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

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2024-01-24 DOI:10.1007/s10880-023-09987-9

Leandra Godoy, Renee Williams, Lindsay Druskin, Hailey Fleece, Sujatha Bergen, Gail Avent, Adelaide Robb, Matthew G Biel, Lawrence S Wissow, Lee Savio Beers, Melissa Long

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Abstract

Family navigation (FN) and phone-based care coordination may improve linkages from primary care to community-based mental health referrals, but research on their differential impact is limited. This mixed-methods study compared FN and phone-based care coordination in connecting families to mental health services from primary care. Families of children (56.3% male, mean age = 10.4 years, 85.4% Black) were sequentially assigned to either receive FN through a family-run organization or phone-based coordination via the child psychiatry access program (CPAP). Caregiver-reported children's mental health improved in both groups and both groups were satisfied with services. More families in the CPAP group had appointments made or completed (87%) than families in the FN group (71%) though the difference was not statistically significant. Future research with a larger sample that matches family needs and preferences (e.g., level and type of support) with navigation services would be beneficial.

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通过家庭导航和电话护理协调，将初级保健与社区心理健康资源联系起来。

家庭导航（FN）和基于电话的护理协调可以改善从初级保健到社区心理健康转介的联系，但关于它们的不同影响的研究却很有限。这项混合方法研究比较了家庭导航和电话护理协调在将家庭从初级医疗机构转介到心理健康服务方面的作用。儿童家庭（56.3% 为男性，平均年龄 = 10.4 岁，85.4% 为黑人）被依次分配到通过家庭运营组织接受家庭网络服务或通过儿童精神科就医计划（CPAP）接受电话协调服务。据护理人员报告，两组儿童的心理健康状况都有所改善，而且两组都对服务感到满意。与 FN 组（71%）相比，CPAP 组中预约或完成预约的家庭更多（87%），但差异在统计上并不显著。未来的研究将使用更多的样本，以便将家庭的需求和偏好（如支持的程度和类型）与导航服务相匹配。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.