Train and EMPOWER A Community Health workforce to achieve equity and reduce disparities in mental health (TEACH)

培训和授权社区卫生人员实现公平并减少心理健康方面的差异 (TEACH)

基本信息

批准号：
10626343
负责人：
Katherine Sanchez
金额：
$ 81.22万
依托单位：
UNIVERSITY OF TEXAS ARLINGTON
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：
2023-09-24 至 2028-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10626343
关键词：
Address Anxiety Attention Behavioral Caring Certification Collaborations Communities Community Health Community Health Aides Competence Consultations Counseling Country Diagnosis Diagnostic Disabled Persons Disparity Diverse Workforce Dropout Early Intervention Educational Curriculum Enrollment Ensure Equity Ethnic Population Evaluation Evidence based intervention Faculty Frequencies Funding Generations Goals Health Health Personnel Health Services Accessibility Health system Healthcare Systems Improve Access Infrastructure Institution Intervention Measures Mental Depression Mental Health Mental Health Services Mentorship Methodology Minority Minority Groups Minority-Serving Institution Modeling National Institute of Mental Health Not Hispanic or Latino Outcome Patients Population Population Group Poverty Preventive care Process Production Provider Quality of Care Race Reporting Research Resource-limited setting Resources Risk Side Social Work Specialist Structure Students Supervision Texas Time Training Training Activity United States National Institutes of Health access disparities addiction behavioral health brief intervention career college contextual factors cost demographics design digital disparity reduction empowerment ethnic diversity ethnic minority population evidence base experience health disparity health equity higher education implementation barriers implementation framework implementation science indicated prevention inequitable distribution innovation insight intervention cost intervention delivery medical schools medical specialties mental state peer people of color preventive intervention programs psychosocial quality assurance racial diversity racial minority population racial population recruit response retention rate scaffold scale up skill acquisition skills social determinants undergraduate student

项目摘要

PROJECT SUMMARY This application is in response to the NIH Common Fund Transformative Research to Address Health Disparities and Advance Health Equity at Minority Serving Institutions (RFA-RM-22-001). The objective of this project is to implement a scalable task-sharing model aimed at building capacity and supporting a racially diverse workforce of non-specialist providers to deliver brief interventions for the indicated prevention and early intervention for depression and anxiety, combined with new content tailored to the local context in low resource, racial and ethnically diverse settings with emphasis on assessing and addressing the social determinants of mental health in these communities, ultimately contributing to the reduction of disparities in their communities. We will do so by recruiting from the undergraduate student population at a Minority Serving Institution in Texas, one of the most under-resourced states for mental health care and deploying an innovative suite of digital solutions to train, supervise and support these providers to deliver evidence based, brief, quality assured psychosocial interventions. The intervention, designed through a systematic process of co-production with students, and collaboration with community specialists, will aim to achieve trans-diagnostic intervention for common mental health problems such as depression and anxiety. The long-term goal of the project is the creation of resources, opportunities, structure, and scaffolding that will establish a robust community mental health care system, through deployment of providers, trained and certified as Community Health Workers (CHWs) for scaling up and building capacity for delivery of interventions to shift mental health care away from specialty care toward high-frequency, low-cost interventions in the communities where the providers live. Increasing the number of providers who reflect the demographics of the community they are serving is key to addressing gaps in care as well as addressing social determinants of mental health and disparities in access to care among minority groups.5 We propose to leverage EMPOWER, a platform developed by Patel and Naslund4 at Harvard Medical School with support from the National Institute of Mental Health (U19MH113211), to train non-specialist undergraduate social work students, facilitate peer supervision for support and quality assurance, and provide consultation and real time support to certified CHWs in the community. The EMPOWER curriculum consists of evidence-based psychosocial interventions covering foundational counseling skills and behavioral activation and will be augmented with training content focused on recognizing and addressing the social determinants of disparities in mental health. Central to our implementation plan and sustainability strategy is to leverage the infrastructure of the Lone Star Depression Challenge, a statewide effort in partnership with the EMPOWER program which will engage, train, and deploy CHWs to health systems to reduce barriers for all Texans with depression, detect their needs earlier, and care for them more effectively, while also prioritizing and engaging people of color, individuals with disabilities, and those living in poverty.

项目概要此申请是为了响应 NIH 共同基金转型研究以解决健康问题少数族裔服务机构的差异和促进健康公平 (RFA-RM-22-001)。的目标该项目旨在实施一个可扩展的任务共享模型，旨在建设能力并支持种族歧视由非专业提供者组成的多元化工作人员为指定的预防和早期干预提供简短的干预措施对抑郁和焦虑的干预，结合针对资源匮乏的当地情况量身定制的新内容，种族和族裔多样化环境，重点是评估和解决种族和族裔多样化的社会决定因素这些社区的心理健康，最终有助于减少社区内的差距。我们将通过从德克萨斯州少数族裔服务机构的本科生中招募学生来实现这一目标，精神卫生保健资源最匮乏的州之一，并部署了创新的数字化套件培训、监督和支持这些提供商提供基于证据的、简短的、有质量保证的解决方案心理社会干预。该干预措施是通过与学生以及与社区专家的合作，旨在实现跨诊断干预常见的心理健康问题，例如抑郁和焦虑。该项目的长期目标是创造资源、机会、结构和脚手架，以建立强大的社区精神医疗保健系统，通过部署经过培训并获得社区卫生工作者认证的提供者（社区卫生工作者）扩大干预措施并建设能力，以将精神卫生保健从在提供者居住的社区中进行高频、低成本干预的专业护理。增加反映其所服务社区人口统计数据的提供者数量是实现这一目标的关键解决护理方面的差距以及心理健康的社会决定因素和获得服务方面的差异照顾少数群体。5 我们建议利用 EMPOWER，这是 Patel 和 Naslund 开发的平台4 在国家心理健康研究所 (U19MH113211) 的支持下，在哈佛医学院进行培训非专业本科社会工作学生，促进同伴监督以提供支持和质量保证，为社区内经过认证的社区卫生工作者提供咨询和实时支持。 EMPOWER 课程包括基于证据的心理社会干预措施，涵盖基本咨询技能和行为激活，并将通过侧重于识别和解决社会问题的培训内容来增强心理健康差异的决定因素。我们的实施计划和可持续发展战略的核心是利用孤星抑郁症挑战赛的基础设施，这是一项与 EMPOWER 计划将吸引、培训和部署社区卫生工作者到卫生系统，以减少所有人的障碍患有抑郁症的德克萨斯人可以更早地发现他们的需求，并更有效地照顾他们，同时也可以优先考虑和照顾他们吸引有色人种、残疾人和贫困人口。