), 169–175.

    Article  Google Scholar 

  • Compton, M. T., Reed, T., Broussard, B., et al. (2014). Development, implementation, and preliminary evaluation of a recovery-based curriculum for community navigation specialists working with individuals with serious mental illnesses and repeated hospitalizations. Community Mental Health Journal, 50(4), 383–387.

    Article  Google Scholar 

  • Corrigan, P., Sheehan, L., Morris, S., et al. (2018). The impact of a peer navigator program in addressing the health needs of latinos with serious mental illness. Psychiatric Services, 69(4), 456–461.

    Article  Google Scholar 

  • Corrigan, P. W., Pickett, S., Batia, K., Michaels, P. J. (2014) Peer navigators and integrated care to address ethnic health disparities of people with serious mental illness. Social Work in Public Health, 29(6), 581–593. https://doi.org/10.1080/19371918.2014.893854

    Article  Google Scholar 

  • Corrigan, P. W., Kraus, D. J., Pickett, S. A., et al. (2017b). Using peer navigators to address the integrated health care needs of homeless African Americans with serious mental illness. Psychiatric Services, 68(3), 264–270.

    Article  Google Scholar 

  • Corrigan, P. W., Pickett, S., Schmidt, A., et al. (2017a). Peer navigators to promote engagement of homeless African Americans with serious mental illness in primary care. Psychiatry Research, 255, 101–103.

    Article  Google Scholar 

  • Diaz-Linhart, Y., Silverstein, M., Grote, N., et al. (2016). Patient navigation for mothers with depression who have children in head start: a pilot study. Social Work in Public Health, 31(6), 504–510.

    Article  Google Scholar 

  • Druss, B. G., Silke, A., Compton, M. T., et al. (2010). A randomized trial of medical care management for community mental health settings: The primary care access, referral, and evaluation (PCARE) study. American Journal of Psychiatry, 167(2), 151–159.

    Article  Google Scholar 

  • Dunne, T., Bishop, L., Avery, S., & Darcy, S. (2017). A review of effective youth engagement strategies for mental health and substance use interventions. Journal of Adolescent Health, 60(5), 487–512.

    Article  Google Scholar 

  • Finkelstein, S., Sharma, U., & Furlonger, B. (2021). The inclusive practices of classroom teachers: A scoping review and thematic analysis. International Journal of Inclusive Education, 25(6), 735–762.

    Article  Google Scholar 

  • Freeman, H. P. (2006). Patient navigation: a community centered approach to reducing cancer mortality. Journal of Cancer Education21.

  • Freeman, H. P., & Rodriguez, R. L. (2011). History and principles of patient navigation. Cancer, 117(S15), 3537–3540.

    Article  Google Scholar 

  • Gandhi, S., Chiu, M., Lam, K., Cairney, J. C., Guttmann, A., & Kurdyak, P. (2016). Mental health service use among children and youth in Ontario: Population-based trends over time. The Canadian Journal of Psychiatry, 61(2), 119–124.

    Article  Google Scholar 

  • Griswold, K. S., Homish, G. G., Pastore, P. A., et al. (2010). A randomized trial: Are care navigators effective in connecting patients to primary care after psychiatric crisis? Community Mental Health Journal, 46(4), 398–402.

    Article  Google Scholar 

  • Helou, M. A., DiazGranados, D., Ryan, M. S., & Cyrus, J. W. (2020). Uncertainty in decision-making in medicine: A scoping review and thematic analysis of conceptual models. Academic Medicine: Journal of the Association of American Medical Colleges, 95(1), 157.

    Article  Google Scholar 

  • Johnston, B., & Yellowlees, P. (2016). Telepsychiatry consultations in primary care coordinated by virtual care navigators. Psychiatric Services, 67(1), 142.

    Article  Google Scholar 

  • Jones, D., Dodge, K. A., Foster, E. M., et al. (2002). Early identification of children at risk for costly mental health service use. Prevention Science, 3(4), 247–256.

    Article  Google Scholar 

  • Keeton, C. P., & Ginsburg, G. S. (2008). Combining and sequencing medication and cognitive-behaviour therapy for childhood anxiety disorders. International Review of Psychiatry, 20(2), 159–164.

    Article  Google Scholar 

  • Kelly, K. J., Doucet, S., & Luke, A. (2019). Exploring the roles, functions, and background of patient navigators and case managers: A scoping review. International Journal of Nursing Studies, 98, 27–47.

  • Kelly, E., DuanCohen, L., et al. (2017). Integrating behavioral healthcare for individuals with serious mental illness: A randomized controlled trial of a peer health navigator intervention. Schizophrenia Research, 182, 135–141.

    Article  Google Scholar 

  • Kelly, E., Fulginiti, A., Pahwa, R., et al. (2014). A pilot test of a peer navigator intervention for improving the health of individuals with serious mental illness. Community Mental Health Journal, 50(4), 435–446.

    Article  Google Scholar 

  • Koh, C., Nelson, J. M., & Cook, P. F. (2011). Evaluation of a patient navigation program. Clinical Journal of Oncology Nursing, 15(1), 41–48.

    Article  Google Scholar 

  • Lloyd-Evans, B., Bone, J. K., Pinfold, V., et al. (2017). The Community Navigator Study: A feasibility randomised controlled trial of an intervention to increase community connections and reduce loneliness for people with complex anxiety or depression. Trials, 18(1), 493.

