Abstract

Impacting the Latino Health Paradox: A preventive mental health program for Latino communities

Monica Zuniga, M.A.
Tiburcio Vasquez in collaboration with LA CLINICA DE LA RAZA, Oakland, CA

APHA's 2018 Annual Meeting & Expo (Nov. 10 - Nov. 14)

Latinos living in the United States have poorer mental health status than their counterparts in their country of origin (CRDP Latino Report; Alderete, 2000). This is often called the Latino or Immigrant Paradox, which refers to the fact that acculturated Latinos often become less healthy, both mentally and physically when compared to the dominant culture in the United States. This trend is also noted in Alameda County, CA where Latinos are four times less likely than African Americans and more than two times less likely than Caucasians to be served in the mental health system (Alameda County MHSA/CSS, 2006). Cultura y Bienestar (CyB), a program of La Clínica de La Raza (La Clínica) in collaboration with La Familia Counseling Services and Tiburcio Vasquez Health Services and supported by MHSA prevention and early intervention (PEI) funds, is a multi-system approach that addresses the mental health need of un-served and underserved low-income Latinos in Alameda County. CyB uses a culturally based, non-stigmatizing Latino-focused strategy that draws upon existing cultural strengths and practices to facilitate mental health healing, create wellness and build resiliency within the Latino community. The program uses four key strategies and methods: (1) Peer-to-Peer Support/Education, (2) Mental Health Training/Consultation, (3) Traditional Healing or Cultural Events, and (4) Referral and Linkage to services. With a team of 17 bilingual/bicultural staff members, including community health workers/ promotores and mental health specialists, as well as volunteer community members, CyB has provided 8 years of services to high risk Latino community members as well as offered training and consultation to organizations and leaders who serve the Latino community. Data from 2015 to 2016 reported that CyB has reached 40,833 community members through outreach, completed 6210 prevention events and provided 533 early prevention intervention-counseling services. Currently, CyB is under a five- year evaluation process in order to advance its recognition as an evidence-based program and its implementation statewide.

Advocacy for health and health education Assessment of individual and community needs for health education Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Social and behavioral sciences