A Multi-channel Web Platform to Provide Holistic Care to Underserved Consumers

描述（由申请人提供）：护理服务中存在重大障碍，阻碍了经历健康差异的消费者有意义地利用心理健康服务。具体而言，由于语言、读写能力或文化障碍而面临孤立的个人在获得心理保健服务时往往面临挑战。这些挑战的部分原因是医疗和精神系统目前缺乏整合，并且在提供护理时未能考虑到社会凝聚力的重要性。为了解决医疗保健行业的这些差距，该提案的目标是创建一个动态沟通平台，使用多渠道消息传递来（i）为面临健康差异的消费者提供文化上合格、语言一致的心理健康内容； (ii) 使提供者能够通过共享消息传递和与电子病历（EMR）系统集成来整合医疗和精神卫生保健； (iii) 通过将孤立的客户与身心健康宣传活动以及对增进社会福祉至关重要的社区资源和同伴支持联系起来，加强社会凝聚力。第一阶段的目标是创建一系列抑郁和焦虑信息，并评估它们是否影响心理健康消费者参与者的健康知识和态度变化，以及拟议技术对心理健康和社会服务部门的适用性。在第二阶段，我们将建立功能齐全的基于网络的沟通平台，其中包括同伴咨询功能以及与电子病历系统的集成。我们将在集成系统中填充数百条英语、西班牙语和普通话的心理健康和社会支持音频、文本和电子邮件消息。该项目最终将与机构和社区服务提供商进行两次为期六个月的总结性评估，以评估拟议技术在增加获得心理健康和社会支持信息的机会、改善服务和临床结果以及提高在获得心理健康服务方面存在差异的消费者的护理质量和社会凝聚力方面的有效性。

DESCRIPTION (provided by applicant): Significant obstacles exist in care delivery that prevents meaningful utilization of mental health services by consumers who experience health disparities. Specifically, individuals facing isolation due to linguistic, literacy, or cultural bariers often face challenges in procuring mental health care. These challenges are in part due to the medical and mental systems' present lack of integration and failure to take into account the importance of social cohesion when delivering care. Addressing these gaps in the healthcare industry, the objective of this proposal is to create a dynamic communication platform that uses multi-channel message delivery to (i) provide culturally competent, language-concordant mental health content to consumers facing health disparities; (ii) empower providers to integrate medical and mental health care, both through shared message delivery and integration with electronic medical record (EMR) systems; and (iii) strengthen social cohesion by connecting isolated clients not only to physical and mental health message campaigns but also to community resources and peer supports critical to augmenting social well-being. The goal of Phase I is to create a series of depression and anxiety Messages and to assess whether they influence health knowledge and attitudinal change among mental health consumer participants and the suitability of the proposed technology for mental health and social service sectors. During Phase II, we will build the fully functional web-based communication platform, which will include a peer counseling function and integration with EMR systems. We will populate the integrated system with several hundred mental health and social support audio, text, and email messages in English, Spanish, and Mandarin. The project will culminate in two six-month summative evaluations with institutional and community service providers to assess the effectiveness of the proposed technology in increasing access to information about mental health and social supports, improving service and clinical outcomes, and enhancing quality of care and social cohesion for consumers who face disparities in access to mental health services.