REstoring mental health after COVID-19 through commUnity-based Psychological services in New York City (RECOUP-NY)

项目摘要/摘要 新冠肺炎已经在全美范围内对心理健康产生了重大影响。经济、民生、社会和 大流行带来的其他影响影响了大多数国家人口，无论COVID是什么- 19感染。纽约市是新冠肺炎死亡率最高的城市之一，而且 NIH指定的美国健康差距人群(例如黑人、拉丁裔)受到不成比例的影响。在……里面 像这样的人道主义危机，需要由非专家提供心理干预 当专家无法满足日益增长的服务需求时。在美国，在社区培训工作人员- 以组织为基础的组织(CBO)提供心理支持已被强调为提高 提供精神卫生服务，增加获得精神卫生保健的机会，特别是对服务不足的人 人口。我们建议通过与纽约市的CBO合作，采用精神健康任务分担模式 培训未经专业心理健康培训的CBO工作人员提供心理健康服务。我们将研究 CBO工作人员提供心理健康服务对(A)减少负面心理健康的影响 (A)预防和控制新冠肺炎大流行的后果；(B)改善公共卫生行为，以减少新浪微博的传播。 我们在纽约市提出了一项整群随机对照试验(CRCT)，比较服务照常(SAU ARM)和 通过问题管理(PM)(干预ARM)提供精神健康服务 在ThriveNYC财团内参与的CBO。目标状态将是抑郁症。在目标1中，我们将 项目管理融入社区组织服务的新冠肺炎弱势人群心理健康状况评估 他们的其他活动与提供SAU的CBO相比。在目标2中，我们将评估 社区组织服务人群中新冠肺炎风险预防的干预和南部非洲联盟武装。 在目标3中，我们将评估实施科学成果，为以下方面的政策建议提供信息 以社区为基础提供心理干预并将心理健康纳入感染性疾病 疾病应对措施。这些目标的成功实现将为2020年NIMH战略做出贡献 计划一下。具体地说，a)利用实施科学最大限度地提高研究对公众健康的影响 提高心理健康服务的效力和覆盖范围，特别是针对少数群体和其他群体 服务不足的人群，b)加强研究-实践伙伴关系，以加速采用，可持续 实施和持续改进循证精神卫生服务，以及c)发展 创新服务提供模式，显著改善#年接受精神卫生服务的结果 不同的社区和人口。

PROJECT SUMMARY/ABSTRACT COVID-19 has had major mental health impacts across the United States. The economic, livelihood, social and other effects brought on by the pandemic have affected most of the national population, regardless of COVID- 19 infection. New York City (NYC) has had one of the highest COVID-19 mortality rates, and it has disproportionately affected NIH-designated U.S. health disparity populations (e.g., Black, Latinx). In humanitarian crisis such as this, there is a need for delivery of psychological interventions by non-specialists when specialists are unable to meet the increased service demand. In the U.S., training staff at community- based organizations (CBOs) to deliver psychological support has been highlighted as a way to increase availability of mental health services and increase access to mental health care, particularly for underserved populations. We propose to employ a mental health task-sharing model by partnering with CBOs in NYC to train CBO staff without professional mental health training to deliver mental health services. We will examine the impact of CBO staff delivering mental health services to (a) reduce the negative mental health consequences of the pandemic, and (b) improve public health behaviors to reduce the spread of COVID-19. We propose a cluster randomized control trial (cRCT) in NYC comparing Services as Usual (SAU arm) and delivery of mental health services with Problem Management Plus (PM+) (Intervention arm) among participating CBOs within the ThriveNYC consortium. The target condition will be depression. In Aim 1, we will evaluate mental health outcomes of COVID-19 vulnerable populations served by CBOs integrating PM+ into their other activities compared to CBOs delivering SAU. In Aim 2, we will evaluate the difference between the Intervention and SAU arms on COVID-19 risk prevention adherence among populations served by the CBOs. In Aim 3, we will evaluate implementation science outcomes to inform policy recommendations for of community-based delivery of psychological interventions and inclusion of mental health within the infectious disease response measures. Successful completion of these aims will contribute to the 2020 NIMH Strategic Plan. Specifically, a) employing implementation science to maximize the public health impact of research for improving effectiveness and reach of mental health services, especially for minority groups and other underserved populations, b) strengthening research-practice partnerships to expedite adoption, sustained implementation, and continuous improvement of evidence-based mental health services, and c) developing innovative service delivery models to dramatically improve outcomes of mental health services received in diverse communities and populations.