Community-based participatory development of a community health worker mental health outreach role to extend collaborative care in post-Katrina New Orleans.
Ethn Dis
; 21(3 Suppl 1): S1-45-51, 2011.
Article
em En
| MEDLINE
| ID: mdl-22352080
ABSTRACT
OBJECTIVES:
The REACH NOLA Mental Health Infrastructure and Training Project (MHIT) aimed to reduce disparities in access to and quality of services for depression and posttraumatic stress disorder (PTSD) in post-Katrina New Orleans by developing a mental health outreach role for community health workers (CHWs) and case managers as a complement to the collaborative care model for depression treatment. INTERVENTION Community agency leaders, academics, healthcare organizations, and CHWs engaged in a community participatory process to develop a CHW training program.DESIGN:
A review of qualitative data including semi-structured interviews, project team conference calls, email strings, and meeting minutes was conducted to document CHW input into training and responses to implementation.RESULTS:
CHW contributions resulted in a training program focused on community engagement, depression screening, education, referral assistance, collaboration with clinical teams, and self-care. CHWs reported use of screening tools, early client successes in spite of challenges with client engagement, increase in networking and collaboration with other community agencies and providers, and ongoing community hurricane recovery issues.CONCLUSIONS:
This intervention development approach and model may be used to address post-disaster mental health disparities and as a complement to traditional implementation of collaborative care.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Agentes Comunitários de Saúde
/
Relações Comunidade-Instituição
/
Serviços Comunitários de Saúde Mental
/
Disparidades em Assistência à Saúde
/
Pesquisa Participativa Baseada na Comunidade
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Ethn Dis
Assunto da revista:
CIENCIAS SOCIAIS
/
SAUDE PUBLICA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos