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: 8268364
• 负责人: Eunice C Wong
• 金额: $ 38.04万
• 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 2015-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8268364
• 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.

描述(由申请者提供)：宗教集会通常是寻求精神健康问题帮助的第一个也是唯一的联系点。作为社区的看门人，宗教会众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，宗教会众往往不知道何时、如何或在哪里咨询精神健康提供者。因此，尽管宗教集会被认为是可以连接非正式和正式护理系统的宝贵对口单位，但宗教集会仍然是一种严重未开发的资源，特别是对服务不足的少数民族人口来说，他们在获得、使用和精神卫生保健质量方面存在重大差距。在如何加强宗教会众对精神障碍的认识和与精神卫生提供者的合作方面，需要一个更标准化的程序。作为第一步，这项拟议的研究旨在为一项干预奠定基础，以加强围绕精神健康筛查、转诊和咨询的会众做法。这项拟议的研究将与以信仰为基础的合作伙伴西洛杉矶基督上帝教会合作进行，该教会拥有超过2.4万名会众，是美国最大的黑人“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广泛的互动，并提供了80多个项目来加强社区。西洛杉矶寻求建立其他会众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，这是一个由300多个当地宗教会众组成的网络。这项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)确定与宗教会众对心理健康筛查、转介和咨询的接受度相关的因素(3)制定初步协议，以提高宗教会众参与心理健康筛查、转介和协作的能力。对于目标2，我们将与协作人一起进行一项调查，以测试关于心理健康筛查、转诊和合作的接受度预测因素的假设。对于目标3，协作组的一个子集将作为一个工作组召开会议，根据目标1和2的结果以及关于质量改进协作性护理精神健康干预的文献，制定旨在加强RCS精神健康筛查、转诊和咨询的初步干预措施。协作组将使用经过修改的Delphi方法，审查初步计划，提供反馈，进行修订，并就最后一套建议达成共识，这些建议将在利益攸关方反馈会议上提交，为今后的大规模实施工作做准备。