    Article  Google Scholar 

  • Luke, A., Doucet, S., & Azar, R. (2018). Paediatric patient navigation models of care in Canada: An environmental scan. Paediatrics & Child Health, 23(3), e46–e55.

    Article  Google Scholar 

  • Manderson, B., McMurray, J., Piraino, E., et al. (2012). Navigation roles support chronically ill older adults through healthcare transitions: A systematic review of the literature. Health & Social Care in the Community, 20(2), 113–127.

    Article  Google Scholar 

  • Markoulakis, R., Chan, S., & Levitt, A. (2019). Identifying the key features and outcomes of family navigation services for mental health and/or addictions concerns: A Delphi study. BMC Health Services Research, 19(1), 137.

    Article  Google Scholar 

  • Markoulakis, R., Weingust, S., Foot, J., et al. (2016). The Family Navigation Project: An innovation in working with families to match mental health services with their youth’s needs. Canadian Journal of Community Mental Health, 35, 63–66.

    Article  Google Scholar 

  • McMullen, L., Banman, T., De Groot, J., Jacobs, S., Srdanovic, D., & Mackey, H. (2013). Oncology nurse navigator competencies: providing direction to improve care delivery. In Memphis, TN: 4th Annual Conference of the Academy of Oncology Nurse Navigators.

  • Myers, N. A., Alolayan, Y., Smith, K., et al. (2015). A potential role for family members in mental health care delivery: the family community navigation specialist. Psychiatric Services, 66(6), 653–655.

    Article  Google Scholar 

  • National Alliance For Mental Illness, U. S. (2021) National Alliance on Mental Illness NAMI. United States. Retrieved from https://www.nami.org/Press-Media/Press-Releases/2021/Young-Adults-with-Mood-Disorders-Often-Not-Receiving-Mental-Health-Care-Survey-Finds

  • Paskett, E. D., Harrop, J. P., & Wells, K. J. (2011). Patient navigation: An update on the state of the science. CA Cancer Journal Clinicians, 61(4), 237–249.

    Article  Google Scholar 

  • Portillo, S., Goldberg, V., & Taxman, F. S. (2017). Mental health peer navigators: Working with criminal justice–involved populations. The Prison Journal, 97(3), 318–341.

    Article  Google Scholar 

  • Pottick, K. J., Bilder, S., Vander Stoep, A., Warner, L. A., & Alvarez, M. F. (2008). US patterns of mental health service utilization for transition-age youth and young adults. The Journal of Behavioral Health Services & Research, 35(4), 373–389.

    Article  Google Scholar 

  • Reed, T. A., Broussard, B., Moore, A., et al. (2014). Community navigation to reduce institutional recidivism and promote recovery: Initial evaluation of opening doors to recovery in Southeast Georgia. The Psychiatric Quarterly, 85(1), 25–33.

    Article  Google Scholar 

  • Richards, M., & Vostanis, P. (2004). Interprofessional perspectives on transitional mental health services for young people aged 16–19 years. Journal of Interprofessional Care, 18(2), 115–128.

    Article  Google Scholar 

  • Sanchez, C., Asin, K. E., & Artigas, F. (2015). Vortioxetine, a novel antidepressant with multimodal activity: Review of preclinical and clinical data. Pharmacology & Therapeutics, 145, 43–57.

    Article  CAS  Google Scholar 

  • Sartorious, N. (2013). Comorbidity of mental and physical diseases: A main challenge for medicine of the 21st century. Shanghai Archives of Psychiatry, 25(2), 68–69.

    Google Scholar 

  • Scahill, L. (2001). Surgeon general’s conference on children’s mental health: Developing a national action agenda. Journal of the American Psychiatric Nurses Association, 7(2), 51–56.

    Article  Google Scholar 

  • Shenkman, E., Muller, K., Vogel, B., et al. (2015). The wellness incentives and navigation project: Design and methods. BMC Health Services Research, 15, 579.

    Article  Google Scholar 

  • Sher, L. (2020). Individuals with untreated psychiatric disorders and suicide in the COVID-19 era. Brazilian Journal of Psychiatry.

  • Sunderland, A., & Findlay, L. C. (2013). Perceived need for mental health care in Canada: results from the 2012 Canadian Community Health Survey-Mental Health.

  • Silverstein, M., Diaz-Linhart, Y., Grote, N., et al. (2017). Patient navigation for depressed mothers in Head Start: A pilot study of intervention mechanism. Journal of Community Psychology, 45(4), 564–570.

    Article  Google Scholar 

  • Toronto Central Local Health Integration Network. (2015). Transitional Aged Youth Mental Health and Addictions (TAYMHA) Advisory Committee Final Report. http://www.torontocentrallhin.on.ca/~/media/sites/tc/TCLHINDocs/Resources/TAYMHAFINALREPORT_Final30June2015.pdf/la=en

  • Waid, J., Halpin, K., & Donaldson, R. (2021). Mental health service navigation: A scoping review of programmatic features and research evidence. Social Work in Mental Health, 19, 1–20.

    Article  Google Scholar 

Download references

Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roula Markoulakis.

Ethics declarations

Conflict of interest

The authors have no relevant financial or non-financial interest to disclose.

Ethical Approval

This is a review study, thus, no ethical approval was required.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mullen, J.N., Levitt, A. & Markoulakis, R. Supporting Individuals with Mental Health and/or Addictions Issues Through Patient Navigation: A Scoping Review. Community Ment Health J 59, 35–56 (2023). https://doi.org/10.1007/s10597-022-00982-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-022-00982-2

Keywords

Navigation