REstoring mental health after COVID-19 through commUnity-based Psychological services in New York City (RECOUP-NY)

通过纽约市基于社区的心理服务恢复 COVID-19 后的心理健康 (RECOUP-NY)

基本信息

批准号：
10447717
负责人：
Brandon Alan Kohrt
金额：
$ 75.92万
依托单位：
GEORGE WASHINGTON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-07-08 至 2026-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10447717
关键词：
Address Adherence Adoption Affect American Attitude Behavior Black race COVID-19 COVID-19 impact COVID-19 intervention COVID-19 mortality COVID-19 risk COVID-19 susceptibility Chronic Disease Cities Client Collaborations Communicable Diseases Communities Competence Contracts Distress Economics Effectiveness Emergency Situation Emergency department visit Funding Goals Health behavior Hospitalization Intervention Knowledge Latinx Link Maintenance Measures Mediation Mental Depression Mental Health Mental Health Services Minority Groups Mission Modeling Monitor National Institute of Mental Health New York City Nonprofit Organizations Outcome Partnership Practice Persons Policies Population Prevention Public Health Randomized Controlled Trials Reach Effectiveness Adoption Implementation and Maintenance Research SARS-CoV-2 infection Safety Schools Service delivery model Services Specialist Strategic Planning Symptoms Training Underserved Population United States United States National Institutes of Health Universities Vaccination Vulnerable Populations Washington Work adverse outcome arm base behavior change community organizations community setting cost effectiveness cost-effectiveness ratio depressive symptoms design digital effectiveness research evidence base experience experimental arm health care service utilization health disparity health disparity populations health training implementation evaluation implementation measures implementation science improved improved outcome incremental cost-effectiveness innovation member minority health pandemic disease policy recommendation primary outcome psychologic racial and ethnic remote delivery response self reported behavior service organization services as usual social socioeconomic disadvantage treatment arm

项目摘要

PROJECT SUMMARY/ABSTRACT COVID-19 has had major mental health impacts across the United States. The economic, livelihood, social and other effects brought on by the pandemic have affected most of the national population, regardless of COVID- 19 infection. New York City (NYC) has had one of the highest COVID-19 mortality rates, and it has disproportionately affected NIH-designated U.S. health disparity populations (e.g., Black, Latinx). In humanitarian crisis such as this, there is a need for delivery of psychological interventions by non-specialists when specialists are unable to meet the increased service demand. In the U.S., training staff at community- based organizations (CBOs) to deliver psychological support has been highlighted as a way to increase availability of mental health services and increase access to mental health care, particularly for underserved populations. We propose to employ a mental health task-sharing model by partnering with CBOs in NYC to train CBO staff without professional mental health training to deliver mental health services. We will examine the impact of CBO staff delivering mental health services to (a) reduce the negative mental health consequences of the pandemic, and (b) improve public health behaviors to reduce the spread of COVID-19. We propose a cluster randomized control trial (cRCT) in NYC comparing Services as Usual (SAU arm) and delivery of mental health services with Problem Management Plus (PM+) (Intervention arm) among participating CBOs within the ThriveNYC consortium. The target condition will be depression. In Aim 1, we will evaluate mental health outcomes of COVID-19 vulnerable populations served by CBOs integrating PM+ into their other activities compared to CBOs delivering SAU. In Aim 2, we will evaluate the difference between the Intervention and SAU arms on COVID-19 risk prevention adherence among populations served by the CBOs. In Aim 3, we will evaluate implementation science outcomes to inform policy recommendations for of community-based delivery of psychological interventions and inclusion of mental health within the infectious disease response measures. Successful completion of these aims will contribute to the 2020 NIMH Strategic Plan. Specifically, a) employing implementation science to maximize the public health impact of research for improving effectiveness and reach of mental health services, especially for minority groups and other underserved populations, b) strengthening research-practice partnerships to expedite adoption, sustained implementation, and continuous improvement of evidence-based mental health services, and c) developing innovative service delivery models to dramatically improve outcomes of mental health services received in diverse communities and populations.

项目概要/摘要 COVID-19 对美国各地的心理健康产生了重大影响。经济、民生、社会等方面无论新冠肺炎疫情如何，大流行病带来的其他影响已经影响到了大多数国民。 19 感染。纽约市 (NYC) 是 COVID-19 死亡率最高的城市之一，并且 NIH 指定的美国健康差异人群（例如黑人、拉丁裔）受到了不成比例的影响。在像这样的人道主义危机，需要非专业人士进行心理干预当专家无法满足增加的服务需求时。在美国，培训社区工作人员- 强调提供心理支持的组织（CBO）是增加提供精神卫生服务并增加获得精神卫生保健的机会，特别是对于服务不足的人人口。我们建议与纽约市的社区组织合作，采用心理健康任务共享模型，培训未经专业心理健康培训的 CBO 工作人员提供心理健康服务。我们将检查 CBO 工作人员提供心理健康服务对 (a) 减少负面心理健康的影响 (b) 改善公共卫生行为以减少 COVID-19 的传播。我们建议在纽约市进行一项整群随机对照试验 (cRCT)，比较照常服务（SAU 组）和通过问题管理升级版 (PM+)（干预部门）提供心理健康服务 ThriveNYC 联盟内参与的 CBO。目标状况将是抑郁症。在目标 1 中，我们将评估 CBO 所服务的 COVID-19 弱势群体的心理健康结果，将 PM+ 纳入其中与交付 SAU 的 CBO 相比，他们的其他活动。在目标 2 中，我们将评估干预措施和 SAU 旨在提高 CBO 所服务人群的 COVID-19 风险预防依从性。在目标 3 中，我们将评估实施科学成果，为以下方面的政策建议提供信息：以社区为基础提供心理干预并将心理健康纳入传染病防治范围疾病应对措施。成功完成这些目标将有助于 2020 年 NIMH 战略计划。具体来说，a）采用实施科学来最大限度地发挥研究对公共卫生的影响提高精神卫生服务的有效性和覆盖范围，特别是针对少数群体和其他群体服务不足的人群，b) 加强研究与实践伙伴关系，以加快采用，持续实施和持续改进循证精神卫生服务，以及 c) 发展创新的服务提供模式可显着改善精神卫生服务的结果多样化的社区和人群。