203550 Improving hispanic patients' chronic illness self-management in rural settings: A CHW-delivered depression management and reduction intervention

Tuesday, November 10, 2009: 9:30 AM

Kim Camp, RN , Department of Community Health, CHRISTUS Health, Houston, TX
Marlynn L. May, PhD , Social and Behavioral Health, School of Rural Public Health, College Station, TX
Araceli López-Arenas, Research Assitant/ Doctoral Student , Department of Educational Psychology, Texas A&M University, College Station, TX
A CHW-delivered depression management intervention, aimed at reducing a mental health barrier among chronically ill patients, is presented. The intervention is initiated by CHRISTUS Health – U.S. and Mexico provider – to complement an existing CHW-based chronically ill care management program with high risk, uninsured Latino patients called CarePartners (CPP). Evaluation data indicate that significant numbers of CPP patients currently show little improvement in their clinical biometrics and health behaviors. Many of these patients manifest symptoms of depression, a known barrier to improvements in clinical indicators, patient self-management and engagement in healthy behaviors. The mental health intervention provides CHWs training in an existing culturally sensitive depression management curriculum entitled “zEs Difícil Ser Mujer?” (“Is it Difficult Being a Woman?”) Following training, teams of two CHWs deliver the curriculum in seven-sessions. Each session engages CPP participants in learning about and applying in themselves knowledge about and means to reduce depressive indications. Participants learn and apply an understanding of depression's stigma and how to identify and deal with depression symptoms and related forms of depressive thinking. The culturally sensitive curriculum helps participants understand factors that have impelled them to be depressed and teaches skills to manage and reduce symptoms and their effects on their daily lives. CHWs also provide mental health referral information when needed, give navigation assistance and follow up to ensure that the referral connection is made. CHWs collaboratively develop mental health action plans with CPP participants and provide ongoing support in the management of their depression.

Learning Objectives:
Describe the content of a culturally sensitive depression management reduction curriculum Identify the skills required by CHWs to deliver the intervention Define a strategy for delivering a depression management and reduction curriculum

Keywords: Community Health Promoters, Depression

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: RN degree Director of Care Management at CHRISTUS Health Supervisor of CHWs for CarePartners - chronically ill care management program in which the depression reduction intervention is included
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.