ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY)

ALACRITY 用于高危青少年的早期筛查和治疗 (eSToRY)

• 批准号: 10394347
• 负责人: Benjamin Le Cook
• 金额: $ 165.86万
• 依托单位: CAMBRIDGE HEALTH ALLIANCE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10394347
• 关键词: Address; Adolescent; Adolescent and Young Adult; Age; Age-Years; Area; Asian; Black race; Boston; Budgets; COVID-19 impact; COVID-19 pandemic; Caring; Cause of Death; Child; Child Welfare; Clinic; Clinical; Communities; Community Health; Community Healthcare; Community Participation; Data; Discrimination; Distress; Early Diagnosis; Early Intervention; Early treatment; Electronic Health Record; Emergency Care; Evidence based practice; Face; Family; Food; Fostering; Future; Grief reaction; Haitian; Health Alliance; Health Services Accessibility; Healthcare; Healthcare Systems; Housing; Improve Access; Individual; Internet; Intervention; Justice; Language; Latino; Learning; Life; Linguistics; Link; Location; Measurement; Medical; Mental Health; Mental Health Services; Mental disorders; Methods; Minority Groups; Monitor; Morbidity - disease rate; Neighborhoods; Patients; Pilot Projects; Police; Population; Portuguese; Predictive Analytics; Prevention; Preventive; Psyche structure; Psychiatry; Psychopathology; Public Health; Quality of Care; Randomized Controlled Trials; Research; Research Project Grants; Research Training; Risk; Schools; Services; Site; Stress; Suicide; Symptoms; System; Testing; Time; Training; Translating; Treatment Effectiveness; Unemployment; Urban Community; Violence; Work; Youth; adverse childhood events; adverse outcome; barrier to care; base; care costs; career; clinical practice; community organizations; cooking; cost effective intervention; data infrastructure; data warehouse; design; disability; disparity reduction; early screening; ethnic minority; evidence base; experience; health care availability; health care service; health data; high risk; improved; improved functioning; improved outcome; innovation; inpatient service; insurance claims; mental development; migration; minority children; neuropsychiatry; operation; outpatient programs; outreach program; physical conditioning; population health; prevent; racial and ethnic; screening; screening program; social disadvantage; social health determinants

PROJECT SUMMARY/ABSTRACT- Cambridge Health Alliance ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY) Barriers to quality mental health care for youth at risk of mental illness are well recognized but persistent, especially among racial, ethnic, and language (REL)-minority youth. The proposed Center for Early Screening and Treatment of at-Risk Youth (the eSToRY Center) is dedicated to research and training to improve early detection of mental illness, to prevent adverse outcomes, to improve quality of care, and to foster equity in treatment for REL-minority youth. The eSToRY Center is designed to identify interventions that close mental health care access and treatment quality gaps among REL-minority youth. Through a strong web of community-based connections, we will: a) collect and analyze real-time clinical and sociocontextual information via an integrated data warehouse of adaptive symptom monitoring (CAT-MH), electronic health records (EHR), insurance claims, and community data; and b) plan and manage the rollout and testing of measurement-based mental health care. Our proposed projects span community and healthcare system settings, recognizing the need to improve access to treatment and quality of care once treatment is realized for REL-minority youth. In Aim 1, we develop effective community-based outreach and screening programs to identify, refer and provide early interventions, to youth at risk for developing mental illnesses. In Aim 2, we rigorously test and implement healthcare system- based targeted interventions to prevent the development of mental illness and suicide in REL-diverse youth. In Aim 3, we establish a Center for developing and testing innovative interventions to reduce disparities in access and treatment for REL-minority youth and translating findings directly into clinical practice. To accomplish these aims, we will create: an Administrative Core that oversees pilot studies, conducts training, and promotes community participation; a Methods Core that leverages adaptive psychopathology screening and social determinants of health screeners, implements rigorous randomized controlled trials, and conducts predictive analytics to inform efforts to reduce disparities; three research projects that improve the identification and early treatment of psychopathology, suicidality, and traumatic experiences among REL-diverse youth.

项目摘要/摘要 - 剑桥健康联盟 早期筛查和治疗高风险青年（Estory）的痛苦 对患有精神疾病风险的年轻人的高质量心理保健障碍是有充分认可但持久的， 尤其是在种族，种族和语言（REL） - 少年青年中。拟议的早期筛查中心 高危青年的治疗（估算中心）致力于研究和培训以提早改善 发现精神疾病，防止不良后果，提高护理质量并促进公平 临时青年的治疗。埃斯托里中心旨在确定封闭心理的干预措施 卫生保健访问和治疗质量差距之间的差异。通过强大的网络 基于社区的连接，我们将：a）收集和分析实时临床和社会文化信息 通过自适应症状监测（CAT-MH），电子健康记录（EHR）的综合数据仓库， 保险索赔和社区数据； b）计划和管理基于测量的推出和测试 心理保健。 我们提出的项目涵盖社区和医疗保健系统设置，认识到有必要改善 一旦实现了针对少年青年的治疗，获得治疗和护理质量。在AIM 1中，我们发展 有效的基于社区的外展和筛查计划，以识别，参考和提供早期干预措施， 面向有患精神疾病的风险的年轻人。在AIM 2中，我们严格测试和实施医疗保健系统 - 基于有针对性的干预措施，以防止精神疾病的发展和自杀。在 AIM 3，我们建立了一个开发和测试创新干预措施以减少访问差异的中心 以及针对少年青年的治疗，并将发现直接转化为临床实践。 为了实现这些目标，我们将创建：一个监督试点研究，进行培训的行政核心， 并促进社区参与；利用自适应心理病理学筛查的方法核心 以及健康筛查者的社会决定因素，实施严格的随机对照试验并进行 预测分析以告知减少差异的努力；改善标识的三个研究项目 以及对亲生多样性青年的心理病理学，自杀和创伤经历的早期治疗。