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

• 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
• 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

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.

项目摘要/摘要 生活在贫困社区中的黑人青年对行为健康的负担不成比例 挑战，特别是严重的破坏性行为困难（DBD）。没有照料的儿童 DBD经常遭受严重的损害。这项研究基于这样的前提 将成功消除儿童精神卫生保健中的种族差异，然后做准备和 对儿童行为健康导航员（CBHNS）的支持需要包括：1）培训以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）持续的教练和监督集中 建立家庭和提供商合作伙伴之间的协作关系； 3）提高技能 社区/系统的买入，以及分析和中断对差异和差异的多层结构影响 系统差距。 涉及 个人 STL。 集成 教育， 拟议的研究（响应于第18-428杆）将分为两个阶段。阶段1 新的CBHN队列（n = 15）的r效率和培训，有意涉及承诺 来自现有社区服务系统合作伙伴网络的颜色，本土 CBHNS将准备通过互动培训协议与青年/家庭合作，该协议 现有的基于vidence的方法，包括参与干预措施19，家庭支持和 改编的护理导航模型和经验支持的实施策略以解决 y e 障碍。阶段2是一种混合方法，混合有效性实施实验研究，招募390 非洲血统的青春期早期青年及其居住在地理定义的St.的家人 路易斯北城和县社区（种族隔离的地区，贫困集中度很高）。这 研究旨在同时检查增强或阻碍CBHN相互作用和的多层次因素 青年/家庭成果。在 利益相关者， 此外，该研究还探索了密钥网络和系统对CBHN的反应 以及cbhns. 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 组织，政策官员和本土STL顾问委员会。该应用程序与NIH的 解决潜在的健康差异的优先事项，并增强对心理健康的公共卫生影响 重点研究。