4 results on '"Fuentes, Larimar"'
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2. Key stakeholder perspectives on the use of research about supported employment for racially and ethnically diverse patients with mental illness in the United States
- Author
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Zhen-Duan, Jenny, Chary, Anita, NeMoyer, Amanda, Fukuda, Marie, Markle, Sheri Lapatin, Hoyos, Mercedes, Zhang, Liao, Fuentes, Larimar, Perez, Gilberto, Jr., Chambers, Valeria, Rosenthal, Jill, Mention, Najeia, and Alegrfa, Margarita
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Mentally ill -- Social aspects -- Economic aspects -- Demographic aspects ,Mental illness -- Care and treatment -- Forecasts and trends ,Market trend/market analysis ,Business ,Health care industry - Abstract
Objective: To explore how stakeholders responded to research evidence regarding supported employment (e.g., vocational rehabilitation), and ways evidence could be incorporated into policy and action. Data sources: Qualitative data were collected from three stakeholder groups-people with lived experience of mental health challenges, community health advocates, and state health policy makers. Study design: This study consisted of two sequential steps. First, three focus groups were conducted after presenting stakeholder groups (inclusive of 22 participants) with simulation data showing that improvement in employment status had a stronger impact on mental health than improvement in education or income for racially/ethnically diverse groups. Second, with guidance from focus group findings, researchers conducted additional in-depth interviews (n = 19) to gain a deeper understanding of the opportunities and challenges related to incorporating these findings into policy and practice. Data collection/extraction methods: Focus groups and in-depth interviews were conducted, audio recorded, transcribed, and analyzed using a thematic analysis approach. Principal findings: People with lived experience described the positive effect of employment in their own life while highlighting the need to increase workplace accommodations and social supports for those with mental health challenges. Across stakeholder groups, participants emphasized the need for linguistic and cultural competence to promote equity in delivery of supported employment programs. Stakeholders also underscored that centralizing existing resources and using evidence-based approaches are crucial for successful implementation. Conclusion: Implementing effective supported employment programs should focus on meeting the specific needs of target individuals, as many of those needs are not considered in current employment-related programming. Collecting information from diverse users of research demonstrates what other aspects of supported employment are required for the likelihood of successful uptake. Implementation and dissemination efforts need to fortify collaborations and knowledge transfer between stakeholders to optimize supported employment and mental health resources. KEYWORDS dissemination and implementation research, health disparities, health policy, mental health, minoritized groups, people of color, social determinants of health, supported employment What is known on this topic * Social determinants of health, such as education, employment, and income, are important predictors of mental health outcomes and quality of life for people living with mental illness. * Even though evidence-based supported employment programs, such as the Individual Placement and Support program, are effective for sustaining competitive employment among people with serious mental illness, these are often unavailable. * Important stakeholders have little opportunity to weigh in on ways research evidence--such as those related to supported employment--could be translated into policy and practice. What this study adds * Insights about why this supported employment model might need additional revisions (e.g., workplace accommodations, culturally responsive training) to make it feasible for different stakeholders. * Support for the importance of gathering input from many types of stakeholders: three different stakeholder groups had systematically different ways of interpreting the same research evidence, and each group contributes unique insights for improving dissemination. * Concrete examples of structural components that can support Individual Placement and Support services, including fidelity measurement and regular supervision throughout implementation., 1 | INTRODUCTION Scientists have long established how social determinants of health (e.g., education, employment, income, and housing) relate to outcomes and quality of life among people with mental health [...]
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- 2022
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3. 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
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Alegría, Margarita, primary, Cruz-Gonzalez, Mario, additional, Markle, Sheri Lapatin, additional, Falgas-Bague, Irene, additional, Poindexter, Claire, additional, Stein, Gabriela Livas, additional, Eddington, Kari, additional, Martinez Vargas, Abraham Ezequiel, additional, Fuentes, Larimar, additional, Cheng, Michelle, additional, and Shrout, Patrick E., additional
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- 2024
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4. 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.
- Author
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Alegría, Margarita, Cruz-Gonzalez, Mario, Markle, Sheri Lapatin, Falgas-Bague, Irene, Poindexter, Claire, Stein, Gabriela Livas, Eddington, Kari, Martinez Vargas, Abraham Ezequiel, Fuentes, Larimar, Cheng, Michelle, and Shrout, Patrick E.
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TREATMENT of post-traumatic stress disorder ,COMMUNITY support ,PSYCHOTHERAPY ,STATISTICAL models ,REPEATED measures design ,SELF-evaluation ,SOCIAL determinants of health ,MENTAL health ,PSYCHOLOGICAL distress ,CRONBACH'S alpha ,ASIAN Americans ,AFRICAN Americans ,RESEARCH funding ,QUESTIONNAIRES ,MEDICAL case management ,FOOD security ,HISPANIC Americans ,RESIDENTIAL patterns ,TREATMENT effectiveness ,ANXIETY ,LONGITUDINAL method ,RACE ,TRANSPORTATION ,MARITAL status ,QUALITY assurance ,DATA analysis software ,HOUSING stability ,MEDICAL needs assessment ,MEDICAL referrals ,PSYCHOSOCIAL functioning ,MENTAL depression ,POVERTY ,EMPLOYMENT ,EDUCATIONAL attainment ,COMMUNITY-based social services ,ADULTS - Abstract
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) [ABSTRACT FROM AUTHOR]
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- 2023
- Full Text
- View/download PDF
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