TBD

解决美国民众多方面的健康和心理健康需求是一个复杂的问题， 值得政策制定者、临床医生、研究人员、科学家和公共卫生专业人员关注 可以提供独特的视角和战略，以支持个人为更大福祉所做的努力。使用 关于不同种族、民族和性取向的多样性日益增长；与显著 影响健康和健康结果的无数风险因素的变化，是 当务之急是，我们必须制定战略性的卫生政策，以社区为基础的重点项目，并进行创新 研究包括对以证据为基础的模型的检查，这些模型可以提高个人的寿命和 生活质量。这些问题与脆弱和高危人群特别相关，包括 退伍军人、有前科的罪犯、没有保险的、无家可归的人、女同性恋、男同性恋、双性恋和变性人 (LGBT)和种族/少数民族。 美国存在着健康和心理健康方面的差距。有许多因素影响了这些 差距，包括健康的社会决定因素，如教育程度低、缺乏医疗保险覆盖范围、 经济挑战和贫穷的环境条件。降低成本的重要考虑因素 健康差距可能包括地方、州和国家健康的实施、监测和跟踪 政策；改善获得全面、综合和以患者为中心的高质量医疗保健的机会；以及 推广以文化为中心的预防和干预方法。有几个关键的部分 国会通过的旨在促进健康和行为健康的联邦立法 对服务不足人群的影响，包括《精神健康平等法》(1996)、《第二次机会法》 (2008年)、《精神健康平等和成瘾平等法》(2008年)以及《患者保护和负担得起的医疗费用法》 法案(2010)。尽管这些健康政策总体而言支持促进更好地获取和利用 健康和行为保健服务，与这些立法授权相关的政策的程度 执行情况仍然值得怀疑，健康差距继续困扰着我们的社区。 我们的多学科调查团队认识到执行卫生政策的重要性， 可以激增并支持寻求保险和更好医疗保健的个人。我们也承认 提供文化定制的综合医疗保健的重要性，以全面解决身体、精神、 情绪和行为问题。我们提议的研究旨在增加现有的，但有限的 文献正文构思了集成的医疗保健模式，以帮助解决最有害的精神疾病之一 疾病、抑郁和选定的共生慢性健康状况。此外，我们还将了解 对选定的高危人群的健康和精神健康结果的保险任务和承保范围。 很少有调查集中在与卫生政策和卫生政策有关的这些关键领域 审查以文化为中心的创新综合医疗模式的组成部分，旨在 种族和文化多元化的成年人。我们的最终目标是帮助减少健康和心理健康 改善卫生公平，提高个人、家庭和社区的生活质量。

Addressing the multi-faceted health and mental health needs ofthe U.S. population is a complex issue that warrants attention from policymakers, clinicians, researchers, scientists, and public health professionals that can offer unique perspectives and strategies to support efforts for greater well-being among individuals. With growing diversity concerning different ethnicities, nationalities, and sexual orientation; arid with significant changes in the constellation of the myriad of risk factors that can jnfluence health'and health outcomes, it is imperative that we delineate strategic health policies, focused community-based programs, and innovative research that include an examination of evidence-based models that can improve individuals' longevity and quality of life. These issues have particular relevance for vulnerable and higli risk populations, including veterans, ex-offenders, uninsured, homeless individuals, lesbian, gay, bi-sexual and transgender individuals (LGBT), and racial/ethnic minorities. Health and mental health disparities exist in the US. There are many factors that irifluerice these disparities, including social determinants of health such as poor education, lack of health insurance coverage, economic challenges, and impoverished environmental conditions. Important considerations for reducing health disparities may include implementation, monitoring, and tracking of local, state and national health policies; improving access to comprehensive, integrated and patient-centered quality healthcare; and promotion of culturally-centered prevention and intervention approaches. There are several key pieces of federal legislation passed by Congress that were designed to have positive health and behavioral health implications for underserved populations including the Mental Health Parity Act (1996), Second Chance Act (2008), Mental Health Parity and Addiction Equity Act (2008), and the Patient Protection and Affordable Care Act (2010). Although collectively these health policies support the promotion of better access and utilization of health and behavioral healthcare services, the extent to which policies related to these legislative mandates are implemented remains questionable, and health disparities continue to plague our communities. Our multi-disciplinary investigative team recognizes the significance of enforcing health policies that can proliferate and support individuals seeking coverage and better healthcare. We also acknowledge the importance of providing culturally tailored integrative healthcare to holistically address physical, mental, emotional, and behavioral problems. Our proposed research study seeks to add to the existing, yet limited body of literature conceming integrated healthcare models to help address one of the most deleterious mental disorders, depression and selected co-occurring chronic health conditions. Also, we will discern the role of insurance mandates and coverage on health and mental health outcomes for selected high risk populations. Few investigations have been conducted that focus on these key areas related to health policy and examination of the components of an innovative culturally-centered integrated healthcare model targeted to ethnically and culturally diverse adults. Our ultimate goal is to help to reduce health and mental health disparities, improve health equity, and enhance the quality of life for individuals, families, and communities.