The community mental health and cancer prevention partnership project
1 / 19

The Community Mental Health and Cancer Prevention Partnership Project - PowerPoint PPT Presentation

  • Uploaded on

The Community Mental Health and Cancer Prevention Partnership Project. PI: Elisa Weiss, PhD Co-I: Hayley Thompson, PhD Dept. of Epidemiology and Population Health April 12, 2010 Health Inequities Think Tank Meeting. Overview of the Project.

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'The Community Mental Health and Cancer Prevention Partnership Project' - lily

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
The community mental health and cancer prevention partnership project

The Community Mental Health and Cancer Prevention Partnership Project

PI: Elisa Weiss, PhD

Co-I: Hayley Thompson, PhD

Dept. of Epidemiology and Population Health

April 12, 2010

Health Inequities Think Tank Meeting

Overview of the project
Overview of the Project Partnership Project

  • Two-year pilot study to identify feasible strategies to improve access to mental health care in the Bronx, in the context of efforts to promote timely, age-appropriate utilization of cancer screening services.

  • Study recognizes that effectively responding to the complexities surrounding health care access and utilization by diverse Bronx residents will necessitate working with the community from the inception of the research process.

Background Partnership Project

  • In meetings to discuss cancer-related projects, CBOs in the Bronx reported a dearth of mental health services to staff and investigators of the Community Assessment and Capacity Building Core.

  • Literature indicates that untreated mental illness hinders preventive healthcare, including cancer screening; regular care for mental illness increases likelihood of regular screening.

  • Roughly half of Bronx is designated Mental Health Professional Shortage area by HRSA, making obtaining care particularly challenging.

Ictr grant mechanism
ICTR Grant Mechanism Partnership Project

  • 2 years of pilot funding to support “community-engaged research” from the Einstein-Montefiore Institute for Clinical and Translational Research (ICTR)

  • Project must be launched through one of Einstein’s NIH-funded centers (Cancer Center).

  • Over 60% of funding must go back to the community.

Specific aims
Specific Aims Partnership Project

  • Describe the individual-level and system-level barriers and facilitators to accessing mental health services in the Bronx.

  • Begin to identify how the lack of sufficient mental healthcare in the Bronx affects use of cancer screening services for breast, cervical, prostate, and colon cancer.

  • Understand past and current efforts to address inadequate access to mental health care in the Bronx and their outcomes.

  • Build a sustainable partnership with a range of key stakeholders in the Bronx that will develop a grant applications to improve mental health services and preventive care in the Bronx.

Conceptual framework
Conceptual Framework Partnership Project

  • Behavioral ecological framework (see figure)

  • Community-Based Participatory Research Methods (CBPR)

    • Working Group of 6 Bronx CBOs and project investigators/staff 2010

The working group 6 cbos
The Working Group – 6 CBOs Partnership Project

  • Bronx Works

  • Good Shepherds

  • Love, Power, and Grace

  • Montefiore Family Health Center

  • Neighborhood Initiatives Development Corp. (NIDC)

  • Phipps CDC

Working group project investigators and staff
Working Group - Project Investigators and Staff Partnership Project

  • Elisa Weiss, Ph.D. (Sociology), Partnership Research

  • Hayley Thompson, Ph.D. (Psychology), Medical Mistrust Research

  • Pamela Valera, Ph.D. (Social Work), Qualitative Research

  • Joanna Dognin, Psy.D. (Psychology), Access to Mental Health Care

  • Jennifer Erb-Downward, M.P.H, Community Organizing

  • Abigail Williams, M.P.H., Qualitative Research

  • Nicole Maysonet, Community Administrative Assistant

  • Research Assistant

Research design year 1 2010
Research Design Partnership ProjectYear 1 (2010)

The Working Group will:

  • Create a qualitative interview guide that relates to the aims.

  • Select appropriate stakeholders from social service and health delivery organizations as well as community leaders to participate in approximately 40 qualitative interviews.

  • Interpret the qualitative data gathered.

  • Identify organizations to be part of a larger partnership for Year 2.

