Barriers and facilitators to mental health promotion for Mexican immigrants in the U.S. through the Ventanillas de Salud program
Bibliographic Data
| ID | 22069009 |
|---|---|
| Authors | Ines Gonzalez-Casanova (0000-0001-5747-8636, Indiana University Bloomington, corresponding author), Inés González Casanova, Delia Lilian Martínez Rodriguez (Instituto Tecnológico de Oaxaca), Julissa Ortiz Brunel (Universidad de Guadalajara), Maria Gudelia Rangel Gomez, Mary de Groot (0000-0003-4021-8824, Indiana University School of Medicine), Alicia Fernandez (0000-0002-7975-6614, San Francisco General Hospital) |
| Year | 2023 |
| Volume | 11 |
| Pages | 1268253-1268253 |
| Publication date | 2023-09-28 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2023.1268253 |
| PMID | 37841719 |
| OpenAlex | W4387184395 |
| Language | EN |
| Citations received | 1 |
| References cited | 24 |
Introduction Mental health promotion and screenings are recommended as part of standard preventive care. Mexican immigrants in the U.S. are at high risk for mental health illness especially after the COVID-19 pandemic, however access to mental health prevention for this population has been limited, which results in important implementation and equity gaps. The Ventanilla de Salud (VDS) program provides preventive services through Mexican consulates in the U.S. Objective The objective of this study was to assess capability, opportunity, and motivation for promotores to implement mental health programming through the VDS, leveraging early experiences of ongoing mental health prevention efforts. Methods This was a qualitative study using the Capability, Opportunity, and Motivation for Behavior Change model (COM-B). We conducted 9 focus groups with 40 VDS promotores and 6 semi-structured interviews with program stakeholders. Data were analyzed using inductive and deductive coding. Results We found high levels of interest from the leadership, partners, and promotores to provide mental health services through the VDS. Early implementation of a mental health strategy that included training sessions for promotores and mental health promotion, screenings and referrals for VDS users was ongoing. We identified facilitators and barriers that could affect capability, opportunity, and motivation to provide mental health services. Facilitators included promotores’ extensive knowledge about the importance of mental health, promotores service mindset and commitment to provide services to VDS users, and general support from the VDS network and partners. Barriers included promotores ’ turnover, need for additional economic compensation, burnout, competing priorities, and lack of mental health professionals to provide clinical services or supervision. Additional investments are recommended to support promotores ’ well-being. Conclusion The main lesson learned from this study was that investing in VDS promotores ’ training, resources, and well-being is key to their capability, opportunity and motivation to provide mental health services for Mexican immigrants in the US. Results from this study can be applied to improve the ongoing VDS mental health strategy and increase its impact on the mental health of Mexican immigrants
Environmental health · Health promotion · Mental health · Mindset · Population · Psychiatry · Public health · COVID-19 and Mental Health · Medicine · Mental Health Treatment and Access · Migration, Health and Trauma · Nursing · Psychology
Immigration and Mental Health
Providing Social Support May Be More Beneficial Than Receiving It
The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them
Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013
On the Benefits of Giving Social Support
A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems
The behaviour change wheel
Consolidated criteria for reporting qualitative research (Coreq)
Ventanillas de Salud (VDS) and Mobile Health Units (MHU)
Immigration and Gender as Social Determinants of Mental Health during the Covid-19 Outbreak
Demographic Characteristics Associated With Barriers to Health Care Among Mexican and Guatemalan Immigrants in a Nontraditional Destination Area
Culture and social support
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |