Network for Justice Health

描述(由申请人提供)：美国司法系统在任何一天都控制着近800万年轻人和成年人，并不成比例地触及少数族裔和弱势群体的生活。司法健康网络是由乔治梅森大学的凯瑟琳·A·加拉格尔博士和费伊·S·塔尔曼博士建立的，目的是满足服务不足人口的未得到满足的公共卫生需求。在医疗保健研究和质量机构(AHRQ)成果和证据中心(COE)的伙伴关系下，正义健康网络将继续以开放获取的方式传播会议产生的资源。正义健康网络旨在创建一个由研究人员和政策制定者组成的全球“协作室”，解决与正义有关的人群的健康和医疗保健问题。该网络是围绕以下原则建立的：1)越来越多的证据表明，参与司法系统的个人的未解决的身心健康疾病的比率高于他们在一般人口中的相应人员；2)证据基础没有充分发展，以描述问题的流行程度、解决问题所需的做法和治疗方法、或支持改善健康结果的政策，也没有充分实现现有证据的潜力；3)初步研究表明，司法系统没有提供足够的照顾来改善这一人群的整体功能；4)卫生保健提供者往往没有足够的循证临床指南来处理和改善卫生和与卫生相关的结果(例如，见美国儿科协会，2001)。这将推动该领域为这一医学上复杂且通常得不到充分服务的人群制定循证指导方针，从而改善健康和与健康有关的结果。预期的会议相关产品可分为四个组成部分。第一个产品将是制定相关领域的研究战略(定义如下)以及评估进展的时间表和分级方案。第二套产品包括与会议有关的材料的文件和分发，包括会议记录摘要。无法参加的人也可以参加网络研讨会。还将为会后后续行动和正在举行的委员会会议提供网络会议。第三套产品面向研究和政策界，包括一期特刊上的一系列特邀文章，一篇关于司法基于证据的做法(EBP)的评论文章，涉及司法健康网络成员，如联席董事凯瑟琳·加拉格尔和费伊·塔尔曼。决赛将是一个开放访问的，基于网络的资源，面向全国和全球的个人。这将包括汇编关于司法卫生专题的现有研究和证据，获取用于快速和免费证据搜索的编码书目信息，以及将提供与司法卫生有关的知识领域和差距的可视化展示的自动绘图和绘图编程。通过AHRQ会议赠款请求支持三个会议(2010年2月23日至26日在亚利桑那州凤凰城；2011年2月22日至25日在洛杉矶；2012年2月21日至24日，华盛顿特区) 与公共健康相关：美国司法系统控制的800万人在任何一天都有比普通人口中的同龄人更高的未解决的身心健康疾病的比率。正义网络卫生会议将协调关于消除这些健康差距的循证做法的研究，确定研究的高度优先领域，并为决策者和护理提供者开发开放获取的传播和培训工具。

DESCRIPTION (provided by the applicant): The U.S. Justice system controls nearly 8 million young people and adults on any given day, and disproportionately touches the lives of minority and disadvantaged populations. The Network for Justice Health was established by Drs. Catherine A Gallagher and Faye S. Taxman at George Mason University to attend to the unmet public health needs of an underserved population. With the partnership of the Agency for Healthcare Research and Quality's (AHRQ) Center for Outcomes and Evidence (COE), the Network for Justice Health will the goal of on-going open-access dissemination of conference-generated resources. The Network for Justice Health aims to create a global 'collaboratory' of researchers and policy makers addressing health and health care issues of justice-involved populations. The Network is built around these principles: 1) Mounting evidence suggests that individuals involved in the justice system have higher rates of unresolved physical and mental health disorders than their counterparts in the general population; 2) The evidence-base has not been adequately developed to describe the prevalence of the problem, the practices and treatments needed to address the problems, nor the policies to support improvements in health outcomes, nor has the potential of existing evidence been fully realized; 3) Initial studies demonstrate that the justice system does not provide adequate care to improve the overall functioning of this population; and, 4) Health care providers often do not have adequate evidence-based clinical guidelines for addressing and improving health and health-related outcomes (see, e.g., American Pediatric Association, 2001). This will move the field forward in establishing evidence-based guidelines for this medically complex and typically underserved population so that health and health-related outcomes may be improved. The anticipated conference related products may be divided into four components. The first product will be the generation of a research strategy across the relevant domains (defined below) and a timeline and grading scheme for assessing progress. The second set of products includes documentation and distribution of conference-related materials, including summaries of conference proceedings. Webinars will also be available to those unable to participate. Web-conferencing will also be available for post-meeting follow-up and ongoing committee meetings. A third set of products are aimed at the research and policy community, and include a series of invited articles in a special journal issue, a review article on evidence-based practice (EBP) for justice involved individuals by members of the Network for Justice Health such as co-directors Catherine Gallagher and Faye Taxman. The final will be an open-access, web-based resources for individuals around the country and globe. These will include a compilation of existing research and evidence on justice health topics, access to coded bibliographic information for rapid and free evidence searching, and automated mapping and graphing programming that will provide visual displays of knowledge areas and gaps across conditions, populations, and settings related to justice health. Support for three conferences is requested through AHRQ conference grants (February 23-26, 2010 in Phoenix AZ; February 22-25, 2011, Los Angeles; & February 21-24, 2012, Washington, D.C.) PUBLIC HEALTH RELEVANCE: The 8 million people controlled by the U.S. Justice system on any given day have much higher rates of unresolved physical and mental health disorders than their counterparts in the general population. The Network for Justice Health Conference will coordinate research on evidence based practices to combat these health disparities, identify high-priority areas of research, and develop open-access dissemination and training tools for decision-makers and care providers.