Research design year 2 2011
Research Design Partnership ProjectYear 2 (2011)

  • Build on the Working Group to create a sustainable, multi-sector Bronx partnership that will use the data collected in the first year as a basis for discussion about how we can improve access to mental health care and utilization of cancer screening services among those with mental health needs.

  • Develop intervention strategies and begin to develop a grant proposal to fund one or more of these strategies.

Partnership evaluation to maximize partnership functioning
Partnership Evaluation to Maximize Partnership Functioning Partnership Project

  • 2-3 evaluation points in year 2

  • Evaluation will be anonymous, web-based survey (based on Elisa Weiss’s published work)

  • Evaluation will facilitate discussion and allow for mid-course adjustments as needed

Partnership characteristics for evaluation

Individual Partnership Project

Benefits and costs to member

Participation and roles






Administration and management

Meeting quality


Group Synergy




Sufficiency of financial and non-financial resources


Conflict and Cooperation

Perceived Progress

Partnership Characteristics for Evaluation

Future plans
Future Plans Partnership Project

  • Study will serve as a launching point for the Community Mental Health and Cancer Prevention Partnership, an ongoing platform for CBPR Research in area of mental health and cancer screening

  • Development of future grants and interventions

Questions comments

Questions/Comments?? Partnership Project

Thank you

THANK YOU Partnership Project

References Partnership Project

  • 1. Find Shortage Areas: HPSA by State & County [database on the Internet]2009. Available from:

  • 2. New York City Department of Health and Mental Hygeine. Community Health Profiles. New York City; 2006. Available from:

  • 3. Dognin J. Unmet Mental Health Needs in Urban Primary Care: A Needs Assessment. Albert Einstein College of Medicine. 2008; Available from:

  • 4. Aggarwal A, Freund K, Sato A, Adams-Campbell LL, Lopez AM, Lessin LS, et al. Are Depressive Symptoms Associated with Cancer Screening and Cancer Stage at Diagnosis among Postmenopausal Women? The Women's Health Initiative Observational Cohort. Journal of Womens Health. 2008;17(8):1353-61.

  • 5. Druss BG, Rosenheck RA, Desai MM, Perlin JB. Quality of preventive medical care for patients with mental disorders. Medical Care. 2002;40(2):129-36.

  • 6. Pirraglia PA, Sanyal P, Singer DE, Ferris TG, editors. Depressive symptom burden as a barrier to screening for breast and cervical cancers Jul-Aug. LARCHMONT: Mary Ann Liebert Inc Publ; 2004.

  • 7. Desai MM, Rosenheck RA, Druss BG, Perlin JB. Mental disorders and quality of diabetes care in the veterans health administration. American Journal of Psychiatry. 2002;159(9):1584-90.

  • 8. Aro AR, de Koning HJ, Absetz P, Schreck M. Two distinct groups of non-attenders in an organized mammography screening program. Breast Cancer Research and Treatment. 2001;70(2):145-53.

  • 9. Burton MV, Warren R, Price D, Earl H. Psychological predictors of attendance at annual breast screening examinations. British Journal of Cancer. 1998;77(11):2014-9.

  • 10. Carney CP, Jones LE, editors. The influence of type and severity of mental illness on receipt of screening mammography.Oxford: Blackwell Publishing; 2006.

  • 11. Lin EHB, Katon W, Von Korff M, Rutter C, Simon GE, Oliver M, et al. Relationship of depression and diabetes self-care, medication adherence, and preventive care. Diabetes Care. 2004;27(9):2154-60.

  • 12. Ciechanowski PS, Katon WJ, Russo JE. Depression and diabetes - Impact of depression symptoms on adherence, function, costs. Archives of Internal Medicine. 2000;160(21):3278-85.

  • 13. Folsom DP, McCahill M, Bartels S, Lindamer LA, Ganiats TG, Jeste DV. Medical comorbidity and receipt of medical care by older homeless people withschizophrenia or depression. Psychiatric Services. 2002;53(11):1456-60.

