title: Using the collaborative intervention planning framework to adapt a health-care manager intervention to a new population and provider group to improve the health of people with serious mental illness.
abstract: BACKGROUND
  Health-care manager interventions improve the physical health of people with serious mental illness (SMI) and could be widely implemented in public mental health clinics. Local adaptations and customization may be needed to increase the reach of these interventions in the public mental health system and across different racial and ethnic communities. In this study, we describe how we used the collaborative intervention planning framework to customize an existing health-care manager intervention to a new patient population (Hispanics with SMI) and provider group (social workers) to increase its fit with our local community.
  
  
  METHODS
  The study was conducted in partnership with a public mental health clinic that serves predominantly Hispanic clients. A community advisory board (CAB) composed of researchers and potential implementers (e.g., social workers, primary care physicians) used the collaborative intervention planning framework, an approach that combines community-based participatory research principles and intervention mapping (IM) procedures, to inform intervention adaptations.
  
  
  RESULTS
  The adaptation process included four steps: fostering collaborations between CAB members; understanding the needs of the local population through a mixed-methods needs assessment, literature reviews, and group discussions; reviewing intervention objectives to identify targets for adaptation; and developing the adapted intervention. The application of this approach enabled the CAB to identify a series of cultural and provider level-adaptations without compromising the core elements of the original health-care manager intervention.
  
  
  CONCLUSIONS
  Reducing health disparities in people with SMI requires community engagement, particularly when preparing existing interventions to be used with new communities, provider groups, and practice settings. Our study illustrates one approach that can be used to involve community stakeholders in the intervention adaptation process from the very beginning to enhance the transportability of a health-care manager intervention in order to improve the health of people with SMI.
authors.affiliation: School of Social Work, Columbia University, 1255 Amsterdam Avenue, New York, NY, 10027, USA. ljc2139@columbia.edu.|New York State Psychiatric Institute, Room 3206, Unit 69, 1051 Riverside Drive, New York, NY, 10036, USA. ljc2139@columbia.edu.
authors.forename: Leopoldo J
authors.initials: LJ
authors.lastname: Cabassa
authors.affiliation: School of Social Work, Columbia University, 1255 Amsterdam Avenue, New York, NY, 10027, USA. apg6@columbia.edu.
authors.forename: Arminda P
authors.initials: AP
authors.lastname: Gomes
authors.affiliation: New York State Psychiatric Institute, Room 3206, Unit 69, 1051 Riverside Drive, New York, NY, 10036, USA. Meyrele@nyspi.columbia.edu.
authors.forename: Quisqueya
authors.initials: Q
authors.lastname: Meyreles
authors.affiliation: New York State Psychiatric Institute, Room 3206, Unit 69, 1051 Riverside Drive, New York, NY, 10036, USA. capitel@nyspi.columbia.edu.
authors.forename: Lucia
authors.initials: L
authors.lastname: Capitelli
authors.affiliation: Columbia University Medical Center, 100 Haven Suite 27C, New York, NY, 10032, USA. rgy2103@columbia.edu.
authors.forename: Richard
authors.initials: R
authors.lastname: Younge
authors.affiliation: New York State Psychiatric Institute, Room 3206, Unit 69, 1051 Riverside Drive, New York, NY, 10036, USA. Dragats@nyspi.columbia.edu.
authors.forename: Dianna
authors.initials: D
authors.lastname: Dragatsi
authors.affiliation: New York State Psychiatric Institute, Room 3206, Unit 69, 1051 Riverside Drive, New York, NY, 10036, USA. alvarezj@nyspi.columbia.edu.
authors.forename: Juana
authors.initials: J
authors.lastname: Alvarez
authors.affiliation: School of Social Work, Columbia University, 1255 Amsterdam Avenue, New York, NY, 10027, USA. ym2452@columbia.edu.
authors.forename: Yamira
authors.initials: Y
authors.lastname: Manrique
authors.affiliation: New York State Psychiatric Institute, Room 3206, Unit 69, 1051 Riverside Drive, New York, NY, 10036, USA. Rlewis@nyspi.columbia.edu.|Columbia University Medical Center, 100 Haven Suite 27C, New York, NY, 10032, USA. Rlewis@nyspi.columbia.edu.
authors.forename: Roberto
authors.initials: R
authors.lastname: Lewis-Fernández
mesh_terms: D000288:Administrative Personnel / Q000706:statistics & numerical data*; D003155:Community Mental Health Centers; D055812:Community-Based Participatory Research; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000592:standards; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D007400:Interprofessional Relations; D001523:Mental Disorders / Q000208:ethnology / Q000628:therapy*; D008605:Mental Health Services / Q000592:standards*; D009519:New York City; D010347:Patient Care Planning / Q000592:standards*; D058996:Quality Improvement