The Impact of a Peer Navigator Program in Addressing the Health Needs of Latinos With Serious Mental Illness

The impact of a peer navigator program (PNP) on efforts to address the health needs of Latinos with serious mental illness was examined in a randomized controlled trial. Latinos with a serious mental illness (N=110) were randomly assigned to the PNP (integrated care with a peer navigator [PN]) or to...

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Veröffentlicht in:Psychiatric services (Washington, D.C.) Jg. 69; H. 4; S. 456
Hauptverfasser: Corrigan, Patrick, Sheehan, Lindsay, Morris, Scott, Larson, Jon E, Torres, Alessandra, Lara, Juana Lorena, Paniagua, Deysi, Mayes, John I, Doing, Susan
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.04.2018
Schlagworte:
Adult
Chicago
Delivery of Health Care, Integrated
Female
Follow-Up Studies
Hispanic Americans - statistics & numerical data
Humans
Male
Mental Disorders - therapy
Mental Health Services - statistics & numerical data
Middle Aged
Outcome and Process Assessment (Health Care) - statistics & numerical data
Patient Navigation - statistics & numerical data
Patient Participation - statistics & numerical data
Peer Group
Quality of Life
Chicago
Mental health systems/hospitals
Hispanics
Public health
ISSN:1557-9700, 1557-9700
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Zusammenfassung:The impact of a peer navigator program (PNP) on efforts to address the health needs of Latinos with serious mental illness was examined in a randomized controlled trial. Latinos with a serious mental illness (N=110) were randomly assigned to the PNP (integrated care with a peer navigator [PN]) or to a treatment-as-usual control group (integrated care without a PN) for one year. Data on service engagement (scheduled and received appointments) were assessed weekly, and self-reports of recovery, empowerment, and quality of life were collected at baseline and at four, eight, and 12 months. Findings from group × trial analyses of covariance (ANCOVAs) found main and interaction effects for scheduled and achieved appointments, showing better engagement for the PNP group compared with the control group over the course of the study. Significant interactions were found for recovery, empowerment, and quality of life, showing greater improvement for the PNP group compared with the control group over year 1 of the study (multivariate ANCOVA; F=3.27, df=9 and 98, p<.01). In-the-field navigation by peers seems to enhance service engagement, recovery, and quality of life. Whether these results occurred because navigators helped overcome barriers to treatment-regardless of whether they were peers per se-needs to be examined in future research.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1557-9700
1557-9700
DOI:10.1176/appi.ps.201700241