Enhancing Behavioral Health in Latino Populations Reducing Disparities Through Integrated Behavioral and Primary Care 1st Edition by Lorraine T. Benuto, William O’Donohue – Ebook PDF Instant Download/DeliveryISBN: 3319425337, 9783319425337
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Product details:
ISBN-10 : 3319425337
ISBN-13 : 9783319425337
Author: Lorraine T. Benuto, William O’Donohue
This timely volume examines the potential of integrated care in providing effective, accessible behavioral healthcare for Latino clients. The integrated care model is discussed in practical terms, with guidelines for the addressing the needs of Latinos in a coordinated, patient-focused setting. Specific points of attention include common behavioral and medical/mental health conditions (e.g., depression, chronic pain, tobacco use), special considerations in working with Puerto Rican and Cuban clients, and recommendations for working with children. These important issues are considered against the backdrop of opportunities and challenges inherent in integrated care and its implementation, in addition to the relevance of evidence-based interventions for this large and diverse population. Among the topics covered: Latino trends and health policy: from walking on eggshells to commitment Integrated health care for Latino immigrants and refugees: what do they need? Using a translator in integrated care settings Enhancing and improving treatment engagement with Hispanic patients Integrated depression care among Latinos Chronic disease management and integrated care among Hispanic populations Health psychologists, social workers, family physicians, and clinical psychologists will find Enhancing Behavioral Health in Latino Populations an important resource for their professional development, as well as part of the ongoing movement toward reduced disparities and more inclusive and culturally attuned care.
Enhancing Behavioral Health in Latino Populations Reducing Disparities Through Integrated Behavioral and Primary Care 1st Table of contents:
Chapter 1: Integrated Care: A Potential Solution to Behavioral Health Disparities Among Latinos
Introduction: A Potential Solution to Behavioral Health Disparities Among Latinos
Latinos in the United States
Contemporary Issues in the Latino Community
The Behavioral Health of Latinos
Challenges in Accessing Behavioral Health Services
Integrated Care as a Potential Solution for Latinos
The Unmet Research Agenda
Summary and Organization of the Book
References
Chapter 2: Integrated Health Care for Latino Immigrants and Refugees: What Do They Need?
Introduction
What Are Integrated Settings?
What Do Immigrants and Refugees Need?
Attending to Linguistic and Cultural Barriers
Addressing Systemic and Institutional Barriers
Overcoming Contextual Barriers
Providing Integrated Care
Institution and Provider Perspectives on Integrated Health Care
Social Work Perspective on Integrative Health Care
References
Chapter 3: Eliminating Disparities Through Integrated Behavioral and Primary Care: Special Consider
General Description of Puerto Ricans
Health Service Use and Health Disparities Among Puerto Ricans
Rates of Behavioral Health Problems Among Latinos and Puerto Ricans
Significant Prejudices Experienced by Puerto Ricans and the Behavioral Health Impact
Other Stressors Associated with Acculturation
Puerto Rican Cultural Elements (Marianismo, Familismo, etc.) and Their Relation to Behavioral Hea
Dignidad y Respeto (Dignity and Respect)
Dignidad y Respeto in Practice
Familismo (Family Values and the Value of the Family)
Personalismo
Machismo
Marianismo
Religion and Spirituality
Culturally Adapted, Tailored Treatment Versus Standard Treatment of Puerto Rican Patients in Pri
Recommendations on Behavioral Health Screens to Screen for Depression, Anxiety, Pain, and Other
Conclusions and Final Recommendations for Best Practices with Puerto Ricans
References
Chapter 4: Special Considerations for Working with Cubans in Integrated Care: Intergenerational P
Setting the Stage: Cuban Americans, Wellness, and Geopolitics of the Heart
Frameworks for Integrative Care with Cuban Americans: Cultural/Ecological Perspectives on Integr
Overview of Cuban Americans in the U.S.
Contexts of Cuban American Immigration and Integrative Health Impacts
Clinical Interventions for Cuban Americans: Family-Centered Life Course Approach to Integrative H
Cuban Americans and Health Disparities: Applying Social/Cultural Health Promotion Frameworks
Family Life Course, Gender, and Generation: Cultivating Resilience
Conclusion: Working with Cuban American Families in Integrative Care
References
Chapter 5: Latino Trends and Health Policy: From Walking on Eggshells to Commitment
Access to Treatment
Service Use
Recommendations: Beyond the Provider
Relevant Knowledge Disseminating
Relevant Screening and Assessment of Mental Health
Culturally Responsive Research
Culturally Responsive Scholarship
Workforce Diversity
Conclusion
References
Chapter 6: Community Health Centers and Payment for Integrated Care
Payment Issues Affecting CHCs and Integrated Care
Same Day Billing
Limits on Qualified Providers
Medicaid Managed Care Contracting
Wrap-Around Support Funding Issues
Special Billing Issues
Group and Family Therapy Sessions
Screening, Brief Intervention, Referral to Treatment (SBIRT)
Conclusion
References
Chapter 7: Using a Translator in Integrated Care Settings
Problems Latinos Face Related to Limited English Proficiency
Types of Interpreters
Untrained (Ad-Hoc) Interpreters
Family Members
In-Person Trained Interpreters
Telephone Interpreters
Video Conferencing Interpreters
Remote Simultaneous Medical Interpreting
Utilization of Interpreters in Clinical Practice
Interpreter Use and Mental Health
Diagnostic Challenges During Evaluation in Patient’s Non primary Language
The Impact of Cultural Differences on Mental Health Encounters
Clinical Pearls for Interpreter Use
Closing the Cultural and Language Gap
Improving Provider’s Spanish Level Proficiency
Improving Use of Interpreters
Interpreter Training, Standards, and Certification
Insights from Interpreters
Ideas About the Patient’s Health Problem
Expectations of the Clinical Encounter
Summary
References
Chapter 8: Enhancing and Improving Treatment Engagement with Hispanic Patients
Challenges to Engagement in Health Services Treatment
Recommendations to Increase Engagement in Health Services Treatment
A Public Health Perspective
Conclusions
References
Chapter 9: Hispanic Children and Integrated Care
Introduction
Barriers to Quality Healthcare
Knowledge and Training
Financial Cost and Logistical Issues
Cultural
Stigma and Fear
Integrated Care
Implementation Challenges
Special Topics in Treating Hispanic Youth
Attention-Deficit/Hyperactivity Disorder
Violence
Substance Abuse
Overweight and Obesity
Asthma
School-Readiness and Literacy
Conclusion
References
Chapter 10: Integrated Depression Care Among Latinos
Introduction
Factors Contributing to Health Care Disparities
Recognition of and Screening for Depression
Understanding Cultural Barriers to Treatment Engagement
Strategies to Improve Treatment Engagement
Ethnographic Interviewing
The Warm Hand-Off
Increasing Health Literacy
Minimizing Stigma
Working Alliance
Providing Evidenced-Based Behavioral Interventions in Primary Care
Culturally Modified Interventions
Technology
Case Management and Community Health Workers
Situating Depression Care Within the Appropriate Social, Economic, and Political Context
References
Chapter 11: Using Integrated Care to Treat Anxiety Among Latino Populations
Introduction: Addressing Disparities Through Integrated Behavioral and Primary Care
Latinos as an at-Risk Population
Anxiety and Service Use in Primary Care Settings
Disparities in Quality of Care for Latinos in Primary Care
Evidence-Based Treatments for Anxiety
Pharmacotherapy
Psychosocial Intervention: Cognitive Behavioral Therapy
Integrated Models of Care
Integrated Models of Care for Anxiety
Identification and Assessment of Anxiety
Cultural Conceptualizations of Anxiety
Somatic Symptoms
Ataques de Nervios
Nervios
Cultural Considerations Applied to Evidence-Based Interventions in an Integrated Model of Care
Engagement of Latinos in Integrated Models of Care
Recommendations for Primary Care
Conclusions and Future Directions
References
Chapter 12: Integrated Care for Pain Management Among Hispanic Populations
Introduction
Managing Pain in Hispanic Populations
Perspectives on Pain
Pain and Culture: Biocultural Models of Pain
Perspectives on Managing Pain in Hispanic Populations
Evidence Base: Pain Outcomes among Hispanic Populations
Measuring Pain Management Quality: Key to Improvement
Components of Quality Pain Management
Measurement of Effective Pain Management in Hispanic Populations
American Pain Society-Patient Outcome Questionnaire
Houston Pain Outcome Instrument (HPOI)
Integrated Approaches to Effective Pain Management in Hispanic Populations
Systems Approach to Quality Pain Management
Institution
Providers
Patients and Families
Conclusions and Summary
References
Chapter 13: Using Integrated Care for Addressing Tobacco Use Among Latino Populations
Prevalence and Patterns of Tobacco Use
Tobacco Cessation and Treatment-Related Characteristics
Assessment of Tobacco Use and Dependence
Screening for Tobacco Use
Tobacco Dependence and Withdrawal
Comprehensive Assessment of Tobacco Use
Brief Interventions for Tobacco Cessation
Interventions for Patients Willing to Make a Quit Attempt
Ask-Advice-Refer and Ask-Advice-Connect Models
Pharmacotherapy for Treating Tobacco Dependence
Interventions for Patients Not Willing to Make a Quit Attempt
Motivational Interviewing
The 5R’s Model
Intensive Interventions
Cultural Considerations
Program Structure
Therapeutic Approach
Provider and Clinic Changes in Integrated Health Care Settings
Environment
Personnel
Services
References
Chapter 14: Chronic Disease Management and Integrated Care Among Hispanic Populations
Warm Handoff
Stepped Care
Diabetes Mellitus
Diabetes Screening
Diabetes Management and the Hispanic Patient
Heart Disease
Diagnostic Screening
Heart Disease Management and the Hispanic Patient
Hypertension
Diagnostic Tests
Hypertension Management and the Hispanic Patient
Cancer
Diagnostic Tests
Cancer and the Hispanic Patient
Conclusion
References
Chapter 15: Seriously Mentally Ill and Integrated Care Among Hispanic Populations
Introduction
Population Characteristics
Prevalence Rates of Serious Mental Illness in Hispanics
Barriers to Treatment in Serious Mental Illness
Culture-Specific Barriers
Stepped-Care Approach General
Aligning Stepped Care to Overcoming Identified Barriers
WHO mhGAP (2010, 2015)
Kessler K6 Nonspecific Distress Scale (K6; Kessler et al., 2002)
Primary Care in Behavioral Health Settings
Recommendations
References
Chapter 16: Marital Problems and Relationship Difficulties and Integrated Care Among Hispanic Popu
Relationship Health
Integrated Care and Hispanic Families
Cultural Considerations for Evidence-Based Interventions
References
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