A Mixed-Method Assessment of a Pilot Peer Advocate Intervention for Rural Gender and Sexual Minorities

Cathleen E Willging; Audrey Harkness; Tania Israel; David Ley; Patricia S Hokanson; Catherine DeMaria; Aaron Joplin; Verida Smiley

doi:10.1007/s10597-017-0168-x

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A Mixed-Method Assessment of a Pilot Peer Advocate Intervention for Rural Gender and Sexual Minorities

Journal article

Open access

Peer reviewed

A Mixed-Method Assessment of a Pilot Peer Advocate Intervention for Rural Gender and Sexual Minorities

Cathleen E Willging, Audrey Harkness, Tania Israel, David Ley, Patricia S Hokanson, Catherine DeMaria, Aaron Joplin and Verida Smiley

Community mental health journal, Vol.54(4), pp.395-409

2018-05

DOI: https://doi.org/10.1007/s10597-017-0168-x

PMCID: PMC5856590

PMID: 28918540

Abstract

Mental Disorders - therapy

Humans

Social Support

Community Mental Health Services

Peer Group

Male

Sexual and Gender Minorities - psychology

Patient Acceptance of Health Care - psychology

Mental Disorders - psychology

Pilot Projects

Program Development

Psychiatric Status Rating Scales

Analysis of Variance

New Mexico

Rural Population

Female

Interviews as Topic

Substance-Related Disorders

Program Evaluation

Diagnosis, Dual (Psychiatry)

Mental health disparities affect lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in rural America. There are few empirically-based mental health interventions for this population. This exploratory study uses a mixed-method approach to assess implementation issues related to the feasibility, acceptability, appropriateness, and preliminary impacts of a novel peer-based intervention designed to enhance support and treatment engagement among rural LGBTQ people with mental distress and/or addiction issues. Quantitative and qualitative results illuminate intervention strengths and areas for improvement. Strengths centered on enhancing social support, advocacy behaviors, and engagement in treatment. Implementation challenges and recommendations to advance the intervention model are discussed.

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Collaboration types: Domestic collaboration
Citation topics: 6 Social Sciences; 6.178 Gender & Sexuality Studies; 6.178.483 LGBTQ+
Web Of Science research areas: Health Policy & Services; Psychiatry; Public, Environmental & Occupational Health
ESI research areas: Social Sciences, general

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Details

Title: A Mixed-Method Assessment of a Pilot Peer Advocate Intervention for Rural Gender and Sexual Minorities
Creators: Cathleen E Willging - Pacific Institute for Research and Evaluation, UNM Science and Technology Park, 851 University Boulevard SE, Suite 101, Albuquerque, NM, 87106, USA. cwillging@pire.org
Audrey Harkness - Department of Psychology, University of Miami, 1120 NW 14th St., Suite 786, Miami, FL, 33136, USA
Tania Israel - Department of Counseling, Clinical, and School Psychology, University of California, Gevirtz Graduate School of Education Bldg. 275, Room 4100, Santa Barbara, CA, 93106-9490, USA
David Ley - New Mexico Solutions, 707 Broadway, NE, Suite 500, Albuquerque, NM, 87102, USA
Patricia S Hokanson - Pacific Institute for Research and Evaluation, UNM Science and Technology Park, 851 University Boulevard SE, Suite 101, Albuquerque, NM, 87106, USA
Catherine DeMaria - Pacific Institute for Research and Evaluation, UNM Science and Technology Park, 851 University Boulevard SE, Suite 101, Albuquerque, NM, 87106, USA
Aaron Joplin - Pacific Institute for Research and Evaluation, UNM Science and Technology Park, 851 University Boulevard SE, Suite 101, Albuquerque, NM, 87106, USA
Verida Smiley - Pacific Institute for Research and Evaluation, UNM Science and Technology Park, 851 University Boulevard SE, Suite 101, Albuquerque, NM, 87106, USA
Publication Details: Community mental health journal, Vol.54(4), pp.395-409
Grant note: R34MH095238 / NIMH NIH HHS R34 MH095238 / NIMH NIH HHS
Academic Unit: Miller School of Medicine; UMMG Department of Public Health Sciences Research
Language: English
Resource Type: Journal article
PMID: 28918540
PMCID: PMC5856590
Record Identifier: 991031599251702976