Community Health Workers Deliver Mental Health Intervention to Uninsured Latinx in Baltimore: Evaluation and Lessons Learned in a Pilot Program.

IF 0.8 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Monica Guerrero Vazquez, Jin Hui Joo, Suzanne M Dolwick Grieb, Marzena Maksym, Katherine Phillips, Rheanna Platt, Rohanit Singh, Cecilia Suarez, Veronica Torres, SangEun Yeom, Sarah Polk
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Abstract

Background: Implementation of evidence-based interventions to reduce depression among uninsured Latinx patients who are at high risk of depression are rare.

Objectives: Our goal was to evaluate Strong Minds, a language and culturally tailored, evidence-based intervention adapted from cognitive behavioral therapy (CBT) for mild-moderate depression and anxiety, delivered by community health workers (CHWs) in Spanish to uninsured Latinx immigrants.

Methods: As part of the pilot, 35 participants, recruited from a free community primary care clinic, completed Strong Minds. Assessments and poststudy interviews were conducted. Paired t-tests were used to assess change of depressive symptoms at 3 and 6 months.

Lessons learned: CHW delivery of depression care to this population was feasible and among those who completed the program, preliminary evidence of depression outcomes suggests potential benefit. CHWs had specific training and support needs related to mental health care delivery.

Conclusions: Further implementation studies of depression care interventions using CHWs for underserved Latinx is needed.

社区保健工作者为巴尔的摩没有保险的拉丁裔提供心理健康干预:试点项目的评估和经验教训。
背景:在没有医疗保险的拉美裔高危人群中,实施循证干预措施以减少抑郁症的发生并不多见:我们的目标是评估 "强心"(Strong Minds),这是一种根据语言和文化定制的循证干预措施,改编自认知行为疗法(CBT),用于治疗轻度-中度抑郁和焦虑,由社区保健工作者(CHWs)用西班牙语向未参保的拉丁裔移民提供:作为试点项目的一部分,从一家免费社区初级保健诊所招募的 35 名参与者完成了 "强心 "项目。进行了评估和研究后访谈。使用配对 t 检验来评估抑郁症状在 3 个月和 6 个月后的变化:经验总结:社区保健工作者为这一人群提供抑郁治疗是可行的,在完成项目的人群中,抑郁治疗结果的初步证据表明可能会带来益处。社区保健工作者在提供心理保健服务方面需要特殊的培训和支持:结论:需要进一步开展研究,利用社区保健工作者为服务不足的拉丁裔人群提供抑郁症护理干预。
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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CiteScore
1.30
自引率
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65
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