Impact of peer Support on Health Services and Social Disparities Among Minority Youth with SMI

同伴支持对患有 SMI 的少数族裔青年的卫生服务和社会差异的影响

• 批准号: 9899755
• 负责人: VICTORIA D OJEDA
• 金额: $ 59.01万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-20 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9899755
• 关键词: Address; Administrator; Adult; African American; Age; Alcohol or Other Drugs use; Area; Asses; California; Client; Communities; Cost Analysis; Cost Savings; County; Data; Development; Educational Status; Effectiveness; Emergency medical service; Empathy; Employment; Ethnic group; Exhibits; Face; Feeling suicidal; Focus Groups; Funding; Goals; Group Interviews; Health; Health Services; Health Services Accessibility; Health system; Healthcare; Homelessness; Housing; Imprisonment; Improve Access; Income; Individual; Inpatients; Intervention; Interview; Justice; Latino; Link; Los Angeles; Mental Depression; Mental Health; Mental Health Services; Mentors; Mentorship; Methods; Minority; Outcome; Perception; Policy Maker; Population; Poverty; Provider; Quality of Care; Race; Recommendation; Research; Resources; Self Efficacy; Services; Social support; Suicide attempt; Surveys; System; Taxes; Time; Treatment outcome; Trust; Underserved Population; Unemployment; Youth; cost; disparity reduction; effectiveness testing; evidence base; evidence based guidelines; experience; foster care; health care service; health disparity; health service use; improved; interest; minority health; outpatient programs; peer; peer support; preference; programs; racial and ethnic disparities; severe mental illness; social; social disparities; treatment comparison; unintended pregnancy; virtual

Project Summary/Abstract This mixed methods study aims to assess whether peer-support reduces disparities in mental health service utilization and social outcomes among transitional age youth (TAY) age 16-24 with severe mental illness (SMI). TAY with SMI face extraordinary challenges in their transition to adulthood and exhibit lower levels of educational attainment, and higher rates of unemployment, poverty, unplanned pregnancy, substance use, homelessness, and justice system involvement than TAY without SMI. These disparities are exacerbated among minority TAY. Therefore, there is a great need for evidence-based, culturally tailored interventions that effectively link TAY to resources that can improve their mental health and social outcomes. The 2004 California Mental Health Services Act funded hundreds of new TAY-specific programs; while TAY peer support services are now pervasive in mental health programs, evidence regarding their effectiveness for TAY with SMI is largely lacking. Therefore, this study aims to (1) Estimate quantitatively whether the use of peer support reduces racial / ethnic disparities in mental health services and social outcomes among TAY living with SMI; (2) Identify quantitatively which types or combinations of peer supports are most effective at improving mental health services and social outcomes and reducing racial / ethnic disparities among TAY; (3) Estimate the additional mental health service costs or cost savings associated with providing peer support services to TAY; (4) Qualitatively elucidate TAY clients’ and peer providers’ perceptions of how TAY peer support relates to mental health services and social outcomes disparities; and (5) Qualitatively characterize barriers and facilitators to the use of TAY peer support by TAY program managers and county administrators. To meet these aims, we will survey TAY programs (N=140), analyze five years of administrative data to assess costs or cost-savings associated with using peer support services (N=8,800, Aims 1-3) and conduct small group interviews with TAY peer providers (n=30-40), focus groups with TAY clients (n=60-80), and individual interviews with as TAY program managers (n=20) and county administrators (n=6-10) (Aims 4 and 5). This study leverages a major system redesign in California’s mental health system and aims to rigorously study a large-scale implementation of TAY peer support services. Findings will help providers and policy-makers make informed decisions about the effectiveness of peer support in reducing disparities among minority TAY living with SMI and enable us to make recommendations on potential best-practices in the use of TAY peer supports.

项目总结/文摘

项目成果

Roles of peer specialists and use of mental health services among youth with serious mental illness.

• DOI: 10.1111/eip.13036
• 发表时间: 2021-08
• 期刊: EARLY INTERVENTION IN PSYCHIATRY
• 影响因子: 2
• 作者: Ojeda, Victoria D.;Jones, Nev;Munson, Michelle R.;Berliant, Emily;Gilmer, Todd P.
• 通讯作者: Gilmer, Todd P.

Clients' Perspectives Regarding Peer Support Providers' Roles and Support for Client Access to and Use of Publicly Funded Mental Health Programs Serving Transition-Age Youth in Two Southern California Counties.

客户对同伴支持提供者的角色以及对客户访问和使用为南加州两个县的过渡年龄青年提供服务的公共资助心理健康项目的支持的看法。

• DOI: 10.1007/s11414-022-09792-6
• 发表时间: 2022-07
• 期刊: JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH
• 影响因子: 1.9
• 作者: Hiller-Venegas, Sarah;Gilmer, Todd P.;Jones, Nev;Munson, Michelle R.;Ojeda, Victoria D.
• 通讯作者: Ojeda, Victoria D.

The Availability of Peer Support and Disparities in Outpatient Mental Health Service Use Among Minority Youth with Serious Mental Illness.

• DOI: 10.1007/s10488-020-01073-8
• 发表时间: 2021-03
• 期刊: Administration and policy in mental health
• 作者: Ojeda VD;Munson MR;Jones N;Berliant E;Gilmer TP
• 通讯作者: Gilmer TP