TY - JOUR
KW - Latino
KW - substance use
KW - behavioral health
KW - homelessness
KW - integrated care
KW - Mental Health
AU - A. W. Walter
AU - C. Morocho
AU - D. Chassler
AU - J. Sousa
AU - D. De Jesus
AU - L. Longworth-Reed
AU - E. Stewart
AU - M. Guzman
AU - J. Sostre
AU - A. Linsenmeyer
AU - L. Lundgren
A1 - 
AB - 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.
AD - Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, USA.; Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, USA.; Boston University School of Social Work, Boston, MA, USA.; Boston University School of Social Work, Boston, MA, USA.; Casa Esperanza, Inc., Roxbury, MA, USA.; Butler Institute for Families, Graduate School of Social Work, University of Denver, Denver, CO, USA.; Casa Esperanza, Inc., Roxbury, MA, USA.; Casa Esperanza, Inc., Roxbury, MA, USA.; Boston Health Care for the Homeless Program, Boston, MA, USA.; VA Boston Healthcare System, Boston, MA, USA.; Cross-National Behavioral Health Laboratory, Graduate School of Social Work, University of Denver, Denver, CO, USA.
BT - Ethnicity & health
C5 - Financing & Sustainability; Healthcare Disparities; Opioids & Substance Use
CP - 2
DO - 10.1080/13557858.2019.1685653
IS - 2
JF - Ethnicity & health
LA - eng
M1 - Journal Article
N2 - 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.
PY - 2022
SN - 1465-3419; 1355-7858
SP - 407
EP - 419
EP - 
T1 - Evaluating culturally and linguistically integrated care for Latinx adults with mental and substance use disorders
T2 - Ethnicity & health
TI - Evaluating culturally and linguistically integrated care for Latinx adults with mental and substance use disorders
U1 - Financing & Sustainability; Healthcare Disparities; Opioids & Substance Use
U2 - 31694382
U3 - 10.1080/13557858.2019.1685653
VL - 27
VO - 1465-3419; 1355-7858
Y1 - 2022
Y2 - Feb
ER -