Integrated Health Care for Latino Immigrants and Refugees: What Do They Need?

Lanesskog, Deirdre; Piedra, Lissette M

doi:10.1007/978-3-319-42533-7_2

Cited by 5 publications

(3 citation statements)

References 30 publications

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“…A syndemic approach calls for identifying risk and protective factors connecting these conditions and developing integrated interventions to simultaneously address them (Singer, 2000). Greater integration of SAVAME prevention and treatment services for Latino immigrants is critical to reduce the impact of the syndemic on this group (Bridges et al, 2014;Lanesskog & Piedra, 2016). Identifying SAVAME services and community resources available to Latino immigrants and the extent which they are accessible, adequate, and integrated across SAVAME issues represents a rst step to that end.…”

Section: Introductionmentioning

confidence: 99%

Provider Perceptions of Availability, Accessibility, and Adequacy of Health and Behavioral Services for Latino Immigrants: A Qualitative Study

Martinez-Donate,

Dsouza,

Cuellar

et al. 2022

Preprint

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Objective Latino populations in the United States are disproportionately affected by substance use, HIV/AIDS, violence, and mental health issues (SAVAME). A growing body of evidence demonstrates the syndemic nature of SAVAME and the need for integrated strategies to reduce their impact. This study sought to understand the network of SAVAME services for Latino immigrants in a mid-Atlantic city to inform future interventions for SAVAME prevention and mitigation. Methodology: Key informant interviews (N = 30) were conducted with providers working in Latino-serving organizations providing SAVAME services. Interviews were analyzed using thematic coding and grounded theory. Results Latino-serving providers perceived a large need for, but important limitations in the availability, accessibility, and adequacy of SAVAME services for Latino immigrants. Gaps were seen as especially acute for mental health and substance use services, partly because of insufficient funding for these services. Latino immigrants’ lack of health insurance, immigration status, limited English proficiency (LEP), stigma surrounding SAVAME issues, and limited knowledge of available services were identified as significant barriers preventing access to services. Providers noted that scarcity of well-trained, culturally competent, and ethnically concordant providers reduced the adequacy of SAVAME services for Latino immigrant clients. The small size, low levels of infrastructure, and limited capacity were reported as additional factors limiting the ability of many Latino-serving organizations to adopt a syndemic approach in the prevention and treatment of SAVAME services. Conclusions The results call for changes in the structure of funding streams and communitywide strategies to foster collaboration across SAVAME providers working with Latino immigrant clients.

show abstract

Section: Introductionmentioning

confidence: 99%

Provider Perceptions of Availability, Accessibility, and Adequacy of Health and Behavioral Services for Latino Immigrants: A Qualitative Study

Martinez-Donate,

Dsouza,

Cuellar

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…A syndemic approach calls for identifying risk and protective factors connecting these conditions and developing integrated interventions to simultaneously address them [11]. Greater integration of SAVAME prevention and treatment services for Latino immigrants is critical to reduce the impact of the syndemic on this group [12,13]. Identifying SAVAME services and community resources available to Latino immigrants and the extent to which they are accessible, adequate, and integrated across SAVAME issues represents a first step to that end.…”

Section: Introductionmentioning

confidence: 99%

Provider perceptions of availability, accessibility, and adequacy of health and behavioral services for Latino immigrants in Philadelphia: a qualitative study

et al. 2022

View full text Add to dashboard Cite

Objective Latino populations in the United States are disproportionately affected by substance use, HIV/AIDS, violence, and mental health issues (SAVAME). A growing body of evidence demonstrates the syndemic nature of SAVAME and the need for integrated strategies to reduce their impact. This study sought to understand the network of SAVAME services for Latino immigrants in Philadelphia to inform future interventions for SAVAME prevention and mitigation. Methodology Key informant interviews (N = 30) were conducted with providers working in Latino-serving organizations providing SAVAME services. Interviews were analyzed using thematic coding and grounded theory. Results Latino-serving providers perceived a large need for, and important limitations in the availability, accessibility, and adequacy of SAVAME services for Latino immigrants. Gaps were seen as especially acute for mental health and substance use services, partly because of insufficient funding for these services. Latino immigrants’ lack of health insurance, immigration status, limited English proficiency (LEP), stigma surrounding SAVAME issues, and limited knowledge of available services were identified as significant barriers preventing access to services. Providers noted that scarcity of well-trained, culturally competent, and ethnically concordant providers reduced the adequacy of SAVAME services for Latino immigrant clients. The small size, low levels of infrastructure, and limited capacity were reported as additional factors limiting the ability of many Latino-serving organizations to adopt a syndemic approach in the prevention and treatment of SAVAME services. Conclusions The results call for changes in the structure of funding streams and communitywide strategies to foster collaboration across SAVAME providers working with Latino immigrant clients.

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“…Rather than merely placing physical and behavioral health clinicians in the same setting, integrated care encourages multidisciplinary teams’ cooperation in the creation of assessments, interventions, and the delivery of services. Therefore, integrating mental health services into primary care settings and into addiction services helps address barriers associated with referrals, transportation, cost, and the difficulties associated with scheduling various services at multiple locations [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

The Affordable Care Act: policy predictors of integrated care between Hispanic-serving and mainstream mental health organizations

Rosales

Calvo

2021

BMC Health Serv Res

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Background The Patient Protection and Affordable Care Act increased funding for integrated care to improve access to quality health care among underserved populations. There is evidence that integrated care decreases inequities in access and quality of mental health care among Hispanic clients. Increasing integrated care at Hispanic-Serving Organizations may help to eliminate mental health service disparities among Hispanic clients. Method Using organizational responses from the 2014 and 2016 waves of the National Mental Health Service survey, this study conducted multivariate logistic analyses to assess whether the ACA policies related to integrated care increased the provision of integrated addictions treatment and primary care at mental health Hispanic-Serving Organizations, relative to Mainstream Organizations. Results Findings showed that Hispanic-Serving Organizations (54.4%) were less likely to provide integrated health services than Mainstream Organizations (59.1%) after the ACA. However, federal funding to help organizations transition into integrated care services (AOR = 1.74, p = 0.01) and accepting Medicaid payments (AOR = 1.59, p = 0.01) increased the provision of integrated care services at Hispanic-Serving Organizations over time. Conclusions Health care policies that increase funding to adopt integrated health services at community Hispanic-Serving Organizations may help decrease inequities in mental health access for Hispanics in the United States.

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Integrated Health Care for Latino Immigrants and Refugees: What Do They Need?

Cited by 5 publications

References 30 publications

Provider Perceptions of Availability, Accessibility, and Adequacy of Health and Behavioral Services for Latino Immigrants: A Qualitative Study

Provider Perceptions of Availability, Accessibility, and Adequacy of Health and Behavioral Services for Latino Immigrants: A Qualitative Study

Provider perceptions of availability, accessibility, and adequacy of health and behavioral services for Latino immigrants in Philadelphia: a qualitative study

The Affordable Care Act: policy predictors of integrated care between Hispanic-serving and mainstream mental health organizations

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