Mapping Interventions to Reduce Mental Health Services Disparities among Transgender and Nonbinary Adults
Mapping Interventions to Reduce Mental Health Services Disparities among Transgender and Nonbinary Adults
批准号:
10351271
负责人:
Aaron S Breslow
金额:
$15.86万
依托单位国家:
美国
项目类别:
财政年份:
2021
资助国家:
美国
项目状态:
未结题
起止时间:
2021-12-15 至 2025-11-30
关键词:
AddressAdministratorAdultAdvocateAwardBehavioralCaringCharacteristicsClinicClinical DataClinical SkillsCollaborationsDataData AnalysesDatabasesDiscriminationElectronic Health RecordExclusionExhibitsFaceFutureGoalsHealthHealth PersonnelHealth Services AccessibilityHealth Services ResearchHealthcareHealthcare SystemsHospitalsImprove AccessIndividualInterventionInterviewInvestigationLearningLifeMapsMeasuresMedicalMedical centerMental HealthMental Health ServicesMental disordersMethodsNational Institute of Mental HealthNew York CityOutcomePatientsPersonsPoliciesPoliticsPopulationPopulation HeterogeneityProthrombinProviderPsychological StressReportingResearchResearch PersonnelResourcesRiskSamplingSavingsService delivery modelServicesSiteStrategic PlanningSuicide attemptSurveysSystemTimeTrainingUnited StatesVisitadvanced systembehavioral healthcare deliverycare outcomescisgendercohortcontextual factorsdata integrationdisparity reductiongender minorityhealth care deliveryhealth care disparityhealth care serviceimprovedimproved outcomeinnovationinsurance claimsintervention mappingmedically necessary careminority stressnoveloutreachscale upsocialsocial determinantssocial health determinantstransgender
中文摘要
项目总结/摘要。
尽管在社会和政治保护跨性别和非二元(即,transgender)people,
变性人群体继续面临心理健康问题的危机水平。最近的国家调查
表明跨性别者也继续面临着医疗保健系统中未满足需求的负担,
报告说,精神卫生保健回避和排斥往往挽救生命的服务的比率上升。这
往往是医疗服务提供者歧视的结果。
许多医院系统没有能力支持寻求精神保健的变性人。因此,在本发明中,
让变性人参与的努力在改善获得护理方面没有取得重大进展,
减轻心理压力。一个特殊的风险和干预机会的地点是纽约州的布朗克斯,
纽约市的自治市,包括全国最贫穷的国会选区和正在进行的
TNB人群的健康问题。目前的项目旨在从蒙特菲奥里的一大群患者中收集数据
医疗中心,一个每年有超过300万人次就诊的医院系统,
医疗差距。这项研究的目标是精神卫生保健的差距,使用病人的医疗图表以及
与跨性别倡导者和利益相关者的访谈数据。
对于目标1(第1年),我们将分析跨性别者获得更少和/或更差的程度
大型医院提供优质的心理健康服务。我们将通过测量一个大的
9,968名跨性别成年人的样本与49,840名非跨性别成年人的样本。
对于目标2(第2年),我们将与三组36名利益相关者会面,以了解为什么要提供服务
存在着差距,并制定了解决这些差距的战略。第一组将由变性人组成
与心理健康服务有关第二种是与精神疾病无关的变性人。
保健服务第三个将是专门从事跨性别肯定护理的医院工作人员和管理人员。
对于目标3(第3-4年),我们将整合这两种类型的数据(并创建一个地图,
提供心理健康服务,以改善对变性人的肯定护理。该奖项是与
目标是确定全面的TNB护理的障碍和促进因素,以衡量和减少精神疾病,
不同的,有弹性的成年变性人群体的医疗保健差异。
英文摘要
PROJECT SUMMARY/ABSTRACT.
Despite strides in social and political protections for transgender and nonbinary (i.e., transgender) people,
transgender populations continue to face crisis-level rates of mental health concerns. Recent national surveys
show that transgender people face also continue to face a burden of unmet need within healthcare systems,
reporting elevated rates of mental healthcare avoidance of and exclusion from often life-saving services. This
is often a result of discrimination from healthcare providers.
Many hospital systems are unequipped to support transgender people seeking mental healthcare. As such,
efforts to engage transgender individuals have not made significant dents in improving access to care and
reducing psychological stress. One particular site of risk and opportunity for intervention is the Bronx, NY, a
New York City borough containing the nation’s poorest congressional district and an epicenter of the ongoing
health concerns for TNB people. The current project aims to data from a large group of patients at Montefiore
Medical Center, a hospital system with over 3 million visits per year, to measure and address mental
healthcare disparities. This study targets mental healthcare disparities using patients’ medical charts as well as
interview data with transgender advocates and stakeholders.
For Aim 1 (Year 1), we will analyze the extent to which transgender people receive fewer and/or worse
quality mental health services at a large hospital site. We will do so by measuring differences between a large
sample of 9,968 transgender adults with an even larger sample of 49,840 non-transgender adults.
For Aim 2 (Year 2), we will meet with three groups of 36 stakeholders to contextualize why service
disparities exist and strategies to address them. The first group will be composed of transgender people
connected to mental health services. The second will be transgender people who are not connected to mental
health services. The third will be hospital staff and administrators who specialize in transgender-affirming care.
For Aim 3 (Years 3-4), we will integrate both types of data ( together and create a map to shift the ways
mental health services are provided to improve transgender-affirming care. This award was developed with the
goal of identifying barriers to and enablers of comprehensive TNB care, in order to measure and reduce mental
healthcare disparities for diverse, resilient adult transgender populations.
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Mapping Interventions to Reduce Mental Health Services Disparities among Transgender and Nonbinary Adults
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批准号:10540324
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项目类别:
-
资助金额:$15.89万
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财政年份:2021
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负责人:Aaron S Breslow
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依托单位:
海外基金