1
|
Perez LG, Cardenas C, Blagg T, Wong EC. Partnerships Between Faith Communities and the Mental Health Sector: A Scoping Review. Psychiatr Serv 2024:appips20240077. [PMID: 39354812 DOI: 10.1176/appi.ps.20240077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/03/2024]
Abstract
OBJECTIVE Faith communities are increasingly providing services to address the mental health needs of their congregations and communities. However, many feel limited in their capacity to address serious illness and experience challenges to collaborating with the mental health sector. To inform the development of faith community-mental health sector partnerships, the authors conducted a scoping review to assess the characteristics and evidence base of partnership approaches to addressing mental health needs. METHODS A search of four databases identified peer-reviewed articles published between 2010 and 2023 on faith community-mental health sector partnerships in the United States. RESULTS In total, 37 articles representing 32 unique partnerships were reviewed. Most partnerships (N=19) used multicomponent approaches, particularly involving training the faith community (N=18), mental health education for the broader community (N=14), and direct counseling (N=11). Many partnerships (N=14) focused on African American communities. Partnerships that included an evaluation component (N=20) showed promising findings for improving mental health symptoms, mental health literacy, stigma, and referrals, among other outcomes. Several articles reported facilitators (e.g., support from faith leaders and reciprocal relationships and equal power) and barriers (e.g., limited time and funding and differing interests and attitudes) to developing partnerships. CONCLUSIONS The findings highlight how faith communities can be a critical partner in providing services across the continuum of mental health care and reveal the need for more rigorous evaluations of the effectiveness, feasibility, and sustainability of these partnerships. The results also identify strategies that may facilitate the development and strengthening of future faith community-mental health partnerships.
Collapse
Affiliation(s)
- Lilian G Perez
- RAND, Santa Monica, California (Perez, Wong); Pardee RAND Graduate School, Santa Monica, California (Cardenas, Blagg)
| | - Cristian Cardenas
- RAND, Santa Monica, California (Perez, Wong); Pardee RAND Graduate School, Santa Monica, California (Cardenas, Blagg)
| | - Tara Blagg
- RAND, Santa Monica, California (Perez, Wong); Pardee RAND Graduate School, Santa Monica, California (Cardenas, Blagg)
| | - Eunice C Wong
- RAND, Santa Monica, California (Perez, Wong); Pardee RAND Graduate School, Santa Monica, California (Cardenas, Blagg)
| |
Collapse
|
2
|
Oluwoye O, Nagendra A, Kriegel LS, Anglin DM, Santos MM, López SR. Reorienting the focus from an individual to a community-level lens to improve the pathways through care for early psychosis in the United States. SSM - MENTAL HEALTH 2023; 3:100209. [PMID: 37475775 PMCID: PMC10355221 DOI: 10.1016/j.ssmmh.2023.100209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/08/2023] Open
Abstract
The implementation of coordinated specialty care in the U.S. over the past decade has led to the improvements of clinical and functional outcomes among individuals in the early stages of psychosis. While there have been advancements in the delivery of early intervention services for psychosis, it has almost exclusively focused on short-term change at the individual level. In light of these advancements, research has identified gaps in access to care and delivery of services that are driven by different levels of determinants and have the biggest impact on historically excluded groups (e.g., ethnoracial minoritized communities). Interventions or efforts that place an emphasis on community level (structural or sociocultural) factors and how they may influence pathways to care and through care, specifically for those who have been historically excluded, have largely been missing from the design, dissemination and implementation of early psychosis services. The present paper uses a structural violence framework to review current evidence related to pathways to care for early psychosis and the physical/built environment and conditions (e.g., urbanicity, residential instability) and formal and informal community resources. Suggestions on future directions are also provided, that focus on enriching communities and creating sustainable change that spans from pathways leading to care to 'recovery.' In all, this lays the groundwork for a proposed paradigm shift in research and practice that encompasses the need for an emphasis on structural competency and community-driven approaches.
