Whole Person Care in Underresourced Communities: Stakeholder Priorities at Long-Term Follow-Up in Community Partners in Care
| Autor: | Kenneth B. Wells, Dmitry Khodyakov, S. Megan Heller, Esmeralda Pulido, Mienah Z. Sharif, Felica Jones, Elizabeth Bromley |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Employment Male Quality management Epidemiology Medically Underserved Area 8.1 Organisation and delivery of services Time 03 medical and health sciences 0302 clinical medicine Nursing Stakeholder Participation Clinical Research Behavioral and Social Science Agency (sociology) Humans 030212 general & internal medicine African Americans Original Report: Achieving Impact: Community Partners in Care and Beyond Depression Social Needs Stakeholder Hispanic or Latino General Medicine Middle Aged Health Services Service provider Quality Improvement Mental health 030227 psychiatry Integrated care Black or African American Mental Health Good Health and Well Being General partnership Needs assessment Public Health and Health Services Female Public Health Psychology Needs Assessment Health Needs Follow-Up Studies Health and social care services research |
| Zdroj: | Ethnicity & disease, vol 28, iss Suppl 2 |
| ISSN: | 1945-0826 1049-510X |
| DOI: | 10.18865/ed.28.s2.371 |
| Popis: | Objective: Depressed individuals may require help from different agencies to address health and social needs, but how such coordination occurs in under-resourced communities is poorly understood. This study sought to identify priorities of Latino and African American depressed clients, explore whether service providers understand client priorities, and describe how providers address them. Methods: Between October 2014 and February 2015, we interviewed 104 clients stratified by depression history and 50 representatives of different programs in health and social community agencies who participated in Community Partners in Care, a cluster-randomized trial of coalition-building approaches to delivering depression quality improvement programs. Clients were queried about their most pressing needs; program representatives identified their clients’ needs and explained how they addressed them. Results: Physical and mental health were clients’ top priorities, followed by housing, caring for and building relationships with others, and employment. While persistently depressed clients prioritized mental health, those with improved depression prioritized relationships with others. Program representatives identified housing, employment, mental health, and improving relationships with others as clients’ top priorities. Needs assessment, client-centered services, and linkages to other agencies were main strategies used to address client needs. Conclusion: Depressed clients have multiple health and social needs, and program representatives in under-resourced communities understand the complexity of clients’ needs. Agencies rely on needs assessment and referrals to meet their clients’ needs, which enhances the importance of agency partnership in “whole person” initiatives. Our results illustrate agency capacity to adopt integrated care models that will address clients’ multiple needs through multi-sector collaboration and describe potential strategies to help reach the goal of whole person care. Ethn Dis. 2018;(Suppl 2): 371- 380; doi:10.18865/ed.28.S2.371. |
| Databáze: | OpenAIRE |
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