Referrals to Community and State Agencies to Address Social Determinants of Health for Improving Mental Health, Functioning, and Quality of Care Outcomes for Diverse Adults.

Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE

Publication: Washington, DC : American Public Health Association
Original Publication: New York [etc.]

Mental Health* ; Stress Disorders, Post-Traumatic*/therapy ; Stress Disorders, Post-Traumatic*/psychology; Adult ; Humans ; Social Determinants of Health ; Employment ; Quality of Health Care

Objectives. To examine whether referral for social determinants of health (SDH) needs decreases psychological distress and posttraumatic stress disorder (PTSD) symptoms and improves level of functioning and quality of care among diverse adults. Methods. Data are from control participants (n = 503 adults) in a randomized controlled trial testing a mental health intervention in North Carolina and Massachusetts. We fitted multilevel mixed-effects models to repeated assessments (baseline, 3, 6, and 12 months) collected between September 2019 and January 2023. Results. After referral to services for trouble paying utility bills, participants reported lower PTSD symptoms. Participants reported better quality of care when receiving referrals to mental health care. After adjusting for income and employment status, we found that participants who were referred more often also had lower PTSD symptoms and better levels of functioning. Conclusions. Referrals for certain SDH needs might decrease PTSD symptoms and improve self-reported quality of care and functioning. However, referrals alone, without ensuring receipt of services, might be insufficient to affect other mental health outcomes. Research is needed on training and providing care managers time for offering interpersonal support, securing services, and understanding agencies' contexts for addressing high SDH needs. ( Am J Public Health . 2024;114(S3):S278-S288. https://doi.org/10.2105/AJPH.2023.307442).

Health Aff (Millwood). 2019 Sep;38(9):1468-1474. (PMID: 31479374)
Am J Public Health. 2019 Apr;109(4):600-606. (PMID: 30789775)
Curr Probl Pediatr Adolesc Health Care. 2019 Jan;49(1):23-30. (PMID: 30595524)
J Am Geriatr Soc. 2005 Mar;53(3):367-73. (PMID: 15743276)
Health Equity. 2022 Jun 24;6(1):454-475. (PMID: 35801145)
Prog Cardiovasc Dis. 2022 Jul-Aug;73:91-93. (PMID: 34560121)
J Prim Care Community Health. 2021 Jan-Dec;12:21501327211024390. (PMID: 34120507)
Am J Public Health. 2022 Nov;112(S9):S887-S891. (PMID: 36265094)
Am J Public Health. 2020 Jul;110(S2):S219-S221. (PMID: 32663083)
Clin Psychol Sci. 2023 Jan;11(1):183-196. (PMID: 36751427)
Int J Integr Care. 2016 Oct 19;16(4):2. (PMID: 28413368)
J Gen Intern Med. 2020 Feb;35(2):481-489. (PMID: 31792864)
BMC Health Serv Res. 2022 Dec 26;22(1):1585. (PMID: 36572882)
Am J Psychiatry. 2022 Jun;179(6):417-421. (PMID: 35599536)
Psychol Trauma. 2020 Jul;12(5):461-464. (PMID: 32525390)
J Am Acad Psychiatry Law. 2014;42(2):173-81. (PMID: 24986344)
Prev Chronic Dis. 2021 Aug 12;18:E78. (PMID: 34387188)
Jt Comm J Qual Improv. 2002 Sep;28(9):510-26. (PMID: 12216348)
Behav Res Ther. 2022 Jul;154:104102. (PMID: 35561644)
Br J Psychiatry. 1974 May;124(0):460-9. (PMID: 4836376)
Ethn Dis. 2021 Jan 21;31(1):47-56. (PMID: 33519155)
Soc Sci Med. 2016 Oct;167:1-10. (PMID: 27592003)
New Dir Child Adolesc Dev. 2019 Sep;2019(167):17-37. (PMID: 31507056)
Psychiatr Serv. 2018 Aug 1;69(8):844-846. (PMID: 29852822)
J Gerontol A Biol Sci Med Sci. 2021 Mar 31;76(4):735-740. (PMID: 33049033)
Prof Case Manag. 2022 Nov-Dec 01;27(6):263-270. (PMID: 36206117)
Soc Sci Med. 2021 Feb;270:113687. (PMID: 33465600)
Behav Res Methods. 2016 Jun;48(2):640-9. (PMID: 25939979)
Public Health Nutr. 2015 Feb;18(2):378. (PMID: 24776217)
J Clin Psychiatry. 1980 Jan;41(1):6-10. (PMID: 7351399)
Am J Prev Med. 2021 Mar;60(3):e139-e147. (PMID: 33309453)
Am J Public Health. 2020 Mar;110(3):309-316. (PMID: 31944837)
Psychol Assess. 2018 Oct;30(10):1267-1276. (PMID: 29792502)
J Soc Pers Relat. 2023 Feb;40(1):201-253. (PMID: 38603371)
Health Serv Res. 2023 Feb;58 Suppl 1:69-77. (PMID: 36214725)

R01 MH117246 United States MH NIMH NIH HHS; R01 MH117247 United States MH NIMH NIH HHS

Date Created: 20231110 Date Completed: 20240329 Latest Revision: 20240904

20250114

PMC10976451

10.2105/AJPH.2023.307442

37948053