Youth as community mental health workers in humanitarian settings: A pilot test of the mechanisms of effect on their own well being

青年作为人道主义环境中的社区心理卫生工作者:对其自身福祉影响机制的试点测试

基本信息

  • 批准号:
    10477936
  • 负责人:
  • 金额:
    $ 29.77万
  • 依托单位:
  • 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:
    2021-09-01 至 2024-08-31
  • 项目状态:
    已结题

项目摘要

There are 1.8 billion young people in the world today. If engaged effectively, youth are resources and agents of change in their communities. Involving youth in work that impacts their communities has positive outcomes for youth wellbeing; and for their communities. But, youth are often marginalized, particularly in humanitarian settings. Youth wellbeing is linked to seven key protective factors: positive emotions, hope, relationships, meaning, accomplishments, autonomy, and engagement. Understanding protective factors as potential mechanisms for intervention-related change in wellbeing is a priority for research in humanitarian settings. If youth are to be meaningfully engaged as intervention agents, their work should focus on a community need. Humanitarian crises increase mental health disorders; and `normal' distress and psychological reactions affect a large percentage of the population. Yet, human resources for health are often insufficient to meet needs. Understanding the capacities of youth to support communities in the context of disasters has been noted as a research imperative. Globally, task-sharing interventions train non-professional lay community members to provide mental health care. As one example, Problem Management Plus (PM+) trains community mental health workers (CMHW) and is effective in humanitarian settings for common mental disorders and for mental distress and other problems that emerge in response to crises. We propose to engage youth – aged 18-24 years, as youth CMHW, to implement PM+ with at-risk adults (18+ years) in their communities. The Syrian refugee crises, one of the worst humanitarian crises in recent history, provides a relevant setting to implement this project. Lebanon hosts ~1.5 million Syrian refugees, and about 60% of Syrian refugees aged 15-24 years are not employed, and not in school. The Specific Aims are: Aim 1: Assess the effectiveness of being a Y-CMHW on their wellbeing, resilience, and stress levels; as compared to an equivalent control group (ECG) of Syrian refugee peers. Aim 2: Identify the mechanisms associated with changes in wellbeing, resilience, and stress. Our conceptual model describes links between the intervention, the mechanisms, and outcomes. Aim 3: Evaluate the feasibility, acceptability and fidelity of Syrian refugee youth as CMHW implementing PM+ with clients using RE-AIM as a framework for collecting implementation data. A community-engaged research approach will involve community members, including youth, in all aspects of the research project. Our results will (a) elucidate critical mechanisms through which engagement of youth to support their community enhances their own wellbeing; (b) inform research around humanitarian/refugee settings, mental health, and Y-CMHW interventions; and (c) provide a robust basis for a follow-up study via a larger RCT. Though we assess the impact of Y- CMHW in the Syrian refugee context, the premise of this intervention and its findings are equally relevant to natural emergency situations/disasters, such as in the USA.
当今世界有18亿年轻人。如果青年人得到有效参与,他们就是其社区变革的资源和推动者。让青年参与影响其社区的工作,对青年的福祉和社区都有积极的影响。但是,青年往往被边缘化,特别是在人道主义环境中。青少年的幸福感与七个关键的保护因素有关:积极的情绪,希望,关系,意义,成就,自主权和参与。了解保护因素作为干预相关的福祉变化的潜在机制是人道主义环境研究的优先事项。如果要让青年人作为干预者有意义地参与,他们的工作就应侧重于社区的需要。人道主义危机增加了心理健康障碍;“正常”的痛苦和心理反应影响到很大比例的人口。然而,保健方面的人力资源往往不足以满足需要。了解青年在灾害情况下支持社区的能力被认为是一项研究任务。在全球范围内,任务分担干预措施培训非专业的非专业社区成员提供精神保健。例如,“问题管理+”(PM+)培训社区精神卫生工作者(CMHW),并在人道主义环境中有效地处理常见的精神障碍和精神痛苦以及应对危机时出现的其他问题。我们建议让18-24岁的青年作为青年CMHW,在他们的社区与高危成年人(18岁以上)一起实施PM+。叙利亚难民危机是近代史上最严重的人道主义危机之一,为实施这一项目提供了相关背景。黎巴嫩收容了约150万叙利亚难民,约60%的15-24岁叙利亚难民没有工作,也没有上学。具体目标是:目标1:评估Y-CMHW对他们的福祉,弹性和压力水平的有效性;与叙利亚难民同龄人的等效对照组(ECG)相比。目标2:确定与幸福感,复原力和压力变化相关的机制。我们的概念模型描述了干预、机制和结果之间的联系。目标三:评估叙利亚难民青年作为CMHW实施PM+的可行性、可接受性和忠诚度,客户使用RE-AIM作为收集实施数据的框架。社区参与的研究方法将使包括青年在内的社区成员参与研究项目的所有方面。我们的研究结果将(a)阐明青年参与支持社区的关键机制,从而提高他们自己的福祉;(B)为人道主义/难民环境,心理健康和Y-CMHW干预措施的研究提供信息;(c)通过更大的RCT为后续研究提供坚实的基础。虽然我们评估了Y-CMHW在叙利亚难民背景下的影响,但这种干预的前提及其调查结果同样适用于自然紧急情况/灾害,例如在美国。

项目成果

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Rima Afifi其他文献

Rima Afifi的其他文献

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{{ truncateString('Rima Afifi', 18)}}的其他基金

Youth as community mental health workers in humanitarian settings: A pilot test of the mechanisms of effect on their own well being
青年作为人道主义环境中的社区心理卫生工作者:对其自身福祉影响机制的试点测试
  • 批准号:
    10684905
  • 财政年份:
    2021
  • 资助金额:
    $ 29.77万
  • 项目类别:
Health Promotion and Disease Prevention Research Center
健康促进与疾病预防研究中心
  • 批准号:
    10658969
  • 财政年份:
    2019
  • 资助金额:
    $ 29.77万
  • 项目类别:
DP19-001, University of Iowa Prevention Research Center for Rural Health
DP19-001,爱荷华大学农村健康预防研究中心
  • 批准号:
    10006490
  • 财政年份:
    2019
  • 资助金额:
    $ 29.77万
  • 项目类别:
DP19-001, University of Iowa Prevention Research Center for Rural Health
DP19-001,爱荷华大学农村健康预防研究中心
  • 批准号:
    10244863
  • 财政年份:
    2019
  • 资助金额:
    $ 29.77万
  • 项目类别:
DP19-001, University of Iowa Prevention Research Center for Rural Health
DP19-001,爱荷华大学农村健康预防研究中心
  • 批准号:
    10438153
  • 财政年份:
    2019
  • 资助金额:
    $ 29.77万
  • 项目类别:
University of Iowa Prevention Research Center for Rural Health
爱荷华大学农村健康预防研究中心
  • 批准号:
    10400569
  • 财政年份:
    2019
  • 资助金额:
    $ 29.77万
  • 项目类别:

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