title: Patient Navigation for Mothers with Depression who Have Children in Head Start: A Pilot Study.
abstract: This study assesses the potential of social work-facilitated patient navigation to help mothers with depression engage with mental health care. We conducted a randomized pilot trial (N = 47) in Head Start-a U.S. preschool program for low-income children. Seven lay navigators received training and supervision from professional social workers. After 6 months, more navigated participants engaged with a psychologist, therapist, or social worker (45% vs. 13%, 95% confidence interval [CI] [2, 57]); engaged with any provider, (55% vs. 26%, 95% CI [1, 56]); and reported having a "depression care provider" (80% vs. 41%, 95% CI [9, 65]). Community-based navigation appears feasible; however, more definitive testing is necessary.
authors.affiliation: a Department of Pediatrics , Boston Medical Center, Boston University School of Medicine , Boston , Massachusetts , USA.
authors.forename: Yaminette
authors.initials: Y
authors.lastname: Diaz-Linhart
authors.affiliation: a Department of Pediatrics , Boston Medical Center, Boston University School of Medicine , Boston , Massachusetts , USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Silverstein
authors.affiliation: b Graduate School of Social Work, University of Washington , Seattle , Washington , USA.
authors.forename: Nancy
authors.initials: N
authors.lastname: Grote
authors.affiliation: a Department of Pediatrics , Boston Medical Center, Boston University School of Medicine , Boston , Massachusetts , USA.
authors.forename: Lynn
authors.initials: L
authors.lastname: Cadena
authors.affiliation: a Department of Pediatrics , Boston Medical Center, Boston University School of Medicine , Boston , Massachusetts , USA.
authors.forename: Emily
authors.initials: E
authors.lastname: Feinberg
authors.affiliation: c Graduate School of Social Work, Boston University , Boston , Massachusetts , USA.
authors.forename: Betty J
authors.initials: BJ
authors.lastname: Ruth
authors.affiliation: d Department of Biostatistics , Boston University School of Public Health , Boston , Massachusetts , USA.
authors.forename: Howard
authors.initials: H
authors.lastname: Cabral
mesh_terms: D000328:Adult; D003863:Depression / Q000453:epidemiology; D018479:Early Intervention, Educational; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D009035:Mothers / Q000523:psychology*; D062526:Patient Navigation; D010865:Pilot Projects; D011203:Poverty; D014505:Urban Population; D055815:Young Adult
keywords: Maternal depression; engagement; health disparities; patient navigation