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

项目总结/摘要 COVID-19对美国各地的心理健康产生了重大影响。经济、民生、社会和 疫情带来的其他影响影响了全国大部分人口，无论COVID-19是否存在， 19感染纽约市（NYC）是COVID-19死亡率最高的城市之一， 不成比例地影响NIH指定的美国健康差异人群（例如，黑人，拉丁裔）。在 在这种人道主义危机中，需要由非专家提供心理干预， 当专家无法满足增加的服务需求时。在美国，培训社区工作人员- 基于组织（社区组织）提供心理支持已被强调为一种方式， 提供精神卫生服务，增加获得精神卫生保健的机会，特别是对得不到充分服务的人 人口。我们建议通过与纽约市的社区组织合作，采用心理健康任务分担模式， 培训没有受过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的影响，以（a）减少消极的心理健康 （B）改善公共卫生行为，以减少COVID-19的传播。 我们提出了一项在纽约市进行的群集随机对照试验（cRCT），比较服务作为替代品（SAU组）和 提供心理健康服务与问题管理+（PM+）（干预组）， 参与ThriveNYC联盟的社区组织。目标是抑郁症。在目标1中，我们 评估社区组织将PM+融入到2019冠状病毒病脆弱人群中的心理健康结果 他们的其他活动相比，社区组织提供SAU。在目标2中，我们将评估 干预和SAU武器对COVID-19风险预防遵守人群中的CBO服务。 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，并将心理健康纳入传染病防治工作， 疾病应对措施。这些目标的成功完成将有助于2020年NIMH战略 计划具体而言，a）采用实施科学，最大限度地提高研究对公共卫生的影响， 提高精神卫生服务的有效性和覆盖面，特别是对少数群体和其他 B）加强研究实践伙伴关系，以加快采用， 实施和不断改进循证精神卫生服务，以及c）发展 创新的服务提供模式，以显着改善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.