A mental health intervention strategy for low-income, trauma-exposed Latina immigrants in primary care: A preliminary study.

Kaltman, Stacey; Mendoza, Alejandra Hurtado de; Serrano, Adriana; Gonzales, Felisa A.

doi:10.1037/ort0000157

Cited by 37 publications

(34 citation statements)

References 73 publications

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“…Single interventions described for community-based mental health services pertained to the training of (future) healthcare workers and cultural brokering [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , …”

Section: Resultsmentioning

confidence: 99%

“…In terms of “cultural brokering” [ 12 ], community peers [ 17 , 18 , 19 , 20 , 21 ], bilingual gatekeepers [ 22 ], and ethnic matching of therapists and patients [ 13 , 24 ] were identified. Complex interventions constitute school-based programs to screen (and sometimes, also to treat) children and adolescents from migrant and refugee communities for mental health problems [ 16 , 25 , 26 , 27 , 28 , 29 ], mental health promotion in community day centers [ 30 , 31 ], and by community organizations [ 32 , 33 ] and various other community-based mental health services [ 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. Screening tools for psychosocial risk assessments were also used [ 20 , 42 , 43 ].…”

Section: Resultsmentioning

confidence: 99%

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Community-Based Healthcare for Migrants and Refugees: A Scoping Literature Review of Best Practices

et al. 2020

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Background: Strengthening community-based healthcare is a valuable strategy to reduce health inequalities and improve the integration of migrants and refugees into local communities in the European Union. However, little is known about how to effectively develop and run community-based healthcare models for migrants and refugees. Aiming at identifying the most-promising best practices, we performed a scoping review of the international academic literature into effective community-based healthcare models and interventions for migrants and refugees as part of the Mig-HealthCare project. Methods: A systematic search in PubMed, EMBASE, and Scopus databases was conducted in March 2018 following the PRISMA methodology. Data extraction from eligible publications included information on general study characteristics, a brief description of the intervention/model, and reported outcomes in terms of effectiveness and challenges. Subsequently, we critically assessed the available evidence per type of healthcare service according to specific criteria to establish a shortlist of the most promising best practices. Results: In total, 118 academic publications were critically reviewed and categorized in the thematic areas of mental health (n = 53), general health services (n = 36), noncommunicable diseases (n = 13), primary healthcare (n = 9), and women’s maternal and child health (n = 7). Conclusion: A set of 15 of the most-promising best practices and tools in community-based healthcare for migrants and refugees were identified that include several intervention approaches per thematic category. The elements of good communication, the linguistic barriers and the cultural differences, played crucial roles in the effective application of the interventions. The close collaboration of the various stakeholders, the local communities, the migrant/refugee communities, and the partnerships is a key element in the successful implementation of primary healthcare provision.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Community-Based Healthcare for Migrants and Refugees: A Scoping Literature Review of Best Practices

et al. 2020

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“…The acceptability of the intervention may have been enhanced by the availability of transport and free childcare. Earlier studies showed lack of transport to be a reason for drop outs [26, 49, 50]. Similarly, free crèche service was provided in a room adjacent to the PHP group intervention room, mothers were free to go and check their children as they pleased.…”

Section: Discussionmentioning

confidence: 99%

Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study

et al. 2019

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BackgroundBritish Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression.MethodsA mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme.ResultsA culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported.ConclusionThis study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers.Trial registrationStudy ethics registration number: 10/H1005/62 (University of Manchester).

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“…The PCL has good reliability and validity with structured interviews for PTSD (Blanchard et al, 1996), and it has been used in studies of Latino immigrants (Eisenman et al, 2008; Fortuna et al, 2008; Kaltman et al, 2017, under review). Presumptive PTSD was defined by a score ≥ 30 (National Center for PTSD, 2014).…”

Section: Methodsmentioning

confidence: 99%

“…This investigation consisted of a follow-up of patients in a previous/parent study addressing the effectiveness of a collaborative care program (Kaltman, Watson, Campoli, Serrano, Kirkpatrick, Talisman, Mete, and Green, 2017, Evaluation of behavioral health services in primary care clinics serving low-income Latino immigrants, under review). The parent study was implemented in two clinics that are part of a network of primary care clinics providing care to low-income uninsured county residents in Maryland.…”

Section: Study Backgroundmentioning

confidence: 99%

Knowledge and Preferences Regarding Antidepressant Medication Among Depressed Latino Patients in Primary Care

Green¹,

Watson²,

Kaltman³

et al. 2017

J Nerv Ment Dis

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US Latinos are less likely to utilize mental health services than non-Latino Whites, and to take antidepressant medication. This mixed-method study followed a subset (N=28) of a research sample of depressed Latino immigrant primary care patients with a telephone interview to study their knowledge about and experiences with antidepressant medications. Most (82%) reported taking medication for two months or more, and 75% reported feeling better, while over half reported side effects. Most (61%) agreed that antidepressants are generally safe, and helpful in treating depression (68%); however, many believed they could be addictive (39%). Fifty percent of patients who discontinued their medication did not inform their providers. Twelve of the 28 patients also participated in focus groups about interactions with providers and made suggestions for conveying information about antidepressants. Patients suggested videos as a format to disseminate medication information since they do not require written comprehension. Other patient recommendations are presented.

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A mental health intervention strategy for low-income, trauma-exposed Latina immigrants in primary care: A preliminary study.

Cited by 37 publications

References 73 publications

Community-Based Healthcare for Migrants and Refugees: A Scoping Literature Review of Best Practices

Community-Based Healthcare for Migrants and Refugees: A Scoping Literature Review of Best Practices

Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study

Knowledge and Preferences Regarding Antidepressant Medication Among Depressed Latino Patients in Primary Care

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