Patient Navigators for Community Mental Health Services

This trial explores a new method to help African American and Latinx children in high-poverty urban areas access mental health care. It examines the use of patient navigators—community members trained to guide families through mental health services—to break down barriers and improve access. Participants will either work with these navigators or remain on a waitlist to assess the navigators' impact. Families recently referred for mental health services and involved in social services might be well-suited for this study. The goal is to reduce disparities in children's mental health care. As an unphased trial, this study provides a unique opportunity to contribute to innovative solutions for improving mental health care access in underserved communities.

The trial information does not specify whether participants need to stop taking their current medications.

Research has shown that patient navigators can help families access the mental health care they need. These navigators guide individuals through their care plans, simplifying access to services. Studies have found that navigators remove obstacles without causing harm or discomfort. The focus is on improving access and support, not on medications, which can have side effects. As this trial does not test a new drug or therapy, it is considered very safe for participants. The goal is to make mental health care more accessible and effective, especially for often underserved communities.¹²³⁴⁵

Researchers are excited about the use of Patient Navigators in community mental health services because they offer a unique approach to overcoming barriers to care. Unlike traditional treatments that focus solely on direct therapy or medication, Patient Navigators work with caregivers to address logistical and attitudinal hurdles that often prevent individuals from accessing mental health services. This method is particularly promising because it aims to improve access and adherence to care, potentially leading to better mental health outcomes without directly altering the clinical treatment itself. By focusing on the systemic issues that impact care accessibility, Patient Navigators could complement existing therapies and enhance their effectiveness.

Research has shown that patient navigators can improve access to mental health care for children in high-poverty areas. In this trial, participants in the Paraprofessional Navigation Condition will receive help from navigators who focus on reducing logistical and attitudinal barriers to care. These navigators assist families by removing obstacles and guiding them through treatment plans. Studies have found that navigation services help families access care more quickly and facilitate transitions between different services. Although some research did not find a decrease in emergency visits, reviews highlight their positive role in linking primary care with community services. This approach shows promise, especially for reducing disparities in mental health services among African American and Latinx children.¹⁴⁶⁷⁸