Peer Navigators and Integrated Care to Address Ethnic Health Disparities of People with Serious Mental Illness

Corrigan, Patrick W.; Pickett, Stephanie; Batia, Karen; Michaels, Patrick J.

doi:10.1080/19371918.2014.893854

Cited by 66 publications

(50 citation statements)

References 92 publications

(105 reference statements)

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“…14, 27 Hence, the CBPR team conducting the earlier qualitative study 12 used study results to adapt navigator guidelines for the needs and priorities of African Americans with serious mental illness who were homeless. 28 Here, we report findings from a subsequent RCT comparing the effectiveness of this peer navigator program (PNP) to treatment as usual (TAU). We expected to show people participating in PNP would report improvements in both psychiatric and physical health which would correspond with a better sense of recovery and improved quality of life.…”

mentioning

confidence: 99%

Using Peer Navigators to Address the Integrated Health Care Needs of Homeless African Americans With Serious Mental Illness

Corrigan

Kraus

Pickett

et al. 2017

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Objective Impact of a peer navigator program (PNP) develop by a community based participatory research team was examined on African Americans with serious mental illness who were homeless. Methods Research participants were randomized to PNP or a treatment-as-usual control group for one year. Data on physical and mental health, recovery, and quality of life were collected at baseline, 4, 8 and 12 months. Results Findings from group by trial ANOVAs of omnibus measures of the four constructs showed significant impact over the one year for participants in PNP compared to control described by small to moderate effect sizes. These differences emerged even though both groups showed significant improvements in reduced homelessness and insurance coverage. Conclusions Implications for improving in-the-field health care for this population are discussed. Whether these results occurred because navigators were peers per se needs to be examined in future research.

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confidence: 99%

Using Peer Navigators to Address the Integrated Health Care Needs of Homeless African Americans With Serious Mental Illness

Corrigan

Kraus

Pickett

et al. 2017

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“…Our study showed peer workers serve as co-facilitators, navigators and language interpreters. By helping to serve as an interface between patients and the treatment team, peer leaders contribute to patients’ greater treatment engagement and improved health outcomes [48]. Peer leaders also help to supplement the gaps in services where there is a lack of cultural competency and resources.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study on Primary Care Integration into an Asian Immigrant-specific Behavioural Health Setting in the United States

Saw

2018

Int J Integr Care

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IntroductionIntegrating primary care and behavioural health services improves access to services and health outcomes among individuals with serious mental illness. Integrated care is particularly promising for racial and ethnic minority individuals given higher rates of chronic illnesses and poorer access to and quality of care compared to Whites. However, little is known about integrated care implementation in non-White populations. The aim of this study is to identify facilitators and barriers to successful implementation of primary care-behavioural health integration in a multilingual behavioural healthcare setting.MethodsSeven focus groups and five semi-structured interviews were conducted with 41 patients and 5 providers participating in integrated care in a community mental health clinic in California serving Asian immigrants.ResultsThemes generated from constant comparative analysis suggest limited system-level preconditions and cross-organisational dynamics challenged integrated care. At the same time, changing organisational culture and practice, improving patient-provider and provider-provider communication, and increasing patient involvement enhanced clinical outcomes and facilitated successful implementation.Discussion and conclusionsFindings highlight the importance of patient involvement, peer services and interdisciplinary communication to successfully implement integrated care in the face of linguistic and operational challenges in settings serving multilingual and multicultural patients.

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“…The next step is to use the information herein to develop a peer navigator program and evaluate its effectiveness on the health care needs of this population. The research literature has begun to yield suggestions about the outlines of these programs; 39, 40 one study shows a California version of peer navigators yielded significantly fewer reports of pain and health symptoms after six months compared to a control group. 41 Our CBPR team is combining these insights with findings from the qualitative research herein to develop a peer navigator program for people in Chicago’s Edgewater-Uptown neighborhood.…”

Section: Discussionmentioning

confidence: 99%

Community-based Participatory Research Examining the Health Care Needs of African Americans who are Homeless with Mental Illness

Corrigan¹,

Pickett²,

Kraus³

et al. 2015

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African Americans with mental illness who are homeless experience significant health risks and illnesses leading to high mortality and morbidity rates. A community-based participatory research (CBPR) team conducted a qualitative study to begin to describe these problems. Results from focus groups and key informant interviews of 42 individuals yielded 98 themes which were sorted into three categories: problems, solutions, and peer navigators. Results included a review of the problems and solutions which the community or people might adopt. An additional goal was to understand and develop impact of peer navigators for addressing health problems in this group. Results yielded a list of values in hiring peer navigators as well as skills and resources they might need to successfully do their job. Findings from the study are currently being used by the CBPR team to develop a peer navigator program for this community.

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Peer Navigators and Integrated Care to Address Ethnic Health Disparities of People with Serious Mental Illness

Cited by 66 publications

References 92 publications

Using Peer Navigators to Address the Integrated Health Care Needs of Homeless African Americans With Serious Mental Illness

Using Peer Navigators to Address the Integrated Health Care Needs of Homeless African Americans With Serious Mental Illness

A Qualitative Study on Primary Care Integration into an Asian Immigrant-specific Behavioural Health Setting in the United States

Community-based Participatory Research Examining the Health Care Needs of African Americans who are Homeless with Mental Illness

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