Mental and Behavioral Public Health Systems Preparedness Research

描述（由申请人提供）：这是响应FOA RFA-TP-08-001的P01申请;它侧重于准备和应急响应中的精神和行为公共卫生系统研究。该应用程序包括一个研究核心和四个相互关联的项目。研究核心将提供项目和行政补助金管理。它还将以新的研究人员和试点项目资金的形式支持新的研究举措（超出四个拟议的研究项目）。这四个研究项目本身是密切相关和协同作用的。它们代表了基于紧急情况的3个阶段的统一组织范式的不同元素：事件前，事件和事件后，以及统一的理论范式，扩展并行处理模型。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，（3）社区（其中的特定元素）-我们提出的研究的主要目标是建立公共卫生系统的能力，能力和协调，以准备和应对紧急情况的心理和行为健康方面。我们的研究旨在识别和减轻组织，预处理，反应能力，能力和协调的广度，以及法律的环境中的缺陷，特别关注心理和行为健康问题。这四个项目是：项目1：在公共卫生系统中将扩展的平行过程模式应用于应对意愿;项目2：促进协调的心理健康准备规划;项目3：媒体在抵抗中的作用;项目4：关于心理和行为健康准备的法律的和道德评估。 在迄今为止发生的紧急情况和灾难中，心理“伤亡”人数超过身体伤亡人数的比例高达100：1，但我们的公共卫生系统却没有做好处理这些问题的准备。这四个项目，新的调查员和试点项目计划，将大大提高公共精神卫生系统在紧急情况下的能力，能力和协调。

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.