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ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY)

ALACRITY 用于高危青少年的早期筛查和治疗 (eSToRY)

基本信息

批准号：
10394347
负责人：
Benjamin Le Cook
金额：
$ 165.86万
依托单位：
CAMBRIDGE HEALTH ALLIANCE
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：
2021-05-01 至 2025-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10394347
关键词：
Address Adolescent Adolescent and Young Adult Age Age-Years Area Asian Black race Boston Budgets COVID-19 impact COVID-19 pandemic Caring Cause of Death Child Child Welfare Clinic Clinical Communities Community Health Community Healthcare Community Participation Data Discrimination Distress Early Diagnosis Early Intervention Early treatment Electronic Health Record Emergency Care Evidence based practice Face Family Food Fostering Future Grief reaction Haitian Health Alliance Health Services Accessibility Healthcare Healthcare Systems Housing Improve Access Individual Internet Intervention Justice Language Latino Learning Life Linguistics Link Location Measurement Medical Mental Health Mental Health Services Mental disorders Methods Minority Groups Monitor Morbidity - disease rate Neighborhoods Patients Pilot Projects Police Population Portuguese Predictive Analytics Prevention Preventive Psyche structure Psychiatry Psychopathology Public Health Quality of Care Randomized Controlled Trials Research Research Project Grants Research Training Risk Schools Services Site Stress Suicide Symptoms System Testing Time Training Translating Treatment Effectiveness Unemployment Urban Community Violence Work Youth adverse childhood events adverse outcome barrier to care base care costs career clinical practice community organizations cooking cost effective intervention data infrastructure data warehouse design disability disparity reduction early screening ethnic minority evidence base experience health care availability health care service health data high risk improved improved functioning improved outcome innovation inpatient service insurance claims mental development migration minority children neuropsychiatry operation outpatient programs outreach program physical conditioning population health prevent racial and ethnic screening screening program social disadvantage social health determinants

项目摘要

PROJECT SUMMARY/ABSTRACT- Cambridge Health Alliance ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY) Barriers to quality mental health care for youth at risk of mental illness are well recognized but persistent, especially among racial, ethnic, and language (REL)-minority youth. The proposed Center for Early Screening and Treatment of at-Risk Youth (the eSToRY Center) is dedicated to research and training to improve early detection of mental illness, to prevent adverse outcomes, to improve quality of care, and to foster equity in treatment for REL-minority youth. The eSToRY Center is designed to identify interventions that close mental health care access and treatment quality gaps among REL-minority youth. Through a strong web of community-based connections, we will: a) collect and analyze real-time clinical and sociocontextual information via an integrated data warehouse of adaptive symptom monitoring (CAT-MH), electronic health records (EHR), insurance claims, and community data; and b) plan and manage the rollout and testing of measurement-based mental health care. Our proposed projects span community and healthcare system settings, recognizing the need to improve access to treatment and quality of care once treatment is realized for REL-minority youth. In Aim 1, we develop effective community-based outreach and screening programs to identify, refer and provide early interventions, to youth at risk for developing mental illnesses. In Aim 2, we rigorously test and implement healthcare system- based targeted interventions to prevent the development of mental illness and suicide in REL-diverse youth. In Aim 3, we establish a Center for developing and testing innovative interventions to reduce disparities in access and treatment for REL-minority youth and translating findings directly into clinical practice. To accomplish these aims, we will create: an Administrative Core that oversees pilot studies, conducts training, and promotes community participation; a Methods Core that leverages adaptive psychopathology screening and social determinants of health screeners, implements rigorous randomized controlled trials, and conducts predictive analytics to inform efforts to reduce disparities; three research projects that improve the identification and early treatment of psychopathology, suicidality, and traumatic experiences among REL-diverse youth.

工程摘要/摘要-剑桥健康联盟