TY - JOUR
KW - Adult
KW - African Americans
KW - Community Mental Health Centers/organization & administration
KW - Cultural Competency/organization & administration
KW - Female
KW - Hispanic Americans
KW - Humans
KW - Male
KW - Mental Disorders/therapy
KW - Middle Aged
KW - Patient Satisfaction
KW - Patient-Centered Care/organization & administration
KW - Peer Group
KW - Quality of Life
KW - Socioeconomic Factors
AU - J. Tondora
AU - M. O'Connell
AU - R. Miller
AU - T. Dinzeo
AU - C. Bellamy
AU - R. Andres-Hyman
AU - L. Davidson
A1 - 
AB - BACKGROUND: Providing culturally competent and person-centered care is at the forefront of changing practices in behavioral health. Significant health disparities remain between people of color and whites in terms of care received in the mental health system. Peer services, or support provided by others who have experience in the behavioral health system, is a promising new avenue for helping those with behavioral health concerns move forward in their lives. PURPOSE: We describe a model of peer-based culturally competent person-centered care and treatment planning, informed by longstanding research on recovery from serious mental illness used in a randomized clinical trial conducted at two community mental health centers. METHODS: Participants all were Latino or African American with a current or past diagnosis within the psychotic disorders spectrum as this population is often underserved with limited access to culturally responsive, person-centered services. Study interventions were carried out in both an English-speaking and a Spanish-speaking outpatient program at each study center. Interventions included connecting individuals to their communities of choice and providing assistance in preparing for treatment planning meetings, all delivered by peer-service providers. Three points of evaluation, at baseline, 6 and 18 months, explored the impact of the interventions on areas such as community engagement, satisfaction with treatment, symptom distress, ethnic identity, personal empowerment, and quality of life. CONCLUSIONS: Lessons learned from implementation include making cultural modifications, the need for a longer engagement period with participants, and the tension between maintaining strict interventions while addressing the individual needs of participants in line with person-centered principles. The study is one of the first to rigorously test peer-supported interventions in implementing person-centered care within the context of public mental health systems.
BT - Clinical trials (London, England)
C5 - Healthcare Disparities
CP - 4
CY - England
DO - 10.1177/1740774510369847
IS - 4
JF - Clinical trials (London, England)
N2 - BACKGROUND: Providing culturally competent and person-centered care is at the forefront of changing practices in behavioral health. Significant health disparities remain between people of color and whites in terms of care received in the mental health system. Peer services, or support provided by others who have experience in the behavioral health system, is a promising new avenue for helping those with behavioral health concerns move forward in their lives. PURPOSE: We describe a model of peer-based culturally competent person-centered care and treatment planning, informed by longstanding research on recovery from serious mental illness used in a randomized clinical trial conducted at two community mental health centers. METHODS: Participants all were Latino or African American with a current or past diagnosis within the psychotic disorders spectrum as this population is often underserved with limited access to culturally responsive, person-centered services. Study interventions were carried out in both an English-speaking and a Spanish-speaking outpatient program at each study center. Interventions included connecting individuals to their communities of choice and providing assistance in preparing for treatment planning meetings, all delivered by peer-service providers. Three points of evaluation, at baseline, 6 and 18 months, explored the impact of the interventions on areas such as community engagement, satisfaction with treatment, symptom distress, ethnic identity, personal empowerment, and quality of life. CONCLUSIONS: Lessons learned from implementation include making cultural modifications, the need for a longer engagement period with participants, and the tension between maintaining strict interventions while addressing the individual needs of participants in line with person-centered principles. The study is one of the first to rigorously test peer-supported interventions in implementing person-centered care within the context of public mental health systems.
PP - England
PY - 2010
SN - 1740-7753; 1740-7745
SP - 368
EP - 379
EP - 
T1 - A clinical trial of peer-based culturally responsive person-centered care for psychosis for African Americans and Latinos
T2 - Clinical trials (London, England)
TI - A clinical trial of peer-based culturally responsive person-centered care for psychosis for African Americans and Latinos
U1 - Healthcare Disparities
U2 - 20571133
U3 - 10.1177/1740774510369847
VL - 7
VO - 1740-7753; 1740-7745
Y1 - 2010
ER -