Collapse
Affiliation(s)
- Oladunni Oluwoye
- Elson S. Floyd College of Medicine, Washington State University, Spokane 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA
| | - Arundati Nagendra
- Center of Excellence in Psychosocial and Systemic Research, Massachusetts General Hospital/Harvard Medical School, 151 Merrimac Street, Floor 6, Boston, MA, 02114, USA
| | - Liat S. Kriegel
- Elson S. Floyd College of Medicine, Washington State University, Spokane 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA
| | - Deidre M. Anglin
- City University of New York, Department of Psychology, 160 Convent Ave, NAC Building, Room 7/120, New York, NY, 10031, USA
| | - Maria M. Santos
- Department of Psychology, California State University, San Bernardino, 5500 University Parkway, San Bernardino, CA, 92407, USA
| | - Steven R. López
- Department of Psychology, University of Southern California, Seeley G. Mudd Room 501, 3620 S. McClintock, Los Angeles, CA, 90089, USA
| |
Collapse
|
3
|
Wong EC, Torres VN, Martinez MO, Han B, Vue M, Derose KP. A parish-based multilevel cluster randomized controlled trial to reduce stigma and mental health treatment disparities among Latino communities. Contemp Clin Trials 2023; 125:107080. [PMID: 36621595 PMCID: PMC9918710 DOI: 10.1016/j.cct.2023.107080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 12/21/2022] [Accepted: 01/03/2023] [Indexed: 01/06/2023]
Abstract
Latino communities within the U.S. are disproportionately affected by persistent, high levels of untreated mental illness. Limited mental health literacy, stigma, and cultural factors are major contributors to Latino mental health treatment disparities. Although Latino individuals may be reluctant to seek out mental health professionals, they often rely on religious congregations when confronted with mental illness. However, religious congregations report major obstacles to collaborating with the mental health sector including the lack of mental health training, staffing, and resources. Strategic partnerships between religious congregations and community-based organizations can be leveraged to target sources of Latino mental health treatment disparities. The National Alliance on Mental Illness (NAMI), the nation's largest grassroots mental health organization, has developed a host of programs tailored to the different needs and segments of the community affected by mental illness, including programs designed to address culturally diverse and faith-based communities. This cluster-randomized controlled trial leverages the collective resources of NAMI and the Diocese of San Bernardino to deliver and evaluate the effectiveness of a multi-level, parish-based, intervention to decrease stigma, increase mental health literacy, and improve access to mental health services among Latino parishioners. This study will enroll 1400 participants from 14 parishes that will be randomly assigned to receive the intervention immediately or a wait-list control condition. The intervention could enrich awareness of mental health issues, shape norms about mental illness, facilitate treatment access, and add support from religious congregations to target Latino mental health disparities using culturally and faith-based tailored approaches.
Collapse
Affiliation(s)
- Eunice C Wong
- RAND Corporation, 1776 Main Street, Santa Monica, CA 90407, United States.
| | - Vanessa N Torres
- RAND Corporation, 1776 Main Street, Santa Monica, CA 90407, United States; University of Massachusetts, Department of Health Promotion & Policy, School of Public Health and Health Sciences, 306 Arnold House, 715 N. Pleasant Street, Amherst, MA 01003, United States.
| | - Mario O Martinez
- Cedars-Sinai, Cancer Research Center for Health Equity, 700 N. San Vicente Blvd., PDC Green Bldg., 5th Floor, Suite G-599, West Hollywood, CA 90069, United States.
| | - Bing Han
- Diocese of San Bernardino, Office of Marriage & Family Life Ministry, 1201 E. Highland Avenue, San Bernardino, CA 92404, United States.
| | - Melen Vue
- Kaiser Permanente Research and Evaluation, 100 S Los Robles Ave #2, Pasadena, CA 91101, United States.
