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

Publisher: Informa Healthcare Country of Publication: England NLM ID: 9608374 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1465-3419 (Electronic) Linking ISSN: 13557858 NLM ISO Abbreviation: Ethn Health Subsets: MEDLINE

Publication: London : Informa Healthcare
Original Publication: Abingdon, Oxfordshire ; Cambridge, MA : Carfax, c1996-

Delivery of Health Care, Integrated* ; Ill-Housed Persons* ; Mental Disorders*/epidemiology ; Mental Disorders*/therapy ; Substance-Related Disorders*/epidemiology ; Substance-Related Disorders*/therapy; Adult ; Anxiety ; Humans ; Patient Acceptance of Health Care

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.

Keywords: Latino; Substance use; behavioral health; homelessness; integrated care; mental health

Date Created: 20191108 Date Completed: 20220407 Latest Revision: 20221207

20221213

10.1080/13557858.2019.1685653

31694382