“Treated me … like I was family”: Qualitative Evaluation of a Culturally-Adapted Health Care Manager Intervention for Latinos with Serious Mental Illness and at Risk for Cardiovascular Disease

2018 ◽  
Vol 56 (6) ◽  
pp. 1218-1236
Author(s):  
Leopoldo J. Cabassa ◽  
Yamira Manrique ◽  
Quisqueya Meyreles ◽  
Lucia Capitelli ◽  
Richard Younge ◽  
...  

Latinos with serious mental illness (SMI) experience health and health care disparities and may benefit from interventions that improve access to, coordination of, and receipt of primary care services. The aim of this qualitative study was to examine the experiences of Latinos with SMI and at risk for cardiovascular disease participating in Bridges to Better Health and Wellness (B2BHW), a culturally-adapted health care manager intervention delivered in a public outpatient mental health clinic. A total of 29 Latino participants completed a post-intervention survey that included an open-ended question about the three things they liked most about B2BHW; a subset of 16 participants participated in one of three post-intervention focus groups. Results indicate that what mattered most to participants was the health education they received, the positive relationships they formed with their health care managers, the care coordination assistance they obtained, and the motivation and activation they gained from this intervention. Study findings suggest that key elements of the health care manager intervention (e.g., care coordination, and patient activation) shaped participants' experiences with B2BHW and were perceived as beneficial.

Author(s):  
Leopoldo J. Cabassa ◽  
Yamira Manrique ◽  
Quisqueya Meyreles ◽  
David Camacho ◽  
Lucia Capitelli ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Karly A. Murphy ◽  
Arlene Dalcin ◽  
Emma E. McGinty ◽  
Stacy Goldsholl ◽  
Ann Heller ◽  
...  

People with serious mental illness (SMI) have a 2–3-fold higher mortality than the general population, much of which is driven by largely preventable cardiovascular disease. One contributory factor is the disconnect between the behavioral and physical health care systems. New care models have sought to integrate physical health care into primary mental health care settings. However, few examples of successful care coordination interventions to improve health outcomes with the SMI population exist. In this paper, we examine challenges faced in coordinating care for people with SMI and explore pragmatic, multi-disciplinary strategies for overcoming these challenges used in a cardiovascular risk reduction intervention shown to be effective in a clinical trial.


2011 ◽  
Vol 30 (3) ◽  
pp. 261-265 ◽  
Author(s):  
Bernardo Ramirez ◽  
Reid M. Oetjen ◽  
Donna Malvey

2017 ◽  
Vol 24 (2) ◽  
pp. 101-108 ◽  
Author(s):  
Jeannemarie Baker ◽  
Jasmine L. Travers ◽  
Penelope Buschman ◽  
Jacqueline A. Merrill

BACKGROUND: Access to mental health care is a struggle for those with serious mental illness (SMI). About 25% of homeless suffer from SMI, compared with 4.2% of the general population. OBJECTIVE: From 2003 to 2012, St. Paul’s Center (SPC) operated a unique model to provide quality care to the homeless and those at risk for homelessness, incarceration, and unnecessary hospitalization because of SMI. Data were available for analysis for the years 2008 to 2010. DESIGN: The SPC was developed, managed, and staffed by board-certified psychiatric/mental health nurse practitioners, offering comprehensive mental health services and coordinated interventions. RESULTS: All clients were housed and none incarcerated. From 2008 to 2010, only 3% of clients were hospitalized, compared with 7.5% of adults with SMI. Clinical, academic, and community partnerships increased value, but Medicaid reimbursement was not available. CONCLUSION: Mental health provisions in the recently passed 21st Century Cures Act support community mental health specialty treatment. The SPC provides a template for similar nurse practitioner–led models.


2017 ◽  
Vol 68 (3) ◽  
pp. 264-270 ◽  
Author(s):  
Patrick W. Corrigan ◽  
Dana J. Kraus ◽  
Susan A. Pickett ◽  
Annie Schmidt ◽  
Ed Stellon ◽  
...  

2019 ◽  
Author(s):  
John Brekke ◽  
Erin Kelly ◽  
Lei Duana ◽  
Heather Cohena ◽  
Holly Kigera ◽  
...  

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