| | - Kathryn P Derose
- RAND Corporation, 1776 Main Street, Santa Monica, CA 90407, United States; NAMI California, Vice President of Programs and Services, 425 University Avenue, #200, Sacramento, CA 95825, United States.
| |
Collapse
|
4
|
Gearing RE, Washburn M, Brewer KB, Yu M, Bjugstad A, Torres LR. Predictors of Help-Seeking for Mental Health Treatment Among Latinos. J Racial Ethn Health Disparities 2022:10.1007/s40615-022-01370-y. [DOI: 10.1007/s40615-022-01370-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 07/04/2022] [Accepted: 07/11/2022] [Indexed: 10/17/2022]
|
5
|
Garcia NM, Colombo Eiff A, Lopez-Esteban A, Zoellner L. Cultural Considerations for Treating PTSD in Latinx Sexual Assault Survivors With Prolonged Exposure. COGNITIVE AND BEHAVIORAL PRACTICE 2022. [DOI: 10.1016/j.cbpra.2021.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
6
|
Schmidt K. Helping Hispanics Surmount Hurdles in Mental Health Care. J Christ Nurs 2021; 38:11. [PMID: 33284208 DOI: 10.1097/cnj.0000000000000780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Affiliation(s)
- Karen Schmidt
- Karen Schmidt, BA, RN, is lead nurse at Safe Harbor Free Clinic in Stanwood, WA, where she serves many Hispanic clients. She is a contributing editor with the Journal of Christian Nursing
| |
Collapse
|
7
|
Caplan S. Intersection of Cultural and Religious Beliefs About Mental Health: Latinos in the Faith-Based Setting. HISPANIC HEALTH CARE INTERNATIONAL 2020; 17:4-10. [PMID: 30799650 DOI: 10.1177/1540415319828265] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Hispanics/Latinos utilize mental health care at a rate that is about half that of non-Hispanic Whites. Stigma and cultural and religious values play a significant role in mental health care utilization disparities. The purpose of this study was to explore beliefs about mental illness among Latino faith-based communities. METHODS A qualitative approach was used to explore perceptions of mental illness that were elicited during "El Buen Consejo," a mental health literacy intervention delivered within three faith-based settings. RESULTS Participants were socialized to believe that persons with mental illness were dangerous, out of control, and suffering from an incurable illness that resulted in rejection and ostracism. Most families would deny the existence of depression and mental illness, unless symptoms greatly interfered with daily functioning or were life-threatening. Religious coping such as prayer, and faith in God, were believed to be protective factors. Causal attributions for depression were both biomedical and religious, such as lack of faith, not praying, demons, and sinful behaviors of parents. CONCLUSION Latinos rely upon churches as a major social, educational, and spiritual resource. The cultural values among Latinos can be a source of strength but also contribute to stigma. The faith-based community is an important target for mental health literacy and antistigma interventions.
Collapse
Affiliation(s)
- Susan Caplan
- 1 Rutgers University, The State University of New Jersey, Newark, NJ, USA
| |
Collapse
|
8
|
Haldane V, Singh SR, Srivastava A, Chuah FLH, Koh GCH, Chia KS, Perel P, Legido-Quigley H. Community involvement in the development and implementation of chronic condition programmes across the continuum of care in high- and upper-middle income countries: A systematic review. Health Policy 2019; 124:419-437. [PMID: 31837832 DOI: 10.1016/j.healthpol.2019.11.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Revised: 11/10/2019] [Accepted: 11/29/2019] [Indexed: 10/25/2022]
Abstract
BACKGROUND Community involvement is an important component of health programme development and implementation, including those focused on chronic condition treatment and management. Yet, few studies explore the manifestations of community involvement in chronic care programmes. Our review aims to examine the evidence on how communities are involved in planning and implementing chronic condition programmes in high and upper-middle income countries. METHODS Eligible studies included those that involved the community in the planning, implementation, monitoring and evaluation of health services, policy or health interventions. We searched Medline, Embase, Global Health, Scopus, and LILACs from 2000 to 2016, independently screened articles for inclusion, conducted data extraction, and assessed studies for risk of bias. RESULTS 27,232 records were identified and after screening, 32 met inclusion criteria. We conducted a narrative synthesis to report on the forms and processes of community involvement used across mental health programmes and contrast this with the paucity of evidence on comparable programmes addressing other chronic conditions. Challenges reported included user factors, organisational factors, and social challenges such as stigma. CONCLUSION Our review adds to the evidence supporting community involvement in chronic condition management and the processes that contribute to successful and sustainable involvement. We report on a model, derived from inductive analysis, that considers social and cultural components, organisational factors and stakeholder relationships as underpinning the development of community interventions across the care continuum.
