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

Mullen, Jennifer; Levitt, Anthony J.; Markoulakis, Roula

doi:10.1007/s10597-022-00982-2

Cited by 13 publications

(13 citation statements)

References 46 publications

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“…25 26 Navigation is increasingly being used as a support for people needing to access care in the MHA system. [27][28][29] The MHA system is fragmented, with numerous barriers and unclear pathways that can leave individuals unsupported. 30 31 While there are often many services available, pathways to and through the most appropriate care are unclear.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“… 22 Navigation is highly scalable and spreadable, in that it is inherently flexible and adaptive to various individual needs, systemic contexts and local settings. 28 In this way, navigation also aligns with the Quadruple Aim in healthcare, a framework that promotes the advancement of healthcare quality in four domains: improved patient experience, reduced costs, better outcomes and improved provider experience. 45 Although navigation can be of particular importance for youth and their families, models, practices and approaches vary, and existing evidence has not yet been consolidated into a comprehensive set of standards.…”

Section: Introductionmentioning

confidence: 99%

“…Navigation is increasingly being used as a support for people needing to access care in the MHA system 27–29. The MHA system is fragmented, with numerous barriers and unclear pathways that can leave individuals unsupported 30 31.…”

Section: Introductionmentioning

confidence: 99%

“…To this end, an essential objective of navigation services includes enhancing access to and transition through the healthcare system 22. Navigation is highly scalable and spreadable, in that it is inherently flexible and adaptive to various individual needs, systemic contexts and local settings 28. In this way, navigation also aligns with the Quadruple Aim in healthcare, a framework that promotes the advancement of healthcare quality in four domains: improved patient experience, reduced costs, better outcomes and improved provider experience 45.…”

Section: Introductionmentioning

confidence: 99%

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Navigation for youth mental health and addictions: protocol for a realist review and synthesis of approaches and practices (The NavMAP standards project)

et al. 2022

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IntroductionMental health and/or addiction (MHA) concerns affect approximately 1.2 million children and youth in Canada, yet less than 20% receive appropriate treatment for these concerns. Youth who do not receive appropriate support may disengage from care and may experience lasting MHA issues. Families of these youth also support them in finding and accessing care. Thus, system supports are needed to help youth and their families find and equitably access appropriate care. Navigation is an innovation in MHA care, providing patient-centred support and care planning that helps individuals and families overcome barriers to care. Despite the increasing availability of navigation services for youth with MHA concerns, practices and models vary, and no single source has synthesised evidence regarding approaches and outcomes for this population into comprehensive standards.Methods and analysisThe proposed research will bring together evidence in youth MHA navigation, to establish this important system support as a factor that can enhance the integration and continuity of care for these youth. Our team, which includes researchers, administrators, clinical leads, an MHA navigator and youth and caregivers with lived experience, will be involved in all project stages. Realist Review and Synthesis methodology will be used, the stages of which include: defining scope, searching for evidence, appraising studies and extracting data, synthesising evidence and developing conclusions, and disseminating findings.Ethics and disseminationEthics approval is not required, as the study involves review of existing data. Dissemination plans include scientific publications and conferences and online products for stakeholders and the general public.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Navigation for youth mental health and addictions: protocol for a realist review and synthesis of approaches and practices (The NavMAP standards project)

et al. 2022

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“…The use of incentives has been specifically useful for engaging people who use drugs and/or alcohol [38,39]. PN strategies can help individuals with layered and complex mental health and/or addictions overcome barriers to obtaining services from various, and often fragmented, systems [40,41].…”

Section: Introductionmentioning

confidence: 99%

Differential Effects of Patient Navigation across Latent Profiles of Barriers to Care among People Living with HIV and Comorbid Conditions

Traynor

Schmidt

Gooden

et al. 2022

JCM

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Engaging people living with HIV who report substance use (PLWH-SU) in care is essential to HIV medical management and prevention of new HIV infections. Factors associated with poor engagement in HIV care include a combination of syndemic psychosocial factors, mental and physical comorbidities, and structural barriers to healthcare utilization. Patient navigation (PN) is designed to reduce barriers to care, but its effectiveness among PLWH-SU remains unclear. We analyzed data from NIDA Clinical Trials Network’s CTN-0049, a three-arm randomized controlled trial testing the effect of a 6-month PN with and without contingency management (CM), on engagement in HIV care and viral suppression among PLWH-SU (n = 801). Latent profile analysis was used to identify subgroups of individuals’ experiences to 23 barriers to care. The effects of PN on engagement in care and viral suppression were compared across latent profiles. Three latent profiles of barriers to care were identified. The results revealed that PN interventions are likely to be most effective for PLWH-SU with fewer, less severe healthcare barriers. Special attention should be given to individuals with a history of abuse, intimate partner violence, and discrimination, as they may be less likely to benefit from PN alone and require additional interventions.

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Linking Primary Care to Community-Based Mental Health Resources via Family Navigation and Phone-Based Care Coordination

Godoy,

Williams,

Druskin

et al. 2024

J Clin Psychol Med Settings

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

Cited by 13 publications

References 46 publications

Navigation for youth mental health and addictions: protocol for a realist review and synthesis of approaches and practices (The NavMAP standards project)

Navigation for youth mental health and addictions: protocol for a realist review and synthesis of approaches and practices (The NavMAP standards project)

Differential Effects of Patient Navigation across Latent Profiles of Barriers to Care among People Living with HIV and Comorbid Conditions

Linking Primary Care to Community-Based Mental Health Resources via Family Navigation and Phone-Based Care Coordination

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