ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY)

ALACRITY 用于高危青少年的早期筛查和治疗 (eSToRY)

• 批准号: 10205659
• 负责人: Benjamin Le Cook
• 金额: $ 167.24万
• 依托单位: CAMBRIDGE HEALTH ALLIANCE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10205659
• 关键词: Address; Adolescent; Adolescent and Young Adult; Age; Age-Years; Area; Asians; Boston; Budgets; COVID-19; COVID-19 pandemic; Caring; Cause of Death; Child; Child Welfare; Clinic; Clinical; Communities; Community Health; Community Healthcare; Community Participation; Data; Discrimination; Distress; Early Diagnosis; Early Intervention; Early treatment; Electronic Health Record; Emergency Care; Evidence based practice; Face; Family; Food; Fostering; Future; Grief reaction; Haitian; Health Alliance; Health Services Accessibility; Healthcare; Healthcare Systems; Housing; Improve Access; Individual; Internet; Intervention; Justice; Language; Latino; Learning; Life; Linguistics; Link; Location; Measurement; Medical; Mental Health; Mental Health Services; Mental disorders; Methods; Minority; Minority Groups; Monitor; Morbidity - disease rate; Neighborhoods; Patients; Pilot Projects; Police; Population; Portuguese; Predictive Analytics; Prevention; Preventive; Psyche structure; Psychiatry; Psychopathology; Public Health; Quality of Care; Randomized Controlled Trials; Research; Research Project Grants; Research Training; Risk; Schools; Services; Site; Stress; Suicide; Symptoms; System; Testing; Time; Training; Translating; Treatment Effectiveness; Unemployment; Urban Community; Violence; Work; Youth; adverse childhood events; adverse outcome; barrier to care; base; care costs; career; clinical practice; community organizations; cooking; cost effective intervention; data infrastructure; data warehouse; design; disability; disparity reduction; early screening; ethnic minority population; evidence base; experience; health care availability; health care service; health data; high risk; improved; improved functioning; improved outcome; innovation; inpatient service; insurance claims; mental development; migration; neuropsychiatry; operation; outpatient programs; outreach program; physical conditioning; population health; prevent; racial and ethnic; screening; screening program; social disadvantage; social health determinants

PROJECT SUMMARY/ABSTRACT- Cambridge Health Alliance ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY) Barriers to quality mental health care for youth at risk of mental illness are well recognized but persistent, especially among racial, ethnic, and language (REL)-minority youth. The proposed Center for Early Screening and Treatment of at-Risk Youth (the eSToRY Center) is dedicated to research and training to improve early detection of mental illness, to prevent adverse outcomes, to improve quality of care, and to foster equity in treatment for REL-minority youth. The eSToRY Center is designed to identify interventions that close mental health care access and treatment quality gaps among REL-minority youth. Through a strong web of community-based connections, we will: a) collect and analyze real-time clinical and sociocontextual information via an integrated data warehouse of adaptive symptom monitoring (CAT-MH), electronic health records (EHR), insurance claims, and community data; and b) plan and manage the rollout and testing of measurement-based mental health care. Our proposed projects span community and healthcare system settings, recognizing the need to improve access to treatment and quality of care once treatment is realized for REL-minority youth. In Aim 1, we develop effective community-based outreach and screening programs to identify, refer and provide early interventions, to youth at risk for developing mental illnesses. In Aim 2, we rigorously test and implement healthcare system- based targeted interventions to prevent the development of mental illness and suicide in REL-diverse youth. In Aim 3, we establish a Center for developing and testing innovative interventions to reduce disparities in access and treatment for REL-minority youth and translating findings directly into clinical practice. To accomplish these aims, we will create: an Administrative Core that oversees pilot studies, conducts training, and promotes community participation; a Methods Core that leverages adaptive psychopathology screening and social determinants of health screeners, implements rigorous randomized controlled trials, and conducts predictive analytics to inform efforts to reduce disparities; three research projects that improve the identification and early treatment of psychopathology, suicidality, and traumatic experiences among REL-diverse youth.

项目摘要/摘要 - 剑桥健康联盟 ALACRITY 用于高危青少年的早期筛查和治疗 (eSToRY) 为有精神疾病风险的青少年提供优质心理保健服务的障碍已广为人知，但仍持续存在， 尤其是在种族、民族和语言 (REL) 少数群体的青少年中。拟议的早期筛查中心 和高危青少年治疗（eSToRY 中心）致力于研究和培训，以提高早期 发现精神疾病，预防不良后果，提高护理质量，并促进公平 REL 少数族裔青少年的治疗。 eSTorY 中心旨在确定能够关闭心理障碍的干预措施 REL 少数族裔青年的医疗保健获取和治疗质量差距。通过强大的网络 基于社区的联系，我们将： a) 收集和分析实时临床和社会背景信息 通过自适应症状监测（CAT-MH）、电子健康记录（EHR）的集成数据仓库， 保险索赔和社区数据； b) 规划和管理基于测量的部署和测试 心理保健。 我们提出的项目涵盖社区和医疗保健系统设置，认识到需要改进 一旦实现 REL 少数族裔青年的治疗，他们就能获得治疗和高质量的护理。在目标 1 中，我们开发 有效的基于社区的外展和筛查计划，以识别、转介和提供早期干预措施， 有患精神疾病风险的青少年。在目标2中，我们严格测试和实施医疗保健系统- 基于针对性的干预措施，以防止 REL 多元化青少年患精神疾病和自杀。在 目标 3，我们建立一个中心来开发和测试创新干预措施，以减少获取方面的差异 以及对 REL 少数族裔青少年的治疗，并将研究结果直接转化为临床实践。 为了实现这些目标，我们将创建： 一个行政核心，负责监督试点研究、进行培训、 并促进社区参与；利用适应性精神病理学筛查的方法核心 和健康筛查的社会决定因素，实施严格的随机对照试验，并进行 预测分析为减少差异的努力提供信息；三个提高识别能力的研究项目 对 REL 多元化青少年的精神病理学、自杀倾向和创伤经历进行早期治疗。