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Evaluating culturally and linguistically integrated care for Latinx adults with mental and substance use disorders.

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Title: Evaluating culturally and linguistically integrated care for Latinx adults with mental and substance use disorders.
Authors: Walter, Angela Wangari, Morocho, Cesar, Chassler, Deborah, Sousa, Jessica, De Jesús, Diliana, Longworth-Reed, Laricia, Stewart, Emily, Guzman, Micaurys, Sostre, Jocelyn, Linsenmeyer, Andrew, Lundgren, Lena
Source: Ethnicity & Health. Feb 2022, Vol. 27 Issue 2, p407-419. 13p. 4 Charts.
Subjects: Mental illness treatment, Substance abuse treatment, Evaluation of medical care, Statistics, Confidence intervals, Hispanic Americans, Multivariate analysis, Behavior therapy, Primary health care, Medical care use, T-test (Statistics), Descriptive statistics, Integrated health care delivery, Homelessness, Data analysis software, Odds ratio, Data analysis, Logistic regression analysis, Adults
Abstract: Objective: To evaluate changes in health and health care utilization outcomes for Latinx adults with substance use and mental disorders receiving integrated behavioral and primary health care. Design: Study sample included enrollees who completed baseline, 6-month and 12-month assessments (n = 107). Study outcomes were depression symptom severity, anxiety symptom severity, illicit drug use, emergency department utilization and homelessness status. Pre–post analyses were conducted using paired t-test and McNemar test to examine changes in study outcomes. Multivariable regression model estimated through generalized estimating equations explored the influence of the intervention on study outcomes. Results were presented in adjusted odds ratios (AOR) and 95% confidence intervals (CI). Results: Participants were less likely to report depressive symptoms (AOR: 0.496, 95%CI: 0.296–0.832), less likely to report anxiety symptoms (AOR: 0.539, 95%CI: 0.329–0.884), and less likely to experience homelessness (AOR: 0.556, 95%CI: 0.328–0.943) at 6-month assessment compared to baseline. Participants were also less likely to report depressive symptoms (AOR: 0.378, 95%CI: 0.209–0.684), less likely to report anxiety symptoms (AOR: 0.471, 95%CI: 0.270–0.821), less likely to experience homelessness (AOR: 0.333, 95%CI: 0.189–0.587), and less likely to utilize the emergency department in the past 30 days (AOR: 0.397, 95%CI: 0.188–0.837) at 12-month assessment compared to baseline. Conclusions: Integrating culturally responsive behavioral and primary health care services is critical for addressing the needs of Latinx adults with mental and substance use disorders, and other chronic diseases. This initiative has the potential to reduce disparities in access to and engagement in care for Latinx adults. [ABSTRACT FROM AUTHOR]
Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Evaluating culturally and linguistically integrated care for Latinx adults with mental and substance use disorders.
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  Data: <searchLink fieldCode="AR" term="%22Walter%2C+Angela+Wangari%22">Walter, Angela Wangari</searchLink><br /><searchLink fieldCode="AR" term="%22Morocho%2C+Cesar%22">Morocho, Cesar</searchLink><br /><searchLink fieldCode="AR" term="%22Chassler%2C+Deborah%22">Chassler, Deborah</searchLink><br /><searchLink fieldCode="AR" term="%22Sousa%2C+Jessica%22">Sousa, Jessica</searchLink><br /><searchLink fieldCode="AR" term="%22De+Jesús%2C+Diliana%22">De Jesús, Diliana</searchLink><br /><searchLink fieldCode="AR" term="%22Longworth-Reed%2C+Laricia%22">Longworth-Reed, Laricia</searchLink><br /><searchLink fieldCode="AR" term="%22Stewart%2C+Emily%22">Stewart, Emily</searchLink><br /><searchLink fieldCode="AR" term="%22Guzman%2C+Micaurys%22">Guzman, Micaurys</searchLink><br /><searchLink fieldCode="AR" term="%22Sostre%2C+Jocelyn%22">Sostre, Jocelyn</searchLink><br /><searchLink fieldCode="AR" term="%22Linsenmeyer%2C+Andrew%22">Linsenmeyer, Andrew</searchLink><br /><searchLink fieldCode="AR" term="%22Lundgren%2C+Lena%22">Lundgren, Lena</searchLink>
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  Label: Abstract
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  Data: Objective: To evaluate changes in health and health care utilization outcomes for Latinx adults with substance use and mental disorders receiving integrated behavioral and primary health care. Design: Study sample included enrollees who completed baseline, 6-month and 12-month assessments (n = 107). Study outcomes were depression symptom severity, anxiety symptom severity, illicit drug use, emergency department utilization and homelessness status. Pre–post analyses were conducted using paired t-test and McNemar test to examine changes in study outcomes. Multivariable regression model estimated through generalized estimating equations explored the influence of the intervention on study outcomes. Results were presented in adjusted odds ratios (AOR) and 95% confidence intervals (CI). Results: Participants were less likely to report depressive symptoms (AOR: 0.496, 95%CI: 0.296–0.832), less likely to report anxiety symptoms (AOR: 0.539, 95%CI: 0.329–0.884), and less likely to experience homelessness (AOR: 0.556, 95%CI: 0.328–0.943) at 6-month assessment compared to baseline. Participants were also less likely to report depressive symptoms (AOR: 0.378, 95%CI: 0.209–0.684), less likely to report anxiety symptoms (AOR: 0.471, 95%CI: 0.270–0.821), less likely to experience homelessness (AOR: 0.333, 95%CI: 0.189–0.587), and less likely to utilize the emergency department in the past 30 days (AOR: 0.397, 95%CI: 0.188–0.837) at 12-month assessment compared to baseline. Conclusions: Integrating culturally responsive behavioral and primary health care services is critical for addressing the needs of Latinx adults with mental and substance use disorders, and other chronic diseases. This initiative has the potential to reduce disparities in access to and engagement in care for Latinx adults. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13557858.2019.1685653
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      – Code: eng
        Text: English
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      – SubjectFull: Mental illness treatment
        Type: general
      – SubjectFull: Substance abuse treatment
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Statistics
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      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Hispanic Americans
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      – SubjectFull: Multivariate analysis
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      – SubjectFull: Behavior therapy
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      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: T-test (Statistics)
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Integrated health care delivery
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      – SubjectFull: Homelessness
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      – SubjectFull: Data analysis software
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      – SubjectFull: Odds ratio
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      – SubjectFull: Data analysis
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Adults
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              Text: Feb 2022
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