Project 2: Behavioral Health - Public Health Approaches to Prevent and Reduce Behavioral Health Inequalities: The Flint Recovery Corp to Promote Behavioral Health Equity and Strengthen Flint Families

这一多层次干预研究项目旨在加速循证家庭翻译的成功 对广泛的社区实践进行干预，以减少服务不足和 通过改善家庭复原力和获得服务的机会，加强对少数群体社区的保护。五年的研究人员/从业者 协作性将创建一个集中的社区网站，建立弗林特恢复公司，一个训练有素的 同伴恢复倡导者队伍，他们1)提供同伴恢复支持服务，将同伴引导到 药物滥用治疗，2)为参与药物滥用的社区成员提供同伴支持 治疗，3)为社区成员在照顾水平上的下台提供同伴康复支持服务 (例如，密集门诊到门诊)或过渡出治疗，以及4)招募有药物或 将酗酒史、问题或风险因素纳入基于证据的社区范围内的实施试验 强化家庭计划(SFP)。参与性行动研究和赋权评价方法 将指导这一多管齐下、多层次的研究。这项传播研究的目标之一是减少健康 通过改善现有社区/研究人员改善被剥夺选举权的族裔和服务不足的家庭的差距 伙伴关系和反馈循环，以更好地理解如何改进研究、培训、 方案，并传播以证据为基础的家庭干预强化家庭方案。SFP 为期14次的家庭干预由三个主要部分组成：父母培训、儿童技能 培训和家庭互动。研究发现，10到14年的SFP会使儿童的寿命减少2到3倍 诊断抑郁、社交焦虑、恐怖和人格障碍的六种随机对照疗效 由不同的研究团队进行的研究，在22岁时进行长达10年的纵向研究。随着SFP的发展 然而，要在全国和世界范围内扩大行为和精神健康中心的规模，问题仍然存在， 关于在这种广泛传播的条件下有助于有效性的变量，以及这些变量如何 FIND可用于通过第三方报销(如医疗补助)将该计划用于贫困家庭。 这项申请代表了一个独特的机会，可以研究社区在全市范围内参与研究的情况 并与密歇根州新成立的健康差异合作组织合作。这一创新的具体目标 研究的目的是：(1)加强现有的社区/研究人员伙伴关系，以减少行为健康差距； (2)影响全市传播干预效果的现场测试实施变量；以及(3) 评估SFP作为符合条件的第三方报销计划的可行性。这项研究项目需要 Place作为跨学科健康差异研究中心(TCC)的一部分 卫生部定义的区域5内的疾病预防，名为弗林特卫生公平解决方案中心 (FCHES)。TCC的目标是在密歇根州弗林特开展最初的行为健康和健康生活活动， 计划在全州和全国范围内更广泛地扩大中心活动的范围和覆盖范围。

This multi-level intervention research project aims to accelerate successful translation of evidence-based family interventions into widespread community practice to reduce behavioral health disparities in underserved and minority communities by improving family resilience and access to services. A five-year researcher/practitioner collaborative will create a centralized community site that establishes The Flint Recovery Corp, a trained workforce of Peer Recovery Advocates who 1) provide peer recovery support services to direct peers into substance abuse treatment, 2) provide peer support for community members engaged in substance abuse treatment, 3) provide peer recovery support services for community members stepping down in the level of care (e.g., intensive outpatient to outpatient) or transitioning out of treatment, and 4) recruit families with drug or alcohol histories, problems, or risk factors into an evidence-based community-wide implementation trial of the Strengthening Families Program (SFP). Participatory action research and empowerment evaluation methods will guide this multi-pronged, multi-level research. One goal of this dissemination research is to reduce health disparities in disenfranchised ethnic and underserved families by improving the existing community/researcher partnership and feedback loops to develop a better understanding of ways to improve the research, training, program, and dissemination of an evidence-based, family intervention the Strengthening Families Program. SFP is 14-session family-focused intervention composed of three major components: parent training, children's skills training, and family interaction. SFP 10 to 14 Years has been found to reduce by 2 to 3 times children‘s lifetime diagnosis of depression, social anxiety, phobias, and personality disorder in six randomized control efficacy studies by different research teams with longitudinal studies up to 10 years at 22 years of age. With SFP going to scale in behavioral and mental health centers nationwide and worldwide, questions remain, however, concerning variables contributing to effectiveness under conditions of such broad dissemination and how these finding can be used to avail the program to poor families through third party reimbursement (such as Medicaid). This application represents a unique opportunity to study community participation in research on a citywide basis and to work with Michigan’s newly formed Health Disparities Collaborative. The specific aims of this innovative study are to: (1) Enhance an existing community/researcher partnership to reduce behavioral health disparities; (2) Field test implementation variables impacting intervention effectiveness in citywide dissemination; and (3) Assess the feasibility of SFP as an eligible program for third party reimbursement. This research project takes place as part of the Transdisciplinary Collaborative Center (TCC) for Health Disparities Research on Chronic Disease Prevention within the DHHS-defined Region 5 titled The Flint Center for Health Equity Solutions (FCHES). The TCC targets its initial behavioral health and healthy living activities within Flint, Michigan, with plans to extend the scope and reach of Center activities more generally across the state and nation.