CBPR to Improve Depression Care for African-American Domestic Violence Survivors

描述（由申请人提供）：很少有心理健康治疗计划专门解决非洲裔美国人（AA）虐待幸存者的复杂需求。我们计划使用CBPR来开发和测试一种基于社区的多方面干预措施，以减少经历IPV的非裔美国妇女的抑郁差异。该提案的目的是加强我们的社区-学术伙伴关系，并获得进行大规模对照试验所需的技能，工具和初步数据。我们的伙伴关系包括非裔美国人IPV幸存者，社区领袖，家庭暴力倡导者，心理健康提供者和研究人员，他们一直在共同努力，了解抑郁的非裔美国人IPV幸存者的信仰和需求。我们现在正在开发一个抑郁症护理模式的基础上愈合根中心，以社区为基础的非裔美国人家庭暴力计划。我们的干预措施包含了许多与基于健康系统的慢性病护理模式相同的原则，但它将社区及其资源置于计划的核心。非裔美国人家庭暴力倡导者将发挥与护理管理人员类似的作用，提供护理协调和患者教育。他们将把IPV幸存者与医疗保健系统联系起来，使他们能够与现场和诊所的提供者进行更有效的互动。倡导者将使用动机访谈技巧，帮助妇女以文化上适当的方式做出她们希望做出的改变。最后，我们将纳入以创意艺术为基础的计划，以招募和留住那些可能对获得心理健康服务或承认其IPV犹豫不决的女性。我们将加强我们的学术和社区团体之间的伙伴关系，从CBPR所有成员之间建立能力，并监测过程的成功。我们将调整、优先考虑和试点测试我们的干预措施，以评估其可行性和可接受性，并收集初步的有效性数据。此外，我们会让社会参与设计和筹备一项可接受的大规模干预研究。我们的项目在微观和宏观层面上都以赋权理论的原则为基础。在个人层面上，我们的项目将赋予妇女权力，以解决其关系中的暴力问题，使用自我管理支持工具和自我护理做法来控制其抑郁症，并成为心理健康服务的知情消费者。在社区一级，该项目将使社区成员能够与研究人员合作，设计和开展与他们的需求相关并尊重他们的专业知识的研究，这将留下长期的资源，并直接导致社会变革。

DESCRIPTION (provided by applicant): Few mental health treatment programs specifically address the complex needs of African American (AA) abuse survivors. We plan to use CBPR to develop and test a community-based multi-faceted intervention to reduce depression disparities in African American women who experienced IPV. The purpose of the proposal is to strengthen our community-academic partnership and to acquire the skills, tools and preliminary data necessary to conduct a large scale controlled trial. Our partnership consists of African American IPV survivors, community leaders, domestic violence advocates, mental health providers and researchers who have been working together to understand the beliefs and needs of depressed African American IPV survivors. We are now developing a depression care model based within the Healing Roots center, a community-based African American domestic violence program. Our intervention incorporates many of the same principles included in the heath system based Chronic Care Model but it places the community and its resources at the core of the program. African American domestic violence advocates will serve in a similar role to that of care managers, providing care coordination and patient education. They will link IPV survivors into the health care system and empower them to have more effective interactions with both onsite and clinic based providers. Advocates will use motivational interviewing techniques to help women make changes they wish to make in a culturally appropriate manner. Finally, we will incorporate creative arts-based programs as a way to recruit and retain women who might otherwise be hesitant to access mental heath services or recognize their IPV. We will strengthen the partnership between our academic and community groups, build capacity from CBPR among all members, and monitor the success of the process. We will adapt, prioritize and pilot test our intervention to assess its feasibility and acceptability and collect preliminary effectiveness data. Moreover, we will engage the community in designing and preparing an acceptable large-scale intervention study. Our project is strongly grounded in principles of Empowerment theory on both micro and macro levels. On an individual level our project will empower women to address violence in their relationships, to use self-management support tools and self-care practices to control their depression, and to become involved informed consumers of mental health services. At the community level, the project will enable community members to partner with researchers to design and conduct research that is relevant to their needs and respectful of their expertise, which leaves long lasting resources in place and leads directly to social change.