198694 Mente y Cuerpo: Integrating Mental Health Screening and bilingual bicultural case management into primary care

Wednesday, November 11, 2009

Barbara R. Gottlieb, MD, MPH , Brookside Community Health Center, Jamaica Plain, MA
Janine Anzalota, MSW, LICSW, MPH , Coordinated Social Support and Training, Boston Public Health Commission, Boston, MA
Mente y Cuerpo (Mind and Body) is a bilingual/bicultural program that seeks to integrate mental health screening, referrals and education into primary care. The program provides bilingual/bicultural screening and case management services to Latina women 18 and older.

The project has the goal of using evaluation research to change provider behavior and institutional systems so as to incorporate routine mental health screening into primary care, connect patients more effectively to needed mental health and related services and better integrate mental health concerns into the management of chronic diseases.

The project partnership consists of: Lead agency: The Boston Public Health Commission, which is the city's health department. Health Care Facilities: South End Community Health Center and Southern Jamaica Plain Health Center. Both Centers service predominantly Latino populations.

Since May 2008, case managers for this project have screened over 720 Latinas for depression, suicide risk, substance abuse, and domestic violence. Case managers provide active case management, referral to outside resources, facilitate psycho educational groups, and refer to yoga and acupuncture services provided on site. All group services are provided in Spanish.

Focus groups were conducted with clients receiving Mente y Cuerpo services at both sites. Preliminary results indicate clients describe the supportive services provided in their primary care home as imperative in improving their overall health. This was particularly true for women living with multiple chronic physical and mental health conditions.

Mental health screening, case management and referrals to acupuncture and yoga are being tracked over three years.

Learning Objectives:
1.Describe the benefit of case management in building capacity for comprehensive mental health screening, psycho educational groups, and referrals to complementary therapies in Boston health centers. 2.List the multiple benefits of psycho educational groups to women living with chronic physical and mental health conditions.

Keywords: Latino Mental Health, Chronic Illness

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the evaluator on this project
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.