Prevention and Early Identification for High Risk Youth in School-based Clinics

校本诊所高危青少年的预防和早期识别

• 批准号: 10610837
• 负责人: Margaret Weiss
• 金额: $ 28.98万
• 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/10610837
• 关键词: 17 year old; Abuse Reporting; Accounting; COVID-19; Clinic; Cognitive; Communities; Complex; Computers; Counseling; Data; Databases; Diagnosis; Disadvantaged; Disparity; Distress; E-learning; Early Intervention; Early identification; Early treatment; Education; Effectiveness; Effectiveness of Interventions; Electronic Health Record; Electronics; Ethnic Origin; Explosion; Face; Family; Food; Future; Haitian; Health Alliance; Health Promotion; Health Services; Health Services Accessibility; Health system; Individual; Institute of Medicine (U.S.); Insurance; Intervention; Language; Measurement; Measures; Mental Health; Mental disorders; Methods; Minority; Neighborhoods; Outcome; Paper; Parents; Population; Portuguese; Prevention; Preventive; Race; Reporting; Risk; Risk Factors; Sampling; School-Age Population; Schools; Self Efficacy; Social Distance; Structure; Students; Substance abuse problem; Symptoms; Technology; Teenagers; Testing; Therapeutic Intervention; Time; Trauma; Unemployment; Work; Youth; acceptability and feasibility; access disparities; age group; aged; behavioral health; college; compare effectiveness; coping; coping mechanism; disparity reduction; early screening; effective intervention; effectiveness evaluation; effectiveness testing; feasibility testing; follow-up; functional improvement; functional status; help-seeking behavior; high risk; mental health personnel; minority children; minority communities; novel; outreach; peer support; perceived discrimination; prevent; preventive intervention; promote resilience; reduce symptoms; remediation; resilience; school closure; screening; single episode major depressive disorder; social health determinants; social stigma; socioeconomics; stressor; substance use; tool; treatment disparity

PROJECT SUMMARY AND ABSTRACT – Cambridge Health Alliance ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY) R34 Prevention and Early Identification for High Risk Youth in School-based Clinics The proposed project aims to implement and test tools necessary to prevent transitions to mental illness among at-risk youth, and particularly at-risk racial/ethnic and language (REL)-minority youth. Risk factors for REL-minority youth can be heightened due to their greater likelihood of experiencing discrimination and socioeconomic barriers and their subsequent impacts on access and engagement in treatment and overall wellness. The overall aim of this project is to prevent and remediate a surge in youth mental illness and to reduce persistent treatment disparities. First, we propose to use a remote adaptive testing technology, “K- CAT+”, to provide rapid community-based screening. Second, we will evaluate the effectiveness of a targeted, online health promotion intervention, COPE2THRIVE (C2T), to build resilience in a REL-diverse sample of school-aged youth. Third, we will assess whether this approach mitigates increased risk faced by racial/ethnic and language (REL)-minority youth. In Aim 1, we test the feasibility and acceptability of a parent- and youth-reported electronic mental health screener, K-CAT, among 12-17 year old youth in a school-based setting. The adaptive screening platform, K- CAT, reduces the time and total number of measures that are required. We supplement K-CAT (to make “K- CAT+”) with measures of functional status, complex trauma, and individual- and neighborhood-level social determinants of health (SDOH). In Aim 2, we test the feasibility, acceptability, and preliminary effectiveness of the COPE2THRIVE (C2T) intervention, a resilience intervention targeting the mechanism of coping self- efficacy to reduce symptoms and improve function. We select youth determined by the K-CAT+ to be at moderate risk for mental illness. In Aim 3, we assess whether the combination of early school-based screening and the preventive C2T intervention reduces disparities in engagement in treatment, and reduces symptoms and improves function for REL-minorities. The screening and preventive interventions tested in this project have the potential to reduce persistent REL disparities in access and engagement in treatment and mental health outcomes, by enhancing the availability and ease of screening, overcoming known biases in recognition and referral, and by intervening earlier than usual among at-risk REL-minority youth.

项目摘要和摘要 - 剑桥健康联盟 早期筛查和治疗高风险青年（Estory）的痛苦 R34预防和早期识别学校诊所中的高风险青年 拟议的项目旨在实施和测试必要的工具，以防止过渡到精神疾病 在处于危险的青年中，尤其是处于危险的种族/种族和语言（RER） - 少年青年中。风险因素 由于经历歧视和 社会经济障碍及其对访问和参与治疗的影响以及整体的影响 健康。该项目的总体目的是预防和补救青年精神疾病的激增和 减少持续的治疗分布。首先，我们建议使用远程自适应测试技术“ K- CAT+”，为了提供基于社区快速的筛查。其次，我们将评估目标，有效性， 在线健康促进干预措施，COPE2THRIVE（C2T），以在一个相关样本中建立弹性 学龄的年轻人。第三，我们将评估这种方法是否减轻种族/种族面临的风险增加 和语言（rel） - 少年。 在AIM 1中，我们测试了父母和青年报告的电子心理健康的可行性和可接受性 K-cat的筛选器，在一个以学校为基础的12-17岁青年中。自适应筛选平台K- 猫，减少所需措施的时间和总数。我们补充k-cat（制作“ K-） CAT+”）具有功能状态，复杂创伤以及个人和社区水平社会的测量 健康决定因素（SDOH）。在AIM 2中，我们测试了可行性，可接受性和初步有效性 COPE2THRIVE（C2T）干预措施，一种针对自我应对机制的弹性干预措施 减轻症状并改善功能的功效。我们选择由K-cat+确定的青年 适度的精神疾病风险。在AIM 3中，我们评估了早期基于学校的筛查的组合 预防性C2T干预减少了治疗中的分布，并减少了症状 并改善了少量的功能。 该项目测试的筛查和预防性干预措施有可能减少持续性关系 通过增强可用性，在治疗和心理健康成果方面的差异和参与方面差异 以及易于筛选，克服认识和推荐方面的已知偏见，以及以前的介入 在处于危险中的少年青年中通常。