TBD

待定

• 批准号: 8896336
• 负责人: DAVID SATCHER
• 金额: $ 51.72万
• 依托单位: MOREHOUSE SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8896336
• 关键词: Address; Adult; Area; Attention; Bisexual; Caring; Chronic; Chronic Disease; Clinical; Communities; Complex; Congresses; Economics; Education; Effectiveness; Emotional; Environment; Ethnic Origin; Family; Gays; Goals; Health; Health Insurance; Health Policy; Health Professional; Healthcare; Healthcare Systems; Homelessness; Improve Access; Individual; Insurance; Insurance Coverage; Investigation; Lesbian; Literature; Longevity; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Minority Groups; Modeling; Monitor; National Health Policy; Nationalities; Outcome; Patients; Personal Satisfaction; Plague; Policies; Population; Preventive Intervention; Primary Health Care; Problem behavior; Proliferating; Provider; Psyche structure; Public Health; Quality of life; Research; Research Personnel; Risk; Risk Factors; Role; Scientist; Services; Sex Orientation; Statutes and Laws; System; Underserved Population; Uninsured; Veterans; Vulnerable Populations; addiction; base; behavioral health; cost; cost effectiveness; design; evidence base; health care delivery; health care quality; health disparity; health equity; health practice; high risk; improved; innovation; meetings; offender; parity; patient oriented; policy implication; programs; research study; social health determinants; transgender

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.

解决美国人口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注意， 可以提供独特的观点和战略，以支持个人之间的更大福祉的努力。与 关于不同种族、国籍和性取向的多样性日益增加; 在众多可能影响健康和健康结果的风险因素中， 我们必须制定战略性的卫生政策，重点关注社区计划， 研究包括对可以改善个人寿命的循证模型的检查， 生活质量这些问题与脆弱和高风险人群特别相关，包括 退伍军人，前罪犯，无保险，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。 美国存在健康和心理健康方面的差距。有许多因素影响这些 差异，包括健康的社会决定因素，例如教育水平低、缺乏健康保险， 经济挑战和贫困的环境条件。减少的重要考虑因素 健康差异可能包括实施、监测和跟踪地方、州和国家健康 改善获得全面、综合和以患者为中心的优质医疗保健的机会;以及 促进以文化为中心的预防和干预办法。有几个关键的部分， 国会通过的联邦立法，旨在促进积极健康和行为健康 对服务不足人群的影响，包括《精神健康平等法》（1996年）、《第二次机会法》 （2008年），精神健康平等和成瘾公平法（2008年），以及患者保护和负担得起的医疗 2010年《联邦反腐败法》。虽然这些卫生政策总体上支持促进更好地获得和利用 健康和行为医疗保健服务，与这些立法授权相关的政策的程度 执行情况仍然令人怀疑，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覆盖和更好的医疗保健的个人。我们还认识到 提供文化上定制的综合保健的重要性，以全面解决身体，精神， 情绪和行为问题我们建议的研究旨在增加现有的，但有限的 有关综合医疗保健模式的文献，以帮助解决最有害的精神疾病之一， 疾病、抑郁症和选定的共同发生的慢性健康状况。此外，我们将认识到 对选定的高风险人群的健康和心理健康结果的保险授权和覆盖范围。 很少有调查集中在与卫生政策有关的这些关键领域， 检查以文化为中心的创新综合医疗保健模式的组成部分， 种族和文化多样的成年人。我们的最终目标是帮助减少健康和心理健康 改善健康公平，提高个人、家庭和社区的生活质量。