The Recognition and Referral of Mental Disorders within Religious Congregations

宗教团体内精神障碍的识别和转介

• 批准号: 8192044
• 负责人: Eunice C Wong
• 金额: $ 38.73万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-06-01 至 2013-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8192044
• 关键词: Address; African; African American; American; Awareness; Caring; Case Study; Characteristics; Church; Clergy; Client; Collaborations; Communities; Community Integration; Consensus; Consult; Counseling; Drops; Feedback; Focus Groups; Foundations; Future; Gatekeeping; Health; Health Personnel; Health Services Accessibility; Healthcare; Individual; Institution; Intervention; Knowledge; Latino; Lead; Link; Literature; Los Angeles; Maps; Mental Health; Mental disorders; Methods; Modeling; Nature; Play; Preparation; Process; Protocols documentation; Provider; Psyche structure; Recommendation; Recording of previous events; Recovery; Referral and Consultation; Religion and Spirituality; Research; Resources; Risk; Role; Sampling; Screening procedure; Services; Social Welfare; Social Work; Surveys; Testing; Therapeutic; Therapeutic community technique; Underserved Population; base; care systems; collaborative care; community organizations; ethnic minority population; experience; forging; health disparity; meetings; member; programs; resource guides; satisfaction

DESCRIPTION (provided by applicant): Religious congregations are often the first and only point of contact for help with mental health problems. As community gatekeepers, religious congregations can play a powerful role in linking individuals to needed mental health treatment. However, religious congregations often do not know when, how, or where to consult with mental health providers. Thus, although recognized as invaluable counterparts that can connect informal and formal systems of care, religious congregations remain a grossly untapped resource, particularly for underserved ethnic minority populations for whom there are significant disparities in access, use, and quality of mental health care. A more standardized process on how to enhance religious congregations' recognition of mental disorders and collaboration with mental health providers is needed. As an initial step, the proposed study aims to lay the foundation for an intervention that enhances congregational practices around mental health screening, referral, and consultation. The proposed study would be carried out in collaboration with a faith-based partner, West Angeles Church of God in Christ, which has over 24,000 congregants and is one of the largest Black "mega-churches" in the nation. Situated in South Los Angeles, West Angeles has extensive interactions with health, social welfare, and community organizations and provides more than 80 programs to enhance the community. West Angeles seeks to build the capacity of other congregations to engage in similar collaborative relationships and helps lead the Faith-based Community Collaborative, a network of over 300 local religious congregations. The proposed study has the following specific aims: (1) Describe the range of congregational practices in addressing mental disorders (2) Identify factors associated with religious congregations' receptivity to mental health screening, referral, and consultation (3) Develop a preliminary protocol to enhance the capacity of religious congregations' engagement in mental health screening, referral, and collaboration For Aim 1, we will conduct focus groups with key stakeholders from a purposeful sample of religious congregations with varying organizational characteristics. For Aim 2, we will conduct a survey with the Collaborative to test hypotheses about predictors of receptivity to mental health screening, referral, and collaboration. For Aim 3, a subset of the Collaborative will convene as a workgroup to develop a preliminary intervention aimed at enhancing RCs mental health screening, referral, and consultation, based upon findings from Aims 1 and 2 and from the literature on quality improvement collaborative care mental health interventions. Using adapted modified Delphi methods, the Collaborative will review the preliminary plan, provide feedback, make revisions, and obtain consensus on a final set of recommendations that will be presented at stakeholder feedback sessions in preparation for future wide-scale implementation efforts. PUBLIC HEALTH RELEVANCE: Religious congregations are often the first and only point of contact for help with mental disorders. As community gatekeepers, religious congregations can play a powerful role in linking individuals to needed treatment, particularly for ethnic minorities who continue to experience significant disparities in mental health care access and utilization. However, religious congregations remain grossly untapped resources given that they rarely refer, consult, or collaborate with mental health providers. The proposed study would lay the groundwork for a preliminary intervention aimed at enhancing religious congregations' capacity to engage in mental health screening, referral, and collaboration. The developed intervention would serve as a model on how to successfully bridge faith and mental health communities and could yield significant impact for the estimated 140.4 million Americans who are members of a religious congregation.

描述（由申请人提供）：宗教团体通常是寻求心理健康问题帮助的第一个也是唯一的联系点。作为社区看门人，宗教团体可以在将个人与所需的心理健康治疗联系起来方面发挥强大的作用。然而，宗教团体往往不知道何时、如何或在哪里咨询心理健康服务提供者。因此，尽管宗教团体被认为是连接非正式和正式护理系统的宝贵伙伴，但它仍然是一种尚未开发的资源，特别是对于服务不足的少数民族人口来说，他们在精神卫生保健的获取、使用和质量方面存在巨大差异。需要一个更加标准化的流程来提高宗教团体对精神障碍的认识以及与精神卫生服务提供者的合作。作为第一步，拟议的研究旨在为干预措施奠定基础，以加强围绕心理健康筛查、转诊和咨询的会众实践。拟议的研究将与信仰合作伙伴西洛杉矶上帝教会合作进行，该教会拥有超过 24,000 名会众，是全国最大的黑人“巨型教堂”之一。西洛杉矶位于洛杉矶南部，与健康、社会福利和社区组织有着广泛的互动，并提供 80 多个项目来改善社区。西洛杉矶致力于建设其他教会参与类似合作关系的能力，并帮助领导基于信仰的社区合作组织，这是一个由 300 多个当地宗教教会组成的网络。拟议的研究有以下具体目标： (1) 描述教会在解决精神障碍方面的实践范围 (2) 确定与宗教团体接受心理健康筛查、转介和咨询相关的因素 (3) 制定初步方案，以提高宗教团体参与心理健康筛查、转介和合作的能力 对于目标 1，我们将与来自宗教团体的有目的的样本中的主要利益相关者进行焦点小组讨论 不同的组织特征。对于目标 2，我们将与协作组织一起进行一项调查，以检验有关心理健康筛查、转诊和协作接受度预测因素的假设。对于目标 3，协作组织的一个子集将作为工作组召开会议，根据目标 1 和 2 以及质量改进协作护理心理健康干预措施的文献中的发现，制定初步干预措施，旨在加强 RC 的心理健康筛查、转诊和咨询。使用经过修改的德尔菲方法，协作组织将审查初步计划，提供反馈，进行修订，并就最终建议集达成共识，这些建议将在利益相关者反馈会议上提出，为未来的大规模实施工作做好准备。 公共卫生相关性：宗教团体通常是寻求精神障碍帮助的第一个也是唯一的接触点。作为社区看门人，宗教团体可以在帮助个人获得所需治疗方面发挥强大作用，特别是对于在精神卫生保健获取和利用方面仍然存在巨大差异的少数民族而言。然而，宗教团体的资源仍然严重未开发，因为他们很少与心理健康提供者进行转介、咨询或合作。拟议的研究将为旨在增强宗教团体参与心理健康筛查、转诊和合作的能力的初步干预奠定基础。所制定的干预措施将成为如何成功地在信仰和心理健康社区之间架起桥梁的典范，并可能对大约 1.404 亿美国人的宗教团体成员产生重大影响。