The community mental health and cancer prevention partnership project

  • 14. Myer L, Stein DJ, Grimsrud AT, Herman A, Seedat S, Moomal H, et al. DSM-IV-defined common mental disorders: Association with HIV testing, HIV-related fears, perceived risk and preventive behaviours among South African adults. Samj South African Medical Journal. 2009;99(5):396-402.

  • 15. Patten SB, Williams JVA, Lavorato DH, Eliasziw M. The effect of major depression on participation in preventive health care activities. Bmc Public Health. 2009;9.

  • 16. Kaida A, Colman I, Janssen PA. Recent Pap tests among Canadian women: Is depression a barrier to cervical cancer screening? Journal of Womens Health. 2008;17(7):1175-81.

  • 17. Carney CP, Allen J, Doebbeling BN. Receipt of clinical preventive medical services among psychiatric patients. Psychiatric Services. 2002;53(8):1028-30.

  • 18. Friedman LC, Moore A, Webb JA, Puryear LJ. Breast cancer screening among ethnically diverse low-income women in a general hospital psychiatry clinic. General Hospital Psychiatry. 1999;21(5):374-81.

  • 19. Lasser KE, Zeytinoglu H, Miller E, Becker AE, Hermann RC, Bor DH. Do women who screen positive for mental disorders in primary care have lower mammography rates? General Hospital Psychiatry. 2003;25(3):214-6.

  • 20. Bronfenbrenner U. The Ecology of Human Development. Cambridge, MA: Harvard University Press; 1979.

  • 21. McLeroy K, Bibeau D, Steckler A, Glanz K. An ecological Perspective on health promotion programs. Health Education Quarterly. 1988;15:351-77.

  • 22. Sallis J, Owen N, Fisher E. Ecological Models of Health Behavior. In: Glanz K, Rimer B, Viswanath K, (eds.) Health Behavior and Health Education. 4th Edition ed. San Francisco: Jossey-Bass; 2008.

  • 23. Goodman R, Wandersman A, Chinman M, Imm P, Morrissey E. An Ecological Assessment of Community-Based Interventions for Prevention and Health Promotion: Approaches to Measuring Community Coalitions. American Journal of Community Psychology. 1996;24(1):33-61.

  • 24. Sallis J, Owen N. Ecological Models of Health Behavior. In: Glanz K, Rimer B, Lewis F, editors. Health Behavior and Health Education: Theory, Research, and Practice 3rd Edition ed. San Francisco: Jossey-Bass; 2002

  • 25. New York City Department of Health and Mental Hygeine. New York City Health and Nutrition Examination Survey. ; 2004Available from:

  • 26. Israel B, Eng E, Schulz A, Parker E. Introduction to Methods in Community-Based Participatory Research for Health. In: IIsrael B, Eng E, Schulz A, Parker E, editors. Methods in Community-Based Participatory Research for Health. San Francisco: Jossey-Bass; 2005.

  • 27. Woolley S, editor. PA-07-24: Community Participation in Research. CBPR Technical Assistance Workshop: Leap Into the Community; 2009.

  • 28. Bauman L. Understanding and Eliminating Mental Health Disparities: Young People Shift The Paradigm: Mental Health Vs. Mental Illness. Platform presentation at the NIH Summit on the Science of Eliminating Health Disparities; December 2008; Bethesda, MD.

  • 29. Watnick D, Bauman LJ. Supporting Community Campus Partnerships in Capacity Building Toward Eliminating Health Disparities: Power sharing in Youth-Led Community-Campus Partnerships. Platform presentation at the NIH Summit on the Science of Eliminating Health Disparities; Bethesda, MDDecember 2008.

  • 30. Wells R, Ward, A.J., Feinbertg, M., Alexander, J.A. . What motivates people to participate in community-based coalitions? American Journal of Community Psychology. 2008;42:94-104.

The community mental health and cancer prevention partnership project

  • 31. El Ansari W, Weiss E. Quality of community partnership research: Developing the evidence base. Health Education Research. 2006;21:175-80.

