Navigating Resource-Constrained Systems and Communities to Promote the Behavioral Health of Black Youth

驾驭资源有限的系统和社区，促进黑人青年的行为健康

基本信息

批准号：
10649659
负责人：
Mary McKernan McKay
金额：
$ 73.88万
依托单位：
WASHINGTON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-01 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10649659
关键词：
Address Adolescent Adult African ancestry Area Authorization documentation Behavioral Black race Caregivers Caring Case Manager Child Child Mental Health Child Support Cities Clinic Collaborations Color Communities Complex County Discipline Disparity Education Enrollment Family Family member Geography Health Health Policy Health Services Accessibility Healthcare Home Impairment Individual Interruption Intervention Investigation Justice Knowledge Low income Maps Mental Health Mental Health Services Methods Modeling Motivation Neighborhoods New York Outcome Parents Perception Phase Policies Poverty Preparation Prevalence Protocols documentation Provider Public Health Racial Segregation Research Resources Schools Scientific Advances and Accomplishments Scientist Services Specialist Supervision System Time Training United States National Institutes of Health Universities Urban Community Washington Work Youth authority barrier to care behavioral health children of color cohort effectiveness/implementation hybrid enhancing factor evidence base experience experimental study family support health disparity health training implementation strategy outreach peer peer support people of color poor communities psychoeducation psychoeducational racial disparity recruit research study response service organization skills social stigma teacher

项目摘要

PROJECT SUMMARY/ABSTRACT Black youth living in poverty-impacted communities are disproportionately burdened by behavioral health challenges, notably serious disruptive behavioral difficulties (DBDs). Without access to care, children with DBDs frequently suffer serious impairment. This study is based on the premise that if care navigation models are going to succeed in eliminating racial disparities in child mental health care, then the preparation and support for child behavioral health navigators (cbhNs) needs to include: 1) training to deliver evidence-based family engagement, psychoeducation and support interventions; 2) ongoing coaching and supervision focused on building collaborative relationships between families and provider partners and; 3) skills to enhance community/system buy-in, as well as to analyze and interrupt multi-level structural influences on disparities and system gaps. involves individuals STL. integrates education, The proposed study (in response to PAR 18-428) will be conducted in 2 phases. Phase 1 the r ecruitment and training of a new cohort of cbhNs (n=15), intentionally involving committed of color from an existing community-based network of outh service system partners, HomeGrown CbhNs will be prepared to collaborate with youth/families via an interactive training protocol which existing vidence-based approaches, including engagement interventions 19 , family support and adapted care navigation models and empirically supported implementation strategies to address y e barriers. Phase 2 is a mixed methods, hybrid effectiveness implementation experimental study, enrolling 390 early adolescent youth (10 to 14 years) of African descent and their families living in geographically defined St. Louis north city and county neighborhoods (racially segregated areas with high poverty concentration). The study aims to simultaneously examine multi-level factors that enhance or impede cbhN interaction and youth/family outcomes. In stakeholders, addition, the study explores the response to cbhNs by key network and system as well as of the cbhNs.This study is being conducted by a transdisciplinary network of scientists at Washington University in St. Louis and New York University in collaboration with St. Louis service organizations, policy officials and the HomeGrown STL Advisory Board. This application aligns with NIH's priorities to address underlying health disparities, as well as to enhance public health impact of mental health focused research studies.

项目概要/摘要生活在受贫困影响的社区的黑人青年承受着不成比例的行为健康负担挑战，特别是严重的破坏性行为困难（DBD）。如果无法获得照顾，患有此病的儿童 DBD 经常遭受严重损害。这项研究的前提是如果护理导航模型要成功消除儿童心理保健方面的种族差异，那么准备和对儿童行为健康导航者 (cbhN) 的支持需要包括： 1) 提供基于证据的培训家庭参与、心理教育和支持干预措施； 2）持续的辅导和监督建立家庭和提供者合作伙伴之间的合作关系； 3）技能提升社区/系统的支持，以及分析和中断对差异和影响的多层次结构性影响制度差距。涉及个人 STL。整合教育，拟议的研究（响应 PAR 18-428）将分两个阶段进行。第一阶段招募和培训一批新的 CBHN（n=15），有意让有承诺的人参与其中来自现有的基于社区的南方服务系统合作伙伴网络的色彩，HomeGrown CbhN 将准备通过交互式培训协议与青少年/家庭合作，该协议现有的基于证据的方法，包括参与干预 19 、家庭支持和调整护理导航模型和经验支持的实施策略来解决 y e 障碍。第二阶段是混合方法、混合有效性实施实验研究，招募390名非洲裔青少年（10 至 14 岁）及其居住在地理上定义的圣路易斯的家庭圣路易斯北部城市和县社区（贫困高度集中的种族隔离地区）。这研究旨在同时检查增强或阻碍 cbhN 相互作用的多层次因素，以及青年/家庭成果。在利益相关者，此外，该研究还探讨了关键网络和系统对 cbhN 的响应以及 cbhNs。这项研究是由一个跨学科网络进行的圣路易斯华盛顿大学和纽约大学的科学家与圣路易斯服务机构合作组织、政策官员和 HomeGrown STL 顾问委员会。该应用程序符合 NIH 的要求解决潜在的健康差异以及增强心理健康对公共卫生的影响的优先事项重点研究。