Peer navigators to promote engagement of homeless African Americans with serious mental illness in primary care
Peer navigators to promote engagement of homeless African Americans with serious mental illness in primary care
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DOI：
10.1016/j.psychres.2017.05.020
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发表时间：
2017-09-01
影响因子：
11.3
通讯作者：
Dubke, Rachel
中科院分区：
文献类型：
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作者：
Corrigan, Patrick W.;Pickett, Susan;Dubke, Rachel
患有严重精神疾病的无家可归的非裔美国人的发病率和死亡率高于单独患有严重精神疾病的成年人。同行导航员，具有相似生活经历的个人，可以帮助这些个人导航医疗保健系统，以提高医疗保健利用率。这项研究检查了同伴导航程序（PNP）是否改善了调度和实现医疗保健预约相比，照常治疗（TAU）在12个月的过程中，包括三个时期在该时间范围内：参与（前三个月），影响（中间六个月）和维护（最后六个月）。结果表明，在研究的前三个月没有变化，在中期六个月期间，与TAU相比，PNP的预定和实现预约的改善显着更大，并且在研究的最后三个月内保持预约变化的改善。这项研究表明，同行导航员可能会为严重精神疾病患者，特别是那些无家可归或来自少数民族的人，提供一个有希望的解决方案，以消除利用医疗保健系统的障碍。
Homeless African Americans with serious mental illness experience higher rates of morbidity and mortality than adults with severe mental illness alone. Peer navigators, individuals with similar lived experiences, may help these individuals navigate the healthcare system to improve healthcare utilization. This study examined whether the Peer Navigator Program (PNP) improved scheduling and achieving healthcare appointments compared to treatment as usual (TAU) over the course of 12 months, including three periods within that timeframe: engagement (first three months), impact (middle six months), and maintenance (final six months). Results indicated no change during the first three months of the study, a significantly greater improvement in scheduled and achieved appointments for PNP compared to TAU during the middle six months, and maintenance of appointment change improvements over the final three months of the study. This research suggests peer navigators may offer a promising solution to barriers in utilizing the healthcare system for people with severe mental illness, especially those who may be homeless or from minority racial groups.