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Improving Mental Health Services for Low-Income Latinos in Primary Care

改善初级保健中低收入拉丁裔的心理健康服务

基本信息

批准号：
8069192
负责人：
Bonnie L Green
金额：
$ 19.96万
依托单位：
GEORGETOWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-05-06 至 2013-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8069192
关键词：
Address Advisory Committees American Anxiety Applications Grants Area Attitude Caring Central America Central American Chronic Clinic Clinical Clinical Data Clinical Research Clinical Services Clinical Trials Collaborations Commit Communities Community Health Community Participation Computerized Medical Record County Custom Data Data Element Development Diabetes Mellitus Disease District of Columbia Effectiveness Effectiveness of Interventions Evaluation Evaluation Research Evidence based intervention Florida Focus Groups Foundations Funding Goals Governing Board Grant Guidelines Hand Health Health Services Health Services Research Health Status Health behavior Healthcare Healthcare Systems Hispanics Home environment Hypertension Ice Immigrant Individual Institution Insurance Interpersonal Violence Intervention Intervention Studies Interview Joints Knowledge Laboratories Latino Leadership Local Government Low income Medical Mental Depression Mental Health Mental Health Services Mental disorders Mentors Minority Minority Groups Modeling Monoclonal Antibody R24 Morbidity - disease rate Multiple Partners National Institute of Mental Health Obesity Outcome Patients Physician Executives Pilot Projects Population Population Heterogeneity Poverty Preventive Primary Health Care Process Program Evaluation Protocols documentation Provider Psychiatry Publications Qualifying Recommendation Recording of previous events Reporting Research Research Activity Research Design Research Infrastructure Research Personnel Research Training Resources Self Management Services Stigmata System Target Populations Testing Time Training Trauma Underrepresented Minority Underserved Population Uninsured United States United States Dept. of Health and Human Services Universities Vision War Work base behavioral health care systems clinical care collaborative care community based participatory research community organizations cost design effective intervention ethnic minority population experience flexibility health disparity health information technology improved infrastructure development innovation journal article literacy medical schools meetings member physical conditioning primary care setting programs research and development safety net service intervention skills social stigma success therapy development trauma centers volunteer web site

项目摘要

IMPROVING MENTAL HEALTH SERVICES FOR LOW-INCOME LATINOS IN PRIMARY CARE Building community capacity to deliver accessible mental health services to Latino Immigrants is much needed. Latinos in the US are less likely to utilize mental health services than non-Latino Whites, and they are less likely to receive guideline-concordant care, with disparities increasing. The Community Academic Partnership for Mental Health (CAP-MH) seeks to address these concerns by strengthening an existing partnership between the Center for Trauma and the Community (CTC) in the Psychiatry Department at Georgetown Medical School, and the Primary Care Coalition (PCC) of Montgomery County, to support the timely development and evaluation of culturally competent, trauma-sensitive, and innovative interventions to improve patient mental health. A major goal of this project is to integrate clinical research into the clinical care process at the community clinic level. Thus, PCC¿s electronic medical record (EMR) will be improved by upgrading the mental health section, including the addition of custom data elements required for specific research protocol interventions, and essential functionalities, including improved data summary functions. Once the EMR has been upgraded, a naturalistic evaluation of the Montgomery Cares Behavioral Health Program (MCBHP) will be conducted, comparing clinics with and without the program. The study aims include, 1) To evaluate the extent of implementation of the ongoing MCBHP via examination of MCBHP-related process parameters, including extent of guideline-concordant care provision; 2) To evaluate the effectiveness of the MCBHP on mental health outcomes (depression, anxiety); and, 3) among the subset of patients with comorbid chronic health conditions (diabetes, hypertension, obesity), to evaluate the effectiveness of the MCBHP on mental health, health behaviors, and health-related outcomes. Background support work will include interviews and focus groups with providers and other staff, whose input will be used to help design flexible aspects of the EMR and the study. This partnership will begin to serve as a laboratory for community-informed intervention development to improve services, and ultimately the health, of a large underserved minority population. Narrative (for the lay public) Latino populations have difficulty accessing culturally sensitive mental health services. The proposed project will address these disparities by building the community¿s capacity to develop and study mental health services for the Latino community in a primary care service provider organization in Montgomery County, MD. A study of a clinical program that is already delivering mental health services in the community will be evaluated, with clinicians and staff providing input to help us design the study.

改善初级保健中低收入拉丁美洲人的心理健康服务迫切需要建设社区能力，为拉丁裔移民提供可获得的心理健康服务。与非拉丁裔白人相比，美国的拉丁裔美国人利用心理健康服务的可能性较小，而且他们接受符合指南的护理的可能性也较小，而且差距越来越大。心理健康社区学术合作伙伴关系 (CAP-MH) 旨在通过加强乔治敦医学院精神病学系创伤和社区中心 (CTC) 与蒙哥马利县初级保健联盟 (PCC) 之间的现有合作伙伴关系来解决这些问题，以支持及时制定和评估具有文化能力、对创伤敏感的创新干预措施，以改善患者的心理健康。该项目的一个主要目标是将临床研究整合到社区诊所层面的临床护理过程中。因此，PCC 的电子病历 (EMR) 将通过升级心理健康部分来改进，包括添加特定研究方案干预所需的自定义数据元素以及基本功能，包括改进的数据汇总功能。一旦 EMR 升级，将对蒙哥马利关怀行为健康计划 (MCBHP) 进行自然评估，比较有和没有该计划的诊所。研究目的包括： 1) 通过检查 MCBHP 相关流程参数来评估正在进行的 MCBHP 的实施程度，包括提供与指南一致的护理的程度； 2) 评估MCBHP对心理健康结果（抑郁、焦虑）的有效性； 3) 在患有慢性健康状况（糖尿病、高血压、肥胖）的患者子集中，评估 MCBHP 对心理健康、健康行为和健康相关结果的有效性。背景支持工作将包括与提供者和其他工作人员的访谈和焦点小组，他们的意见将用于帮助设计 EMR 和研究的灵活方面。这一伙伴关系将开始作为社区知情干预措施发展的实验室，以改善服务，并最终改善大量服务不足的少数族裔的健康。叙述（针对普通公众）拉丁裔人群很难获得文化敏感的心理健康服务。拟议的项目将通过建设社区能力来解决这些差异，以便在马里兰州蒙哥马利县的初级保健服务提供者组织中为拉丁裔社区开发和研究心理健康服务。我们将对一项已经在社区提供心理健康服务的临床项目的研究进行评估，临床医生和工作人员将提供意见来帮助我们设计该研究。