Proyecto Juntos

联合计划

基本信息

批准号：
10773630
负责人：
Gail Emrick
金额：
$ 112.48万
依托单位：
SOUTHEAST ARIZONA AREA HEALTH EDUCATION CENTER
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-19 至 2028-09-18
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10773630
关键词：
Acceleration Address Adult Area Health Education Centers Arizona Border Community COVID-19 pandemic Communities County Development Dimensions Evaluation Feedback Future Goals Government Health Health Personnel Health Resources Health Services Health education Healthcare Healthcare Systems Hispanic Improve Access Inequity Institution Insurance Intervention Latino Latino Population Learning Linguistics Measurable Mental Health Mental disorders Methods Modeling Nature Outcome Phase Politics Population Positioning Attribute Psyche structure Public Health Public Policy Recording of previous events Research Research Personnel Resources Rural Rural Health Substance Use Disorder Testing Transportation Trust United States United States National Institutes of Health Universities Work behavioral health care coordination community burden community organizations cost effective intervention ethnic minority ethnic minority population experience frontier health care availability health determinants health disparity health equity health equity promotion health inequalities implementation strategy improved insight low socioeconomic status marginalization member racial minority population rural underserved social social stigma structural determinants

项目摘要

Abstract Proyecto Juntos, or "Project Together", is a health equity structural intervention to improve access to mental/behavioral health services and ultimately improve health outcomes for three NIH priority populations: ethnic minorities (i.e., Hispanic/Latinos), communities with lower socioeconomic status; and rural underserved. Proyecto Juntos will be led by The Southeast Arizona Health Education Center (SEAHEC), a rural health workforce agency, and will target a rural, four-county region in southern and eastern Arizona with limited access to mental/ behavioral health services. Through community-led assessment and analysis, the proposed project will identify and address critical structural and systemic factors shown to disproportionately burden the communities being targeted including: 1) Lack of Access to Culturally Respectful/Linguistically Appropriate Health Resources. 2) Unnavigable Health Care System/Need for Care Coordination, 3) Lack of Insurance, 4) Lack of Transportation and 5) Stigma against mental/behavioral health & health services. To address these structural barriers long-term, Proyecto Juntos will leverage long-standing partnerships with community organizations and academic institutions and build new cross-cutting, multisectoral partnerships, with state, regional, and local agencies. Proyecto Juntos will occur in three phases: 1) assessment/planning/developing intervention strategies; 2) implementation of structural interventions; and 3) evaluation, dissemination of findings and development of a sustainability plan. SEAHEC's cultivated trust in under-resourced rural and frontier communities, established multisectoral partnerships, and history working with university researchers uniquely places Proyecto Juntos to make lasting changes to healthcare with communities rarely reached by research and government efforts while applying rigorous research and evaluation methods.

抽象的 Proyecto Juntos 或“Project Together”是一项健康公平结构干预措施，旨在改善获得心理/行为健康服务的机会，并最终改善 NIH 三个重点人群的健康结果：少数民族（即西班牙裔/拉丁裔）、社会经济地位较低的社区;和农村服务不足。 Proyecto Juntos 将由农村卫生劳动力机构东南亚利桑那州健康教育中心 (SEAHEC) 领导，目标是亚利桑那州南部和东部的四个县农村地区，获得心理/行为健康服务的机会有限。通过社区主导的评估和分析，拟议项目将识别并解决对目标社区造成过重负担的关键结构性和系统性因素，包括： 1) 缺乏获得文化上尊重/语言上适当的卫生资源的机会。 2) 医疗保健系统无法通航/需要护理协调，3) 缺乏保险，4) 缺乏交通，5) 对精神/行为健康和保健服务的耻辱。为了长期解决这些结构性障碍，Proyecto Juntos 将利用与社区组织和学术机构的长期合作伙伴关系，并与州、地区和地方机构建立新的跨领域、多部门伙伴关系。 Proyecto Juntos 将分三个阶段进行：1) 评估/规划/制定干预策略； 2）实施结构性干预措施； 3) 评估、传播调查结果并制定可持续发展计划。 SEAHEC 在资源贫乏的农村和边境社区培养了信任，建立了多部门合作伙伴关系，并且与大学研究人员合作的历史使 Proyecto Juntos 能够在应用严格的研究和评估方法的同时，对研究和政府努力很少触及的社区的医疗保健做出持久的改变。