On the anniversary of the COVID-19 shutdown, President Biden in his speech noted COVID-19 has had a significant impact on everyone’s lives and that “while it was different for everyone, we all lost something.” We must acknowledge that Black, Indigenous and People of Color (BIPOC) have larger losses, in comparison to Whites. The losses that BIPOC, and especially Latinos, have experienced during COVID-19 have important implications for stress, and consequently mental health outcomes. We must recognize the major stressors Latino families are facing under COVID-19 so that we can address the health needs of this group as we move forward.
As a team, we’re all involved in work with criminal justice populations. We’ve been particularly interested in how we can provide better access to substance use and mental health treatment among folks who are under community supervision, so people who are on probation or parole.
We proposed to do a pilot study integrating telehealth counseling into a probation parole office setting. We have a lot of folks in Arkansas who live in very rural communities. They have poor access to behavioral health treatment, yet they’re under community supervision. They’re mandated to come in and interact with their probation parole officer. Plus, if they’re required to attend treatment, they’ll have to find a way to actually show up. We figured if we integrate all this, folks could go to their probation office and get more services so they wouldn’t have to show up a bunch of different times. We designed a telehealth intervention, six counseling sessions.
We started enrolling people in that, and then COVID hit. Our probation parole offices had to shut down. We were focusing on one area, one office, and now we’re taking a step back and saying, “Ok. Let’s talk to other area offices that serve rural areas.”
We are interested in examining the engagement levels in mental health services in community-based versus home-based care and between rural versus urban settings. There has been an initiative in recent years with a focus on community-based mental health. “Community-based” refers to bringing services to homes and schools, which increases the level of engagement. Engagement can be defined in many different ways. We are looking at a number of appointments at the outset of services in a one month or 90 day period. Other folks might see engagement as no-show rates, things of that nature.