Community health workers deliver CBT to uninsured Latinx in Baltimore: Evaluation and Lessons Learned in a Pilot Program

Online Publication Date:
May 16, 2023
Publication Status:
Awaiting Publication
Manuscript PDF File:

**Forthcoming in Progress in Community Health Partnerships (PCHP). All rights reserved.**

ABSTRACT

Background: Implementation of evidence-based interventions to reduce depression among uninsured Latinx patients who are at high risk of depression are rare.

Objectives: Our goal was to evaluate Strong Minds ©, a language and culturally tailored, evidence-based Cognitive Behavioral Therapy (CBT) psychotherapy intervention for mild-moderate depression, delivered by community health workers (CHWs) in Spanish to uninsured Latinx immigrants.

Methods: As part of the pilot, 35 participants, recruited from a free community primary care clinic, completed Strong Minds. Assessments and post-study interviews were conducted. Paired t-tests were used to assess change of depressive symptoms at 3 and 6 months.

Lessons Learned: CHW delivery of depression care to this population was feasible and among those who completed the program, preliminary evidence of depression outcomes suggests potential benefit. CHWs had specific training and support needs related to mental health care delivery.

Conclusions: Further implementation studies of depression care interventions using CHWs for underserved Latinx is needed.