Collapse
Affiliation(s)
- Victoria Haldane
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2 #10-01, Tahir Foundation Building, 117549, Singapore
| | - Shweta R Singh
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2 #10-01, Tahir Foundation Building, 117549, Singapore
| | - Aastha Srivastava
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2 #10-01, Tahir Foundation Building, 117549, Singapore
| | - Fiona L H Chuah
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2 #10-01, Tahir Foundation Building, 117549, Singapore
| | - Gerald C H Koh
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2 #10-01, Tahir Foundation Building, 117549, Singapore
| | - Kee Seng Chia
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2 #10-01, Tahir Foundation Building, 117549, Singapore
| | - Pablo Perel
- London School of Hygiene and Tropical Medicine, London, WC1H 9SH, UK; World Heart Federation, Geneva, Switzerland
| | - Helena Legido-Quigley
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2 #10-01, Tahir Foundation Building, 117549, Singapore; London School of Hygiene and Tropical Medicine, WC1H 9SH, UK; Department of Nursing and Physiotherapy, University of Lleida, Spain.
| |
Collapse
|
9
|
Benuto LT, Gonzalez F, Reinosa-Segovia F, Duckworth M. Mental Health Literacy, Stigma, and Behavioral Health Service Use: the Case of Latinx and Non-Latinx Whites. J Racial Ethn Health Disparities 2019; 6:1122-1130. [DOI: 10.1007/s40615-019-00614-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2019] [Revised: 06/28/2019] [Accepted: 07/02/2019] [Indexed: 11/24/2022]
|
10
|
King DM, Donley T, Mbizo J, Higgins M, Langaigne A, Middleton EJ, Stokes-Williams C. The Use of a Community-Based Preconception Peer Health Educator Training Intervention to Improve Preconception Health Knowledge. J Racial Ethn Health Disparities 2019; 6:686-700. [PMID: 30838558 DOI: 10.1007/s40615-019-00567-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2018] [Revised: 01/03/2019] [Accepted: 01/25/2019] [Indexed: 12/22/2022]
Abstract
This paper highlights the use of an adapted Office of Minority Health (OMH) Preconception Health Peer Educator program to address persistent infant mortality health disparities. The community-based Attack Infant Mortality (AIM Escambia) initiative was established to increase preconception health knowledge among African American women at risk for adverse birth outcomes. Participants (N = 122) attended a 6-h AIM peer educator training, completed pretest and posttest questionnaires about their health knowledge, health attitudes, and planned engagement in health behaviors. Study results support the use of preconception health education training to inform health knowledge, health attitudes, and planned health sharing behaviors. Multidisciplinary collaborations and targeted interventions should be considered when seeking to improve community health conditions and increase health knowledge and health literacy for minority populations.
