Bronx Youth Partnership on Mental Health Disparities

在过去的两年里，AECOM的预防性干预研究中心一直是 由青少年领导的布朗克斯社区联盟，“阿尔伯特的明日领袖”(A.L.O.T.)它使用cpbr来 确定市中心少数族裔青少年中最需要解决的心理健康差距， 它与48个社区机构联合开发了BxThunder型心理健康干预产品。我们 计划在Mosholu-Montefiore的3个社区机构进行BxThird的随机对照试验 社区中心、野猫学院和公民咨询局。《闪电》共分三部分：第一部分： 青少年是一个屡获殊荣的积极青年发展计划，旨在改善青少年的心理健康和培训青少年 成为同行教育者；第二部分：毕业生将加入“ALOTMore”，并在 布朗克斯机构传授心理健康知识并减少耻辱；第三部分：BxThunder区有需要的青少年 心理健康服务将在现场接受来自三个社区的临床心理学家和外部人员的帮助。 合作伙伴，雷曼大学纽约州立大学、伍兹韦莱社会工作学院和费尔考夫研究生院 心理学：我们将对百日咳进行意向治疗随机对照试验。我们将招聘240人 每个地点的青少年(总共720人)，并随机将他们接受BxThree或标准护理。青少年将会是 在基线以及6个月和12个月后接受采访。结果衡量标准是积极的心理健康 (青少年复原力量表，RSCA；青少年自我知觉概况，SPPA)和 心理症状(青年自我报告，YSR)。在有症状的青少年中，我们将评估 接受转介服务的已确定青年的人数；实施转介的人数； 正在接受或已经完成服务的人数；以及他们在接受服务后的心理健康结果(症状) 治疗。这些研究的具体目的是检验假设，与对照青少年相比： (1)BxThunder区的青少年心理健康症状较少； (2)BxThunder区的青少年在积极的心理健康方面会有更大的提升； (3)BxThunder区有心理问题的青少年更有可能获得成功的转介照顾， 并且更有可能完成治疗； (4)BxThree中有心理问题的青少年将经历更大的心理下降 症状； (5)BxCAM讲习班将增加与会者的知识并减少耻辱，因为 通过研讨会参与者的测试前和测试后测量的变化来衡量。 可持续发展项目将由亲和力健康计划与新的 纽约市卫生和心理卫生局。

For the past two years, AECOM's Preventive Intervention Research Center has been the lead agency for a Bronx community coalition, led by adolescents, "Albert's Leaders of Tomorrow" (A.L.O.T.). It used CPBR to identify mental health disparities as the most important to address among minority inner-city adolescents, and with a Coalition of 48 community agencies, it developed BxThunder, a mental health intervention. We plan to conduct a randomized controlled trial of BxThunder in 3 community agencies: Mosholu-Montefiore Community Center, Wildcat Academy, and Citizen's Advice Bureau. BxThunder has three parts: PART I. TEEN is an award-winning positive youth development program that improves mental health and trains teens to be peer educators; PART II. graduates will join "ALOTMore" and implement a multimedia workshop in Bronx agencies to teach about mental health and reduce stigma; PART III. teens in BxThunder who need mental health services will receive them on site from clinical psychologists and externs from three community partners, Lehman College CUNY, Wurzweiler School of Social Work, and Ferkauf Graduate School of Psychology.We will conduct an intent-to-treat randomized controlled trial of BxThunder. We will recruit 240 teens at each site (n=720 total), and randomize them to receive BxThunder or standard care. Teens will be interviewed at baseline and 6- and 12-months later. Outcome measures are positive mental health (Resiliency Scales for Adolescents, RSCA; The Self-Perception Profile for Adolescents, SPPA) and psychological symptoms (Youth Self Report, YSR). Among symptomatic teens, we will assess the number of identified youth who received a referral for services; the number of those who implemented the referral; the number who are in or have completed services; and their mental health outcomes (symptoms) after treatment. The Specific Aims are to test the hypotheses that, compared to control teens: (1) teens in BxThunder will experience fewer mental health symptoms; (2) teens in BxThunder will experience a greater increase in positive mental health; (3) teens with psychological problems in BxThunder are more likely to have a successful referral for care, and are more likely to complete treatment; (4) teens in BxThunder with psychological problems will experience a larger reduction in psychological symptoms; (5) the BxCAM workshop will increase knowledge and decrease stigma among those who attend, as measured by change in pre-test and post-test measures of workshop attendees. A sustainability project will be designed and implemented by Affinity Health Plan in conjunction with the New York City Department of Health and Mental Hygiene.