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Integrated care and patient navigators for Latinos with serious mental illness
Investigator (PI): Corrigan, Patrick
Performing Organization (PO): (Current): Illinois Institute of Technology, Lewis College of Human Sciences, Department of Psychology / (312) 567-3500
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2014
Final Year: 2018
Record Source/Award ID: PCORI/AD-1306-01419
Funding: Total Award Amount: $1,610,611
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Abstract: Latinos with serious mental illnesses have an inordinately high rate of physical illness leading to a significantly shortened life. One reason is difficulty in engaging this disenfranchised group in primary care. Integrated services through community-based outreach and care coordination are an innovative and evidence-based practice that improves their physical health. Unfortunately, social determinants of health for Latinos are often a barrier to participation in integrated care. Peer navigators offer a strategy that might help members of this group here. Peer navigators, in this study, are Latinos with past history of serious mental illness specially trained to guide and support the target population. The program will be developed through community-based participatory research (CBPR) representing a hands-on partnership between investigators and a community advisory board made up of patient partners. Given this, we aim to do the following: (1) develop a peer navigator program meant to enhance the impact of already existing integrated services for Latinos with serious mental illness; (2) using an experimental design, test the impact of peer navigators, compared to existing integrated services alone, on engagement of Latinos with serious mental illness in primary care services. This includes indices of care seeking, appointments, and satisfaction with engagement. We expect these indices to be higher in the group with peer navigators; and (3) determine the comparative impact of peer navigators versus integrated-care-as-usual on subsequent health. We expect to show physical health to improve with the greater engagement observed in the peer navigator group. We expect a similar improvement in mental health and quality of life as physical health concerns are diminished. This proposal represents the partnership between researchers from the Center on Adherence and Self-Determination (an NIMH-funded center dedicated to understanding service engagement among people with serious mental illness and their health care system) and Heartland Health Centers, a federally qualified health center serving low-income people on Chicago's Northside. Consistent with other projects, we will develop a community advisory board to conduct CBPR and complete a mixed-methods research project to inform the peer navigator program. Based on a power-analysis, we will recruit 100 Latinos with serious mental illness who will complete baseline measures of physical health, mental health, service use and engagement in the previous year, quality of life, and current housing/employment status. They will then be randomized to an existing integrated care program for the homeless with or without peer navigators for one year. Measures will be repeated at 4, 8, and 12 months.
MeSH Terms:
  • Chicago
  • Community Health Services /organization & administration
  • Community-Based Participatory Research
  • Delivery of Health Care, Integrated
  • Hispanic Americans
  • Homeless Persons
  • Humans
  • Mental Disorders /*ethnology
  • /*therapy
  • Patient Compliance
  • Patient Navigation /*methods
  • Peer Group
  • Quality of Life
  • United States
Country: United States
State: Illinois
Zip Code: 60616
UI: 20143394
CTgovId: NCT02469714
Project Status: Completed
Record History: ('2018: Project extended to 2018.',)