Creating Statewide Community Partnerships: Spanning Boundaries between Public Health, Emergency Housing & Criminal Justice

建立全州社区伙伴关系：跨越公共卫生、紧急住房之间的界限

• 批准号: 10780514
• 负责人: Raymond Waller
• 金额: $ 112.06万
• 依托单位: FAMILIES AGAINST NARCOTICS, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-22 至 2028-09-21
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10780514
• 关键词: Accident and Emergency department; Address; Area; Automobile Driving; Behavioral; Caring; Chronic; Chronic Care; Collaborations; Communities; Community Services; Complex; Continuity of Patient Care; Criminal Justice; Disparate; Disparity; Ecosystem; Emergency Situation; Environment; Etiology; Fracture; Geography; Goals; Government; Grant; Health; Health Services Accessibility; Health system; Healthcare; Hospitals; Housing; Human; Individual; Intervention; Jail; Knowledge; Linguistics; Link; Longterm Follow-up; Maps; Mediation; Medical; Michigan; Mission; Modeling; Monitor; Nature; Outcome Measure; Pathway interactions; Persons; Population; Provider; Public Health; Recovery; Reporting; Research; Resources; Rural; Service setting; Services; Stigmatization; System; Testing; United States Dept. of Health and Human Services; United States National Institutes of Health; Work; behavioral health; collaborative care; community partnership; court; design; disparity gap; dual diagnosis; experience; flexibility; follow-up; health disparity; health inequalities; health professional shortage areas; improved; innovation; interest; marginalization; member; multiple chronic conditions; peer; peer support; physical conditioning; protective factors; referral services; resilience; service gap; social health determinants; telehealth; urgent care; virtual; Accident and Emergency department; Address; Area; Automobile Driving; Behavioral; Caring; Chronic; Chronic Care; Collaborations; Communities; Community Services; Complex; Continuity of Patient Care; Criminal Justice; Disparate; Disparity; Ecosystem; Emergency Situation; Environment; Etiology; Fracture; Geography; Goals; Government; Grant; Health; Health Services Accessibility; Health system; Healthcare; Hospitals; Housing; Human; Individual; Intervention; Jail; Knowledge; Linguistics; Link; Longterm Follow-up; Maps; Mediation; Medical; Michigan; Mission; Modeling; Monitor; Nature; Outcome Measure; Pathway interactions; Persons; Population; Provider; Public Health; Recovery; Reporting; Research; Resources; Rural; Service setting; Services; Stigmatization; System; Testing; United States Dept. of Health and Human Services; United States National Institutes of Health; Work; behavioral health; collaborative care; community partnership; court; design; disparity gap; dual diagnosis; experience; flexibility; follow-up; health disparity; health inequalities; health professional shortage areas; improved; innovation; interest; marginalization; member; multiple chronic conditions; peer; peer support; physical conditioning; protective factors; referral services; resilience; service gap; social health determinants; telehealth; urgent care; virtual

ABSTRACT Entitled “Creating Statewide Community Partnerships: Spanning Boundaries Between Public Health, Emergency Housing, and Criminal Justice,” this proposal seeks to bridge a siloed behavioral health landscape across Michigan. During the project, the team will develop, implement, and test multiple activities to bridge structural gaps and improve downstream impacts. The first is developing and implementing a statewide behavioral healthcare crises system via a virtual dual-diagnosis urgent care entity (V-DUCE) that provides on-demand, same-day access to crisis services such as recovery-oriented care, emergency housing, diversion and reentry services, and other behavioral and medical service referrals and care. The second is to collaborate with courts and jails to facilitate diversion for individuals with concurrent health needs. Third, a system will be implemented to redirect individuals experiencing behavioral health crises with unmet human service needs from hospital emergency departments to V-DUCE based culturally- responsive staff member with lived-experience as their initial point of contact. Fourth, the project will work to create a clear, immediate pathway to emergency housing for individuals seeking recovery who have additional crisis care needs. Finally, our intervention provides a systematic approach to addressing the broad public health issue of unmanaged chronic health conditions within our population of focus. An innovative approach known as boundary spanning will be used to implement these activities, which involves employing individuals with a deep knowledge of local systems to staff the V-DUCE and provide concurrent service initiation. This project advances NIH's mission by assisting individuals with multiple chronic conditions, enhancing public health and eliminating health disparities.

抽象的 标题为“建立全州社区伙伴关系：跨越公共卫生之间的界限， 紧急住房和刑事司法，“该提议旨在弥合孤立的行为健康 密歇根州的景观。在项目期间，团队将开发，实施和测试多重 弥合结构间隙并改善下游影响的活动。第一个是发展和 通过虚拟双诊断紧急护理实体实施全州行为医疗危机系统 （v-duce）提供按需，同一天获得危机服务的危机服务，例如以恢复为导向的护理， 紧急住房，转移和再入服务，以及其他行为和医疗服务推荐以及 关心。第二个是与法院和监狱合作，以促进与并发的人的转移 健康需求。第三，将实施系统以重定向经历行为健康的个人 从医院急诊室到基于V duce的文化危机，未满足的人类服务需求 - 响应良好的工作人员具有现场经验作为其初始联系点。第四，该项目将起作用 为寻求康复的个人创建清晰，直接的紧急住房途径 额外的危机护理需求。最后，我们的干预提供了一种系统的方法来解决广泛的 公共卫生问题在我们的关注群体中存在不受管理的慢性健康状况。创新的 称为边界跨越的方法将用于实施这些活动，其中涉及 雇用对本地系统有深刻了解的个人来人员配备V duce并提供并发 服务启动。该项目通过协助多个慢性的个人来推进NIH的使命 条件，增强公共卫生并消除健康差异。