International Latino Research Partnership (ILRP)

国际拉丁裔研究伙伴关系 (ILRP)

基本信息

批准号：
8866902
负责人：
MARGARITA ALEGRIA
金额：
$ 12.21万
依托单位：
CAMBRIDGE HEALTH ALLIANCE
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-07-01 至 2017-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8866902
关键词：
Acculturation Address Alcohol consumption Alcohol or Other Drugs use Anxiety Area Attention Boston Caribbean region Caring Clinic Collaborations Commit Communities Comorbidity Complement Country Data Data Aggregation Databases Dependence Development Disease Documentation Drug Addiction Drug usage Early Diagnosis Early Intervention Economics Elements Epidemic European Union Evidence based treatment Funding Funding Agency Growth HIV HIV risk Health Health Services Health Services Accessibility Health Services Needs Health Services Research Healthcare Healthcare Systems High Prevalence Hispanics Immigrant Improve Access Individual Institution International Intervention Knowledge Latin America Latino Legal Link Literature Medical Mental Health Mental disorders Modeling National Institute of Drug Abuse Nomads Outcome Patients Pharmaceutical Preparations Population Premature Mortality Primary Health Care Process Qualifying Research Research Infrastructure Research Personnel Research Support Risk Safety Sampling Services Site Smoking Smoking and Health Research Social Work Spain Strategic Planning Substance Use Disorder Symptoms Testing Tobacco use Training Work base behavioral health binge drinking depressive symptoms disability drinking dual diagnosis evidence base experience improved innovation population movement productivity loss public health relevance response screening screening, brief intervention, referral, and treatment skills

项目摘要

DESCRIPTION (provided by applicant): Untreated substance use disorders are associated with premature mortality, productivity loss, high rates of disability, and increased risk for HIV. Substance use also places users at risk for elevated depression symptoms and high levels of anxiety. In reciprocal fashion, having mental health problems radically increases the likelihood of augmented drug use, smoking, binge drinking and heavy episodic drinking. Despite a substantial body of evidence documenting the high prevalence of dual-diagnosis patients, few rigorous interventions have been conducted to treat individuals with comorbid substance use and mental health disorders. Globally, most people with substance use and/or mental health problems receive no treatment. The proposed International Latino Research Partnership (ILRP) directly responds to this gap in the literature. The ILRP brings together research institutions an their partnering community clinics in Boston, Madrid and Barcelona to enhance a collaborative international partnership and to develop the research evidence necessary to respond to Latino migrants' behavioral health service needs. We turn our focus to Latino migrants because economic opportunities have moved unprecedented numbers of migrants from Latin America to host countries like Spain and the US. Spain has the second largest number of Latino migrants in the world behind only the US, where most immigrants are Latino. Migrant Latinos confront colossal barriers to behavioral health. During the process of acculturation to the host culture, migrants have been shown to drink more alcohol and use more drugs straining the health care system, public safety, and increasing their risk for HIV. We propose three aims: 1) Develop an international partnership and research collaboration to support research that can improve accessibility, quality and outcomes of integrated behavioral health services for migrant Latinos with co-occurring substance use, mental health problems and/or HIV risk in primary care clinics; 2) Harmonize data across research sites; and 3) Conduct behavioral health services research focused on rapid screening, referral, and integrated behavioral health services research for migrant Latino populations with co-occurring substance use, mental health problems, and HIV risk in primary care clinics. For Aim 3, we follow a Screening, Brief Intervention and Referral to Treatment (SBIRT) model, where we first test the validity of a brief behavioral health screener for Spanish-Speaking populations. Building on that work, we test the feasibility, acceptability and efficacy of the "Integrated Intervention for Dual Problems and Early Action" (IIDEA) intervention addressing substance use, smoking and mental health disorders. As such, the proposed ILRP multi-site international project is a critical step towards developing models of integrated care for the large and diverse Latino migrant population and more broadly towards understanding how best to integrate evidence- based assessment and treatments for co-occurring substance and mental health problems and HIV risks.

描述（由申请人提供）：未经处理的药物使用障碍与早亡率，生产率损失，高率和艾滋病毒的风险增加有关。使用物质还使使用者处于抑郁症状升高和高水平的焦虑症中的风险。以相互的方式，患心理健康问题从根本上增加了增加吸毒，吸烟，暴饮暴食和大量情节饮酒的可能性。尽管有大量证据记录了双诊断患者的高流行，但很少进行严格的干预措施来治疗患有合并药物使用和心理健康障碍的人。在全球范围内，大多数患有药物使用和/或心理健康问题的人没有接受治疗。拟议的国际拉丁裔研究合作伙伴关系（ILRP）直接应对文献中的这一差距。 ILRP汇集了研究机构在波士顿，马德里和巴塞罗那的合作社区诊所，以增强协作国际合作伙伴关系，并为响应拉丁裔移民的行为卫生服务需求提供必要的研究证据。我们将重点转移到拉丁裔移民上，因为经济机会已将从拉丁美洲的移民数量转移到了西班牙和美国等东道国。西班牙的拉丁裔移民数量仅次于美国，大多数移民是拉丁裔。移民拉丁裔面临行为健康的巨大障碍。在对寄宿文化的适应过程中，移民已被证明可以喝更多的酒精，并使用更多的药物来应e卫生保健系统，公共安全，并增加其艾滋病毒的风险。我们提出了三个目标：1）建立国际伙伴关系和研究合作，以支持研究，可以改善对移民拉丁裔综合行为卫生服务的可及性，质量和结果，并在初级保健诊所使用同时发生的药物使用，心理健康问题和/或HIV风险； 2）跨研究站点统一数据； 3）进行行为健康服务研究，重点是对拉丁裔人群进行快速筛查，转诊和综合行为卫生服务研究，并在初级保健诊所进行同时发生的药物使用，心理健康问题和HIV风险。对于AIM 3，我们遵循筛查，简短的干预并转介到治疗（SBIRT）模型中，在该模型中，我们首先测试了简短的行为健康筛选员在讲西班牙语的人群中的有效性。在这项工作的基础上，我们测试了“双重问题和早期行动的综合干预措施”（IIDEA）的可行性，可接受性和功效（IIDEA），以解决药物使用，吸烟和心理健康障碍的干预措施。因此，拟议的ILRP多站点国际项目是朝着为大型和多样化的拉丁裔移民人口开发综合护理模型的关键一步，更广泛地旨在理解如何最好地整合基于证据的评估和治疗共同存在的物质，心理健康问题和HIV风险。