"Companeros Por Salud: Partners in Health" to Reduce Health Disparities for Latino/Hispanic Families

2.50
Hdl Handle:
http://hdl.handle.net/10755/163276
Category:
Abstract
Type:
Presentation
Title:
"Companeros Por Salud: Partners in Health" to Reduce Health Disparities for Latino/Hispanic Families
Author(s):
Amendola, Mary Grace
Author Details:
Mary Grace Amendola, RN, University of Connecticut, Storrs, Connecticut, USA, email: mary.amendola@uconn.edu
Abstract:
Purpose: This paper examines the health services networks of Latino/Hispanic families in Windham County, CT as a component of an assessment generated out of a community participatory research process. Theoretical Framework: The theoretical support for this work is derived primarily from the Community as Partner model (Anderson, McFarlane (1996) and Campina-Bacote's Cultural Competence Model to address health disparities. Methods (Design, Sample, Setting, Measures, Analysis): A community-participatory research process was utilized to identify the need for this descriptive study. Agencies sampled were identified through a snow-ball technique. Semi-structured key informant interview format was utilized to identify provider perspectives of mental health service utilization by Latino/Hispanic families. A social network analysis was conducted, and analyzed with UCINET software, mapping services provided and for referral. Results: Community partners felt that the graphic display did not capture the informal arrangements between providers on a personal level. The graphic display of available services and the flow between agencies was an effective tool for discussion. Initial analysis revealed that 10 agencies were "key" players and central to the network with an outer "ring" of 17 smaller agencies. A second round of interviews included these smaller organizations. Agencies in the center of the graph carried referral functions, and agencies in the outer ring were service directed. Conclusions and Implications: Those agencies mapped were considered formal, ie. they receive funding or are reimbursed for services. Informal service structures such as churches, were not mapped. The community's consensus was that unmet need in the community was greater than formal services available. Participants agreed that Latino/Hispanic families in this community are challenged by language barriers, lack of culturally designed services and by the complexities of the health care system. A complete picture of the mental health service structure for Latino/Hispanic families requires the consumer perspective. Consumer focus groups are planned to obtain information about informal services and design culturally appropriate interventions.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.title"Companeros Por Salud: Partners in Health" to Reduce Health Disparities for Latino/Hispanic Familiesen_GB
dc.contributor.authorAmendola, Mary Graceen_US
dc.author.detailsMary Grace Amendola, RN, University of Connecticut, Storrs, Connecticut, USA, email: mary.amendola@uconn.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163276-
dc.description.abstractPurpose: This paper examines the health services networks of Latino/Hispanic families in Windham County, CT as a component of an assessment generated out of a community participatory research process. Theoretical Framework: The theoretical support for this work is derived primarily from the Community as Partner model (Anderson, McFarlane (1996) and Campina-Bacote's Cultural Competence Model to address health disparities. Methods (Design, Sample, Setting, Measures, Analysis): A community-participatory research process was utilized to identify the need for this descriptive study. Agencies sampled were identified through a snow-ball technique. Semi-structured key informant interview format was utilized to identify provider perspectives of mental health service utilization by Latino/Hispanic families. A social network analysis was conducted, and analyzed with UCINET software, mapping services provided and for referral. Results: Community partners felt that the graphic display did not capture the informal arrangements between providers on a personal level. The graphic display of available services and the flow between agencies was an effective tool for discussion. Initial analysis revealed that 10 agencies were "key" players and central to the network with an outer "ring" of 17 smaller agencies. A second round of interviews included these smaller organizations. Agencies in the center of the graph carried referral functions, and agencies in the outer ring were service directed. Conclusions and Implications: Those agencies mapped were considered formal, ie. they receive funding or are reimbursed for services. Informal service structures such as churches, were not mapped. The community's consensus was that unmet need in the community was greater than formal services available. Participants agreed that Latino/Hispanic families in this community are challenged by language barriers, lack of culturally designed services and by the complexities of the health care system. A complete picture of the mental health service structure for Latino/Hispanic families requires the consumer perspective. Consumer focus groups are planned to obtain information about informal services and design culturally appropriate interventions.en_GB
dc.date.available2011-10-27T11:04:34Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:04:34Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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