Mental and Behavioral Public Health Systems Preparedness Research

描述(由申请人提供)：这是一份P01申请，以回应FOA RFA-TP-08-001；它侧重于心理和行为公共卫生系统在准备和紧急反应方面的研究。该申请由一个研究核心和四个相互关联的项目组成。研究中心将提供项目和行政拨款管理。它还将以新的调查员和试点项目资金的形式支持新的研究举措(除了四个拟议的研究项目之外)。这四个研究项目本身是高度相互关联和协同的。它们代表了基于事件前、事件和事件后三个阶段的统一组织范式的不同要素，以及统一的理论范式--扩展的并行处理模型。该应用程序明确针对公共卫生系统的三个主要组成部分：(1)政府公共卫生基础设施、(2)媒体和(3)社区(其特定要素)-我们提议的研究的主要目标是建设公共卫生系统的能力、能力和协调，以准备和应对突发事件的心理和行为健康方面。我们的研究旨在识别和缓解组织、预适应、反应能力的广度、能力和协调以及法律环境方面的缺陷，并特别关注心理和行为健康问题。这四个项目是：项目1：将扩展的并行进程模式应用于公共卫生系统的反应意愿；项目2：促进协调的心理健康准备计划；项目3：媒体在抵抗中的作用；以及项目4：关于心理和行为健康准备的法律和伦理评估。 在迄今发生的紧急情况和灾难中，心理上的“伤亡”与身体上的伤亡之比高达100：1，但我们的公共卫生系统却没有做好应对的准备。这四个项目、新的调查员和试点项目计划一起，将显著提高公共精神卫生系统在紧急情况下的能力、能力和协调能力。

DESCRIPTION (provided by applicant): This is a P01 application in response to FOA RFA-TP-08-001; it focuses on mental and behavioral public health systems research in preparedness and emergency response. The application consists of a research core and four inter-related projects. The Research Core will provide project and administrative grant management. It will also support new research initiatives in the form of new investigator and pilot project funding (beyond the four proposed research projects). The four research projects themselves are heavily interrelated and synergistic. They represent different elements of a unifying organizational paradigm based on the 3 phases of an emergency: pre-event, event, and post-event, and a unifying theoretical paradigm, the Extended Parallel Processing Model. The application explicitly targets three of the major components of the public health system: (1) Government Public Health Infrastructure, (2) the Media, and (3) Communities (specific elements thereof) - The major goal of our proposed research is to build the capacity, competency, and coordination of the public health system to prepare for and respond to mental and behavioral health aspects of emergencies. Our research seeks to identify and mitigate deficiencies in organization, pre-conditioning, breadth of response capacity, competency, and coordination, and the legal environment, with a specific focus on mental and behavioral health issues. The four projects are Project #1: Applying the Extended Parallel Process Model to Willingness-to-Respond in the Public Health System; Project #2: Fostering Coordinated Mental Health Preparedness Planning; Project #3: Role of the Media in Resistance; and Project #4: Legal and Ethical Assessment Concerning Mental and Behavioral Health Preparedness. In emergencies and disasters that have occurred to date, psychological "casualties" outnumber physical casualties by as much as 100:1, yet our public health system are woefully unprepared to handle them. The four projects, new investigator and pilot project programs, together, will significantly enhance the capacity, competency, and coordination of the public mental health system in times of emergency.