Meeting the mental health needs of low‐income immigrants in primary care: A community adaptation of an evidence‐based model.

Kaltman, Stacey; Pauk, Jennifer; Alter, Carol L.

doi:10.1111/j.1939-0025.2011.01125.x

Cited by 27 publications

(22 citation statements)

References 57 publications

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“…It is not known whether such approaches are feasible for community-based FQHCs that serve as the main system of care for these populations, which include a high proportion of minorities, including Latinos, other non-English speaking populations, and high levels of uninsured or publicly insured patients [43, 44]. Collaborative care interventions may be adapted and implemented to address the needs of those with PTSD in cost-effective ways [62] and may include psycho-education, hybrid treatments, psycho-pharmacology, and systems-level interventions that integrate mental health treatment into primary care settings [45]. …”

Section: Discussionmentioning

confidence: 99%

“…We used these materials, in part, because they are available in both English and Spanish. The second component, dissemination of non-medical community resources, includes the provision of locally-tailored information based on previously established FQHC referral linkages and facilitating new linkages [62-65]. We researched and identified resources for both English-speaking and Spanish-speaking patients and our resource directory included service agencies that focused on Latinos’ needs (i.e., immigration, English as a second language).…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Design of the Violence and Stress Assessment (ViStA) study: A randomized controlled trial of care management for PTSD among predominantly Latino patients in safety net health centers

Meredith

Eisenman

Green

et al. 2014

Contemporary Clinical Trials

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Posttraumatic stress disorder (PTSD) is a common problem in primary care. Although effective treatments are available, little is known about whether such treatments are effective within the context of Federally Qualified Health Centers (FQHCs) that serve as national “safety nets” for providing primary care for low income and underinsured patients. The Violence and Stress Assessment (ViStA) study is the first randomized controlled trial (RCT) to test the impact of a care management intervention for treating PTSD in FQHCs. To develop a PTSD management intervention appropriate for lower resource FQHCs and the predominantly Latino patients they serve, formative work was conducted through a collaborative effort between researchers and an FQHC practice-based research network. This article describes how FQHC stakeholders were convened to review, assess, and prioritize evidence-based strategies for addressing patient, clinician, and system-level barriers to care. This multi-component care management intervention incorporates diagnosis with feedback, patient education and activation; navigation and linkage to community resources; clinician education and medication guidance; and structured cross-disciplinary communication and continuity of care, all facilitated by care managers with FQHC experience. We also describe the evaluation design of this five-year RCT and the characteristics of the 404 English or Spanish speaking patients enrolled in the study and randomized to either the intervention or to usual care. Patients are assessed at baseline, six months, and 12 months to examine intervention effectiveness on PTSD, other mental health symptoms, health-related quality-of-life, health care service use; and perceived barriers to care and satisfaction with care.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Design of the Violence and Stress Assessment (ViStA) study: A randomized controlled trial of care management for PTSD among predominantly Latino patients in safety net health centers

Meredith

Eisenman

Green

et al. 2014

Contemporary Clinical Trials

Self Cite

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“…Some trials have only been published to date as study designs or pilot trials [53,54], but may soon add relevant findings.…”

Section: Resultsmentioning

confidence: 99%

Psychological interventions for posttraumatic stress disorder involving primary care physicians: systematic review and Meta-analysis of randomized controlled trials

et al. 2020

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Background: Evidence-based psychological interventions for posttraumatic stress disorder (PTSD) are available in specialized settings, but adequate care in primary care is often lacking. The aim of this systematic review was to determine the effectiveness of psychological interventions for PTSD involving primary care physicians (PCPs) and to characterize these interventions as well as their providers. Method: A systematic review and meta-analyses of randomized controlled trials (RCTs). Primary outcome were symptoms of PTSD. Results: Four RCTs with a total of 774 patients suffering from PTSD symptoms were included, all applying cognitive behavioural based interventions. Three studies with psychological interventions being conducted by case managers were pooled in a meta-analysis. Interventions were not effective in the short term (0-6 months; SMD, − 0.1; 95% CI, − 0.24-0.04; I 2 = 0%). Only two studies contributed to the meta-analysis for long term (12-18 months) outcomes yielding a small effect (SMD, − 0.23; 95% CI, − 0.38-0.08; I 2 = 0%). Conclusions: Psychological interventions for PTSD in primary care settings may be effective in the long term but number and quality of included studies was limited so the results should be interpreted with caution.

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“…The literature described access to treatment, time limitations, basic needs unmet, cultural barriers, resistance to medication, cost of service, language barrier and limited transportation. Access to treatment includes financial and insurance barriers to receive mental health services in low socioeconomic status populations (Kaltman, Pauk, & Alter, 2011;Ryan et al, 2014). Across all settings, patient attendance was limited due to employment and financial inability to take time out of the day to seek treatment (Chong & Moreno, 2012;Dwight-Johnson et al, 2011).…”

Section: Review Of Literaturementioning

confidence: 99%

CBPR Pilot Intervention: Understanding Social Health Determinants of Mental Health in Rural Latinos

Bunting

Stacciarini

2019

UFJUR

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The purpose of this study is to identify challenges and facilitators for interventions on determinants of mental health in the literature and to analyze themes and coping strategies of psychosocial health determinants described by rural Latinos in a church-based intervention. This study was a review of literature and secondary data analysis of an arm of a larger Community-Based Participatory Research (CBPR) on the mental well-being of rural Latinos in North Florida - a CBPR pilot intervention. It was developed to respond to and prevent social stressors by creating a space where rural Latinos can help one another by sharing their experiences; empowering people to address health determinants that affect their well-being. All data from the pilot intervention was thematically analyzed using NVivo11. Psychosocial determinants of mental health identified in the CBPR intervention were: social environment factors (discrimination, family conflict, social isolation, undocumented status) and health services (uninsured & poor health literacy). Positive coping strategies described by rural Latinos were: avoiding conflictive relationships, alternative medicine, exercise, family & peer support, health education, community social support, instillation of hope, learn English, spirituality and religiosity. Negative coping strategies described were: categorical thinking, isolation, substance abuse.

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Meeting the mental health needs of low‐income immigrants in primary care: A community adaptation of an evidence‐based model.

Cited by 27 publications

References 57 publications

Design of the Violence and Stress Assessment (ViStA) study: A randomized controlled trial of care management for PTSD among predominantly Latino patients in safety net health centers

Design of the Violence and Stress Assessment (ViStA) study: A randomized controlled trial of care management for PTSD among predominantly Latino patients in safety net health centers

Psychological interventions for posttraumatic stress disorder involving primary care physicians: systematic review and Meta-analysis of randomized controlled trials

CBPR Pilot Intervention: Understanding Social Health Determinants of Mental Health in Rural Latinos

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