The Building Wellness project: a case history of partnership, power sharing, and compromise.

The Building Wellness project: a case history of partnership, power sharing, and compromise.
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DOI:
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发表时间:
2006
影响因子:
3.2
通讯作者:
Drew Jones;C. Franklin;B. Butler;Pluscedia Williams;K. Wells;Michael A. Rodriguez
Drew Jones;C. Franklin;B. Butler;Pluscedia Williams;K. Wells;Michael A. Rodriguez
中科院分区:
医学4区
文献类型:
--
作者:
Drew Jones;C. Franklin;B. Butler;Pluscedia Williams;K. Wells;Michael A. Rodriguez

文献摘要

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医学研究所建议制定以社区为重点的战略,以减轻少数民族不成比例的疾病负担,包括抑郁症。到目前为止,在不同种族/族裔环境中发展这种伙伴关系的过程的数据有限,因为它们努力制定社区驱动的循证行动计划,以提高外联服务的质量。我们描述了这样的努力,在南洛杉矶抑郁症和探讨的过程中,希望告知未来的合作伙伴关系的发展问题。方法社区会议,演示,反馈,讨论小组,并在18个月的时间内实施基于共识的行动项目。指定了一个编写小组委员会来编写一份关于该小组工作和进程以及伙伴关系中各种观点的说明。数据来源包括会议记录、成员材料和社区反馈演示、抄写员笔记和作者的反思。结果在正式小组层面、过程中和三类行动计划的实现上都有发展。这些行动计划旨在协助社会服务个案工作者识别和转介抑郁症,包括开发一个网站、一个工具包(经修改的德尔菲程序)和一页抑郁症“情况说明书”,并附有特定区域的转介。结论通过开发一种手段,以打击抑郁症的种族/民族多元化的人口的过程中,社区不仅是更好地了解抑郁症,但已成为一个真正的合作伙伴,在适应这些方案的学术元素,为当地的服务提供商,从而提高了对伙伴关系的理解过程。
INTRODUCTION The Institute of Medicine has recommended development of community-focused strategies to alleviate the disproportionate burden of illness on minorities, including depression. So far, limited data exist on the process of developing such partnerships within diverse racial/ethnic environments as they strive to develop community-driven, evidence-based action plans to improve the quality of outreach services. We describe such an effort around depression in south Los Angeles and explore the issues of the process in the hopes of informing future partnership development. METHODS Community meetings, presentations, feedback, discussion groups, and consensus-based action items were implemented over an 18-month period. A writing subcommittee was designated to develop a description of the group's work and process, as well as the diverse perspectives in the partnership. Data sources included meeting minutes, materials for members and community feedback presentations, scribe notes, and the reflections of the authors. RESULTS Development was seen on the formal group level, in the process, and on the realization of three categories of action plans. Designed to assist social service caseworkers in the recognition of and referral for depression, the action plans included developing a website, a tool kit (modified Delphi process), and a one-page depression "fact sheet" with region-specific referrals. CONCLUSION Through the process of developing a means to combat depression in a racially/ ethnically diverse population, the community is not only better informed about depression but has become a true partner with the academic element in adapting these programs for local service providers, resulting in improved understanding of the partnership process.