  • 32. Lasker R, Weiss E. Broadening participation in community problem solving: a multidisciplinary model to support collaborative practice and research. Journal of Urban Health 2003;80:14-60.

  • 33. Weiss E, Miller-Anderson R, Lasker R. Making the most of collaboration: exploring the relationship between partnership synergy and partnership functioning. Health Educucation and Behavior 2002;29:683-98.

  • 34. Miles M, Huberman A. Qualitative Data Analysis. 2 ed. London: Sage Publications; 1994.

  • 35. Patton MQ. Qualitative Research and Evaluation Methods 3ed. Thousand Oaks, CA: Sage Publications, Inc.; 2002.

  • 36. Charmaz K. Constructing grounded theory: A practical guide through qualitative analysis. London: SAGE publications; 2006.

  • 37. Strauss AL, Corbin, J.M. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Thousand Oaks, CA: Sage; 1998.

  • 38. Lincoln YS, Guba, E.G. Paradigmatic controversies, contradictions, and emerging confluences. In: Denzin NK, Lincoln, Y.S. , editor. Handbook of Qualitative Research. 2 ed. San Francisco: Jossey-Bass; 2000.

  • 39. Fraenkel L, McGraw, S. What are the essential elements to enable patient participation in medical decision-making? Journal of General Internal Medicine. 2007;21(9):614-9.

  • 40. Guest G, Bunce, A., Johnson, L. How many interviews are enough? An experiment with data saturation and variability. Field Methods. 2006;18(1):59-82.

  • 41. Foster-Fishman PG, Berkowitz, S.L., Lounsbury, D.W., Jacobson, S. and Allen, N.A. . Building collaborative capacity in community coalitions: a review and intergrative framework. American Journal of Community Psychology. 2001;29(2):241-61.

  • 42. Lasker R, Weiss E. Creating partnership synergy: The critical role of community stakeholders. Journal of Health and Human Services Administration. 2003;26:119-39.

  • 43. Wandersman A, Florin, P., Friedmann, R., Meier, R. Who participates, who does not, and why? An analysis of voluntary neighborhood organizaitons int he United States and Israel. Sociological Forum. 1987;2(3):534-55.

  • 44. Bar-Yam Y. Improving the effectiveness of health care and public health: A multiscale complex systems analysis. American Journal of Public Health. 2006;96(3):459-66.

  • 45. Hirsch G. The causes of patient drop-out from mental health services. . In: Roberts L.E.B (ed.). The Dynamics of Human Service Delivery. Cambridge, MA: Ballenger Publishing Company; 1976. p. 41-6.

  • 46. Homer JB, & Hirsch, G. B. . System dynamics modeling for public health: Background and opportunities. American Journal of Community Psychology. 2006;96(3):452-8.

  • 47. Fawcett SB, Lewis, R.K., Paine-Andrews, A., et. al. . Evaluating community coalitions for prevention of substance abuse: the case of Project Freedom. . Health Education and Behavior. 1997;24:812-28.

  • 48. Krieger J, Allen, C., Cheadle, A., Ciske, S., Schier, J.K., Senturia, K., and Sullivan, M. Using community-based participatory research to address social determinants of health: lessons learned from Seattle Partners for Health Communities. Health Education and Behavior. 2002;29(3):361-82.

The community mental health and cancer prevention partnership project

  • 49. Schulz AJ, Israel, B.A., and Lantz, P. Instrument for evaluating dimensions fo group dynamics within community-based participatory research partnerships. Evaluation and Program Planning. 2003;26(249-262).

  • 50. Butterfoss FD, Goodman, R.M., Wandersman, A. Community caolitions for prevention and healht ppromotion: factors predicting satisfacation, participation, and planning. . Health Education Quarterly. 1996;23(65-79).

  • 51. Florin P, Mitchell, R., Stevenson, J., and Klein, I. Predicting intermediate outcomes for prevention coalitions: a developmental perspective. . Evaluation and Program Planning. 2000;23:341-6.

  • 52. Granner M.L. S, P.A. Evaluating community coalition characteristics and functioning: a summary of measurement tools. Health Education Research. 2004:1-19.