CRISOL Mente: A Multilevel Community Intervention to Reduce Mental Health Disparities Among Latinos

Summary

Latinos in the U.S. experience significant disparities in access to mental health services due to lack of health insurance, language barriers, low availability of bilingual providers, mental health stigma, and fear of deportation. There is an urgent need to identify low-cost, culturally appropriate interventions to reduce mental health disparities among this population. This project will address that need by implementing and testing CRISOL Mente, a multi-level, culturally-congruent community intervention to improve the mental health of the Latino population in Philadelphia.

Conditions

• Depression, Unipolar
• Anxiety Disorders
• Post Traumatic Stress Disorder

Interventions

OTHER

Outreach/navigator

* Conduct outreach activities with people in the community who are hard to reach and with limited access to health care, conduct informal screening for symptoms of mental illnesses, encourage and refer individuals at-risk, suspected of having, or affected by mental health issues to clinics for triage. * Document outreach, screening, and referral activities in LHW database

OTHER

Auxiliary to care

* Arrange consultation for those at-risk, suspected, or affected individuals at clinics for triage. * Introduce the patient to the clinical team via a "warm hand-off" and assist in scheduling a follow -up visit. * Support patients in attending their clinic visits; help patients address barriers through education, referral, and navigation to ancillary community services (SAVAME, legal, housing, economic, etc); * Engage, activate, and empower patients to participate in the care process * Frequent contact with patients: +1 every two weeks during the first 3 months, +1 every month for months 4-6. * Assist with group sessions: affinity groups * Identify community-based resources. * Document outreach, screening, referral, and auxiliary care activities in LHW database

OTHER

Stepped care and task shifting

* Support counselling initiated by the psychologist * Reinforce patient education about depression, anxiety, trauma, and other syndemic conditions. * Work with patients' families and peers to reduce stigma, address syndemic factors and social conditions. * Contact frequency with patients: +1 every two weeks during the first 3 months, +1 every month for months 4-6. * Co-lead group sessions: affinity groups * Provide Mental Health First Aid to members of the community. * Document outreach, screening, referral, auxiliary and stepped care activities in LHW database

Sponsors & Collaborators

• Esperanza Health Center

  collaborator UNKNOWN

• The Philadelphia AIDS Consortium

  collaborator UNKNOWN

• Drexel University

  lead OTHER

Study Design

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SEQUENTIAL

Eligibility

Min Age

18 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2023-11-10

Primary Completion

2027-08-31

Completion

2027-08-31

Countries

• United States

Study Locations