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Youth in Emergency: how and why youth of color use psychological stabilization services.

紧急情况下的青年：有色人种青年如何以及为何使用心理稳定服务。

基本信息

批准号：
10313608
负责人：
Carolina-Nicole Scott Herrera
金额：
$ 4.15万
依托单位：
BOSTON UNIVERSITY MEDICAL CAMPUS
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-07-01 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10313608
关键词：
Accident and Emergency department Address Adherence Affect Age Boston Caring Case Study Characteristics Child Cities Color Communities Complement Critical Care Data Decision Making Emergency Situation Emergency department visit Emergency medical service Family Health Health Personnel Health Resources Health Services Accessibility Health system Healthcare Healthcare Systems Individual Intervention Interview Investigation Journals Learning Literature Massachusetts Mediating Mediation Mental Health Mental Health Services Methods Modeling Office Visits Outcome Parents Participant Pathway interactions Patients Peer Review Policies Provider Psychiatric Emergency Services Public Health Publications Race Research Resource Allocation Role Services Specialist Structural Racism Surveys System Therapeutic Time Triage Visit Youth care systems emergency settings experience follow-up health care service utilization health disparity improved informant innovation physical conditioning programs psychiatric emergency psychologic racial disparity racism shared decision making symposium uptake

项目摘要

Abstract Racial disparities in mental health treatment remain persistent, particularly among youth (ages 12-21). Youth of color (YOC) are accessing psychological stabilization services through emergency departments and mobile crisis teams (ED/MCTs) at increasing rates, but there is little information as to why. I propose a qualitative investigation of how YOC prior experiences seeking mental health care have influenced their use of emergency psychiatric services. The proposed case study will be guided by the Candidacy model, a framework that has been successfully used to unpack patients’ experiences with the health care system, elucidate patients’ pathways to appropriate and timely care, and characterize how patients are misdirected. To generate new evidence as to why youth of color are using EDs for mental health care, I will explore the mental health Candidacy experiences of youth of color who received emergency psychological triage in 2021 from the Boston Emergency Services Team (BEST) an initiative spanning five cities in Massachusetts that include psychiatric emergency room visits, crisis care services, and/or mobile crisis unit interventions. My aims include 1. To determine how and why YOC became candidates for emergency psychological stabilization services; 2. To characterize the youth’s prior mental health care experiences and explore how racism and parent involvement influenced those experiences; and 3. To explore how their candidacy with BEST was similar or dissimilar from prior mental health care experiences. I will perform qualitative thematic analysis of key informant interviews and non-participant observation of post-stabilization follow-up visits. Participants will include up to 30 YOC, their parents/guardians, and BEST clinicians. From this 12-month study, I will generate transferable findings that inform the ongoing efforts to provide youth of color with access to needed and appropriate mental health care and contribute to the literature on Candidacy. From this project I will produce two publications in peer-reviewed journals (one on patient experiences with MCT/ED, and the other on the role of candidacy in ED/MCT use). I will present study findings at conferences and to BEST stakeholders to provide wider learning to the professional community of mental health care providers and program managers.

抽象的心理健康治疗方面的种族差异仍然存在，特别是在青少年（12-21 岁）中。青春的 color (YOC) 正在通过急诊室和流动危机获得心理稳定服务团队（ED/MCT）的比例不断增加，但关于原因的信息很少。我提出一个定性的调查 YOC 之前寻求心理健康护理的经历如何影响他们使用紧急精神科服务。拟议的案例研究将以候选模型为指导，已成功用于揭示患者对医疗保健系统的体验的框架，阐明患者获得适当和及时护理的途径，并描述患者如何被误导。到产生新的证据来解释为什么有色人种的年轻人使用急诊室进行心理健康护理，我将探索心理健康 2021 年接受紧急心理分类的有色人种青年的健康候选经历波士顿紧急服务小组 (BEST) 是一项横跨马萨诸塞州五个城市的倡议，其中包括精神科急诊室就诊、危机护理服务和/或流动危机单位干预。我的目标包括 1. 确定YOC如何以及为何成为紧急心理稳定的候选者服务； 2. 描述青少年之前的心理健康护理经历并探讨种族主义如何影响父母的参与影响了这些经历； 3. 探讨他们如何参与 BEST 的候选资格与之前的心理健康护理经历相似或不同。我将进行定性主题对关键知情人访谈和稳定后后续访问的非参与观察进行分析。参与者将包括最多 30 名 YOC、他们的父母/监护人以及最佳临床医生。从这项为期 12 个月的研究来看，我将得出可转移的发现，为为有色人种青年提供所需的持续努力提供信息和适当的心理保健，并为有关候选的文献做出贡献。从这个项目中我将生产在同行评审期刊上发表两篇论文（一篇关于 MCT/ED 的患者体验，另一篇关于 MCT/ED 的作用） ED/MCT 使用的候选资格）。我将在会议上向最佳利益相关者展示研究结果，以提供向精神卫生保健提供者和项目管理者的专业社区提供更广泛的学习。