Recognition and Referral Skills for RAs - Mental Health Problems

RA 的认可和推荐技巧 - 心理健康问题

• 批准号: 7450377
• 负责人: DENNIS L THOMBS
• 金额: $ 15.46万
• 依托单位: PHASE 5, INC.
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-01 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7450377
• 关键词: Address; Americas; Attitude; Behavior; Behavior Control; Behavioral; Counseling; Development; Education; Educational process of instructing; Emotional; Enrollment; Evaluation; Feedback; Focus Groups; Foundations; Generations; Health; Health Personnel; Health Services; Housing; Institution; Intervention; Interview; Knowledge; Left; Life; Link; Measures; Mental Health; Mental Health Services; Mental disorders; Metals; Online Systems; Pharmaceutical Preparations; Pharmacological Treatment; Phase; Phase I Clinical Trials; Planning Theory; Population; Pre-Post Tests; Problem behavior; Process; Program Development; Psyche structure; Psychiatric therapeutic procedure; Psychotherapy; Public Health; Randomized Controlled Clinical Trials; Reporting; Resources; Schools; Score; Services; Social support; Specific qualifier value; Stigmata; Students; Suggestion; Surveys; Testing; Today; Training; Training Programs; Universities; Work; college; design; experience; follow-up; high school; innovation; programs; prototype; psychologic; psychological distress; residence; satisfaction; skills; skills training; social stigma; success; university student

DESCRIPTION (provided by applicant): We propose to develop an interactive online program, Recognition and Referral Skills for RAs Training Program - Mental Health Problems, to train college and university RAs to approach, refer, and support residence hall students who may have mental health problems. During Phase I, we will develop and evaluate a prototype training program designed to strengthen RAs ability to link undergraduate residents who are experiencing psychological distress or behavioral problems with professional mental health services. The Theory of Planned Behavior will be used to guide the development of the program, which will be designed to train RAs to recognize, approach, refer, and support residents who may have a mental health problem. The program will provide RAs with: (a) concrete action plans for approaching a resident they have concerns about; (b) guidance on how to make respectful referrals to appropriate helping resources (including online resources); (c) suggestions for how to maintain an ongoing dialogue and positive relationship with these residents after the referral; and (d) to recognize their personal limitations in providing assistance to residents who may have mental health problems. The consumer of the program will be departments of residence life and housing at U.S. colleges and universities. In Phase I, we will conduct elicitation interviews, focus groups, and user groups with staff at 3 universities to develop content for the Recognition and Referral Skills for RAs Training Program - Mental Health Problems. We will rely on a specified, iterative process to construct the online program, including extensive feedback from an expert advisory panel, resident assistants, and residence hall directors. Our evaluation plan includes a pre-post test of change in resident assistant attitudes, subjective norms, perceived behavioral control, behavioral intent, and user satisfaction. We hypothesize that participation in a quasi-experimental trial will increase RA scores on behavioral intent to approach, refer, and support residents who may have mental health problems. We also expect to find that those RAs who report greater satisfaction with the training program will have stronger behavioral intent to approach, help, and support those with mental health problems. To document a foundation for Phase II work, specific criteria are identified for establishing Phase I success. In Phase II, we plan to conduct a multi-campus, randomized trial to test the efficacy of the RA training program. PUBLIC HEALTH RELEVANCE: The development of an online training program would be innovative and commercially viable. We are not aware of any web-based application that provides training for RAs to recognize, refer, and support students who may have a mental health problem. Although mental health concerns and use of psychotropic medications to treat them are prevalent in the undergraduate population, the current state of RA training on these issues is inconsistent across America's campuses and at many institutions is woefully inadequate. The findings from a national survey of residence hall officials, conducted in support of this application, suggest that there is both a significant commercial opportunity in developing an effective training RA program and a societal benefit, i.e., better linkage of undergraduates with mental health concerns with professional treatment providers.

描述(由申请人提供)：我们建议开发一个互动式在线计划，识别和转介技能的RAS培训计划-心理健康问题，以培训学院和大学RAS接近，转介，并支持可能有心理健康问题的寄宿宿舍学生。在第一阶段，我们将开发和评估一个原型培训计划，旨在加强RAS能力，将经历心理困扰或行为问题的本科生住院医生与专业心理健康服务联系起来。计划行为理论将被用来指导该计划的发展，该计划将旨在培训RAS识别、接近、转介和支持可能有心理健康问题的居民。该计划将为RAS提供：(A)接近他们担心的居民的具体行动计划；(B)关于如何礼貌地转介适当的帮助资源(包括在线资源)的指导；(C)关于如何在转介后保持与这些居民的持续对话和积极关系的建议；以及(D)认识到他们在向可能有精神健康问题的居民提供帮助方面的个人局限性。该计划的消费者将是美国学院和大学的居住、生活和住房部门。在第一阶段，我们将与三所大学的工作人员进行启发式访谈、焦点小组和用户小组，以开发RAS培训计划的认可和推荐技能-心理健康问题的内容。我们将依靠一个特定的、迭代的过程来构建在线项目，包括来自专家咨询小组、驻地助理和住宿厅主任的广泛反馈。我们的评估计划包括对驻地助理态度、主观规范、感知行为控制、行为意图和用户满意度的变化进行事后测试。我们假设，参与准实验试验将增加RA在接近、转介和支持可能有心理健康问题的居民的行为意向方面的得分。我们还希望发现，那些报告对培训计划更满意的RAS将有更强的行为意图来接近、帮助和支持那些有心理健康问题的人。为了记录第二阶段工作的基础，确定了确定第一阶段成功的具体标准。在第二阶段，我们计划进行一项多校区的随机试验，以测试RA培训计划的效果。与公共健康相关：在线培训计划的开发将是创新的，在商业上是可行的。我们不知道有任何基于网络的应用程序为RAS提供培训，以识别、推荐和支持可能有心理健康问题的学生。尽管心理健康问题和使用精神药物治疗在本科生中很普遍，但美国校园和许多机构对这些问题的RA培训现状并不一致，严重不足。为了支持这一申请，对住宿厅官员进行的一项全国性调查的结果表明，在开发有效的RA培训计划方面存在重要的商业机会，同时也有社会效益，即更好地将有心理健康问题的本科生与专业治疗提供者联系起来。