Summary
Collaborative, community-based programming with predominately Latino churches is a promising approach for reducing mental health (MH) stigma and unmet MH need in Latino communities. Project AMEN implemented MH workshops, homilies and text messages with Latino Catholic parishes to test this approach. Authors examined reach, satisfaction, effectiveness and fidelity for the overall intervention and individual activities, collecting baseline and one-year post-intervention data from n = 579 people at seven parishes in southern California. Variables included participation in and satisfaction with activities, MH stigma, sociodemographic characteristics, faith-related characteristics, MH needs, and fidelity measures for workshops. Bivariate and multivariate modeling were used to describe intervention reach, satisfaction and effectiveness and to identify differences across subgroups.
Findings: Overall, 71% of the sample participated in at least one intervention activity. Participants were on average 48 years old, female, married, had less than high school education, and attended the parish for more than five years; 24% reported MH needs. Reach and satisfaction were greater for married individuals and those with strong connections to the parish. Individuals with MH problems had more barriers to participation. Activities most often participated in were text messages (42%), the introductory MH workshop (20%) and MH homily (20%). High workshop fidelity was observed. The number of AMEN activities predicted reduction in four types of MH stigma. AMEN showed promising results with respect to reach, satisfaction and effectiveness at reducing MH stigma.