Collapse
Affiliation(s)
- Dione Moultrie King
- Department of Social Work, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
| | - Tiffany Donley
- Department of Population Health, NYU Langone Health, New York, NY, 10016, USA
| | - Justice Mbizo
- Usha Kundu, MD College of Health, Department of Public Health, University of West Florida, Pensacola, FL, 32514, USA
| | - Melody Higgins
- School of Social Work, University of Alabama, Tuscaloosa, AL, 35487, USA
| | - Anika Langaigne
- Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, 33199, USA
| | - Erica Jordan Middleton
- Department of Psychological Health & Learning Sciences, University of Houston, Houston, TX, 77004, USA
| | - Charu Stokes-Williams
- Family Medicine Residency Clinic, 55th Medical Group, United States Air Force, 2501 Capehart Rd, Bellevue, NE, 68113, USA
| |
Collapse
|
11
|
Caplan S, Little TV, Reyna P, Sosa Lovera A, Garces-King J, Queen K, Nahar R. Mental health services in the Dominican Republic from the perspective of health care providers. Glob Public Health 2016; 13:874-898. [PMID: 27568727 DOI: 10.1080/17441692.2016.1213308] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This study examines mental health services in five different regions of the Dominican Republic (DR) from the perspectives of health care providers. The purpose of this research was to (1) examine existing mental health care services; (2) identify barriers to treatment and mental health services delivery; and (3) explore potential strategies to improve mental health services delivery. Thirty-seven health care workers including physicians, nurses, psychologists, governmental administrators, and non-governmental community health workers were part of five focus groups and subsequent follow-up interviews. Transcripts were coded and analysed to obtain the most parsimonious categories of themes. Results indicated that there is insufficient funding allocated to mental health. The unreliable distribution of psychiatric medications precludes care for patients with severe chronic mental illness. Stigmatising attitudes among health care providers influences the quality of care. The prevalence of domestic violence is a significant public health problem contributing to mental illness. In conclusion, our study findings call for a re-examination of priority public health foci, with special attention to mental health and domestic violence in the DR. From a policy perspective, mental health care should be integrated into primary care and coupled with provider and patient education to reduce stigma. A social determinants approach could ameliorate systemic factors contributing to mental illness.
Collapse
Affiliation(s)
- Susan Caplan
- a School of Nursing, Rutgers, The State University of New Jersey , New Brunswick , NJ , USA
| | - Tariana V Little
- b College of Liberal Arts , University of Massachusetts Boston , Boston , MA , USA
| | - Patricia Reyna
- c Department of Mental Health , Ministry of Public Health , Santo Domingo , Dominican Republic
| | - Angelina Sosa Lovera
- c Department of Mental Health , Ministry of Public Health , Santo Domingo , Dominican Republic
| | | | - Kaila Queen
- e Rutgers Robert Wood Johnson Medical School , New Brunswick , NJ , USA
| | - Ritu Nahar
- e Rutgers Robert Wood Johnson Medical School , New Brunswick , NJ , USA
| |
Collapse
|
12
|
Caplan S. A Pilot Study of a Novel Method of Measuring Stigma about Depression Developed for Latinos in the Faith-Based Setting. Community Ment Health J 2016; 52:701-9. [PMID: 27085546 DOI: 10.1007/s10597-016-0005-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2015] [Accepted: 04/07/2016] [Indexed: 10/21/2022]
Abstract
In order to understand the effects of interventions designed to reduce stigma about mental illness, we need valid measures. However, the validity of commonly used measures is compromised by social desirability bias. The purpose of this pilot study was to test an anonymous method of measuring stigma in the community setting. The method of data collection, Preguntas con Cartas (Questions with Cards) used numbered playing cards to conduct anonymous group polling about stigmatizing beliefs during a mental health literacy intervention. An analysis of the difference between Preguntas con Cartas stigma votes and corresponding face-to-face individual survey results for the same seven stigma questions indicated that there was a statistically significant differences in the distributions between the two methods of data collection (χ(2) = 8.27, p = 0.016). This exploratory study has shown the potential effectiveness of Preguntas con Cartas as a novel method of measuring stigma in the community-based setting.
Collapse
Affiliation(s)
- Susan Caplan
- School of Nursing, Rutgers University, The State University of New Jersey, 228 Ackerson Hall, 180 University Avenue, Newark, NJ, 07102, USA.
| |
Collapse
|