Disparities in Mental Health Care for Latinos with Serious Mental Illness

患有严重精神疾病的拉丁美洲人在心理保健方面的差异

• 批准号: 8392987
• 负责人: STEVEN R LOPEZ
• 金额: $ 28.2万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-03-28 至 2013-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8392987
• 关键词: Address; Advisory Committees; Clinical Psychology; Communities; Discrimination; Doctor' s Degree; Faculty; Health Services Accessibility; Health system; Healthcare; Home environment; Individual; Institute of Medicine (U.S.); Institution; Instruction; International; Latino; Mental Health; Mental Health Services; Mental disorders; Mentors; Mexican; Mexico; Pathway interactions; Persons; Population; Provider; Psychotic Disorders; Recruitment Activity; Reporting; Research; Research Personnel; Research Training; Schools; Services; Social Work; Training; Training Programs; Travel; United States; Universities; college; disability; health disparity; literacy; medical schools; multidisciplinary; parent project; programs; severe mental illness; skills

DESCRIPTION (provided by applicant): The overall objective of this application is to develop a 5-year international research training program that will develop a cadre of young investigators to address disparities in mental health care for U.S. Latinos with serious mental illness. To accomplish this objective, we seek: (a) to recruit the very best young researchers from health disparities populations, particularly Latinos; (b) to help the trainees develop the research and professional skills to reduce and eliminate mental health disparities for Latinos; and (c) to increase the number of Latinos who receive research oriented doctoral degree. The doctoral programs within USC's Clinical Psychology Program, USC's School of Social Work, and UCLA's Clinical Psychology Program will serve as the home institutions of the training program. We will also draw our applicant pool from colleges and universities throughout the United States. A total of 6 undergraduate trainees and 2 graduate trainees will be recruited each year. The School of Medicine at the Benemerita Universidad Autonoma de Puebla, in Mexico will serve as the foreign home institution. The training is organized to reflect the three general domains of determinants of health disparities as defined by the 2002 Institute of Medicine Report "Unequal Treatment" (individual factors, health systems, and provider discrimination) and to reflect significant junctures in pathways to mental health care (antecedents to care, access to care, and provision of services). Trainees will first receive an intensive 1-week seminar at USC in the study of disparities in Latino mental health care delivered by a multidisciplinary group of faculty from both USC and UCLA. Following the first week, trainees will then travel to Puebla, Mexico to complete a 10-week program during which they will immerse themselves in one of two parent projects being carried out by a Mexico Faculty Mentor and a U.S. Faculty Mentor. For the first year, the program will focus on (a) promoting community residents' literacy in identifying the signs of psychosis, and (b) assessing factors associated with disability in persons with mental illness. For the following years, the Training Advisory Committee will decide which projects will serve as the focus of the training rotating the projects among both Mexican and U.S. faculty mentors. RELEVANCE (See instructions): The training program will develop researchers to address disparities in mental health care for Latinos, specifically their low use of mental health services and their poor quality of mental health care. In addition, the program will increase the number of Latino investigators with the necessary research and professional skills to help eliminate such disparities.

描述（由申请人提供）：本申请的总体目的是制定一项为期5年的国际研究培训计划，该计划将开发一群年轻的研究人员，以解决患有严重精神疾病的美国拉丁裔精神卫生保健方面的差异。为了实现这一目标，我们寻求：（a）从健康差异人群中，尤其是拉丁裔人群中招募最好的年轻研究人员； （b）帮助学员发展研究和专业技能，以减少和消除拉丁美洲人的心理健康差异； （c）增加获得研究为研究博士学位的拉丁美洲人的数量。 USC的临床心理学计划，USC的社会工作学院和UCLA的临床心理学计划中的博士课程将作为培训计划的内政机构。我们还将从美国各地的大学和大学中汲取申请人池。每年将招募共有6名本科学员和2名研究生学员。墨西哥的Benemerita Autonoma de Puebla医学院将担任外国家庭机构。该培训的组织是为了反映2002年医学研究所报告“不平等治疗”（个人因素，卫生系统和提供者歧视）所定义的健康差异决定因素的三个一般领域，并反映了精神卫生保健途径的重要相关联（在心理保健途径中（前往途径，可以进行护理，获得护理，获得护理和服务的服务））。学员将首先在南加州大学举行的1周研讨会，以研究由USC和UCLA的跨学科教师提供的拉丁裔精神保健差异。在第一周之后，学员将前往墨西哥普埃布拉（Puebla）完成一个为期10周的计划，在此期间，他们将把自己沉浸在墨西哥教师导师和美国教师导师的两个父母项目中之一。第一年，该计划将重点介绍（a）促进社区居民在识别精神病迹象时的识字率，以及（b）评估与精神疾病患者残疾相关的因素。在接下来的几年中，培训咨询委员会将决定哪些项目将作为培训的重点，将墨西哥和美国教师导师之间的项目旋转。 相关性（请参阅说明）： 该培训计划将开发研究人员，以解决拉丁美洲人精神卫生保健方面的差异，特别是他们对心理健康服务的使用量和精神卫生保健质量差。此外，该计划将通过必要的研究和专业技能来增加拉丁裔调查人员的数量，以帮助消除这种差异。