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The Journal of School Nursing
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Research Article

Development and Evaluation of a Mexican Immigrant Family Support Program

Julia Muennich Cowell, RNC, PhD, FAAN

Julia Muennich Cowell, RNC, PhD, FAAN, is professor and chair, Community and Mental Health Nursing, at Rush University, College of Nursing, Chicago, IL

Diane B. McNaughton, RN, MN

Diane B. McNaughton, RN, MN, is doctoral candidate at the University of Illinois, Chicago, IL

Sarah Ailey, RN, MSN

Sarah Ailey, RN, MSN, is clinical instructor at Rush University, College of Nursing, Chicago, IL

A report to Congress in the fall of 1998 warned that immigrant children are in a state of emergency regarding access to health care. This article presents the three phases involved in developing, implementing, and evaluating a Mexican American Problem Solving (MAPS) program designed to promote the mental health of families. Methods were Phase 1 focus groups to identify concerns and desired approaches for intervention; Phase 2 instrument assessment and prevalence assessment of mental health; and Phase 3 intervention testing. In Phases 1 and 2, 67% of mothers and 59% of children had mental health scores that required referral for evaluation. Participating mothers and children reported positive views of the intervention and showed significant improvements in mental health scores.

Key Words: immigrant children • mental health • family functioning • school nursing • children’s health conceptions • self-esteem • health care access • problem solving • health behavior

The Journal of School Nursing, Vol. 16, No. 5, 32-39 (2000)
DOI: 10.1177/105984050001600505
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