Whole Person Care in Underresourced Communities: Stakeholder Priorities at Long-Term Follow-Up in Community Partners in Care
Year: 2018
Type: article
Abstract: Objective: Depressed individuals may require help from different agencies to address health and social needs, but how such coordination occurs in under-resourced communities is poorly understood. This study sought to identify priorities of Latino and African American depressed clients, explore whether service providers understand client priorities, and describe how providers address them. Methods: Between October 2014 and February 2015, we interviewed 104 clients stratified by depression history and 50 representatives of different programs in health and social community agencies who participated in Community Partners in Care, a cluster-randomized trial of coalition-building approaches to delivering depression quality improvement programs. Clients were queried about their most pressing needs; program representatives identified their clients' needs and explained how they addressed them. Results: Physical and mental health were clients' top priorities, followed by housing, caring for and building relationships with others, and employment. While persistently depressed clients prioritized mental health, those with improved depression prioritized relationships with others. Program representatives identified housing, employment, mental health, and improving relationships with others as clients' top priorities. Needs assessment, client-centered services, and linkages to other agencies were main strategies used to address client needs. Conclusion: Depressed clients have multiple health and social needs, and program representatives in under-resourced communities understand the complexity of clients' needs. Agencies rely on needs assessment and referrals to meet their clients' needs, which enhances the importance of agency partnership in "whole person" initiatives. Our results illustrate agency capacity to adopt integrated care models that will address clients' multiple needs through multi-sector collaboration and describe potential strategies to help reach the goal of whole person care.
Source: Ethnicity & Disease
Language: English
Subfield: Social Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
Funders: Patient-Centered Outcomes Research Institute, National Institutes of Health, National Institute on Aging, National Institute of Mental Health, National Institute of Child Health and Human Development, U.S. National Library of Medicine, National Center for Advancing Translational Sciences, National Institute on Minority Health and Health Disparities, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Clinical and Translational Science Institute, University of California, Los Angeles
Awards: G1545794908, UCLA Clinical and Translational Science Institute, Center for Research on Quality in Managed Care, Partnered Research Center for Quality Care, Economics and Demography of Aging Training, G634565301, California Center for Population Research (CCPR) at UCLA, Pathways to Reducing Disparities in Depression Outcomes, COMMUNITY PARTNERS IN CARE, DREW_UCLA Connect_Community Partnered Resources to Improve Depression Outcomes, UCLA Clinical and Translational Science Institute
OpenAlex ID: W2889775609