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

这个多层次的干预研究项目旨在加速循证家庭的成功转化， 将干预措施纳入广泛的社区实践，以减少服务不足和 通过改善家庭的复原力和获得服务的机会，在少数群体社区开展工作。五年研究/实践者 合作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 同伴恢复倡导者的工作人员，他们1）提供同伴恢复支持服务，指导同伴进入 药物滥用治疗，2）为滥用药物的社区成员提供同伴支持 治疗，3）为护理水平下降的社区成员提供同伴康复支持服务 (e.g.,密集门诊到门诊）或过渡出治疗，和4）招募家庭与药物或 酒精史，问题或风险因素纳入循证社区范围内的实施试验， 加强家庭方案。示范性行动研究和赋权评价方法 将引导这个多方面、多层次的研究。这项传播研究的一个目标是减少健康 通过改善现有的社区/研究人员， 伙伴关系和反馈循环，以更好地了解如何改进研究、培训 方案，并传播一项以证据为基础的家庭干预措施-加强家庭方案。SFP 是14节以家庭为中心的干预，包括三个主要组成部分：家长培训，儿童的技能， 培训和家庭互动。SFP 10至14年已被发现减少了2至3倍的儿童的生命 诊断抑郁症、社交焦虑、恐怖症和人格障碍6项随机对照疗效 不同研究小组的研究，纵向研究长达10年，22岁。随着SFP 在全国和世界范围内的行为和精神健康中心进行扩展，但是， 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 调查结果可用于通过第三方报销（如医疗补助）向贫困家庭提供该计划。 这个应用程序是一个独特的机会，研究社区参与研究的全市范围内的基础上 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 研究目的是：（1）加强现有的社区/研究者伙伴关系，以减少行为健康差异; (2)在全市范围内传播影响干预效果的实地测试实施变量;以及（3） 评估SFP作为第三方报销合格计划的可行性。这个研究项目需要 作为跨学科合作中心（TCC）的一部分，对慢性病的健康差异研究 在DHHS定义的区域5内的疾病预防，名为弗林特健康公平解决方案中心 （FCHES）。TCC的目标是在密歇根州弗林特市开展其最初的行为健康和健康生活活动， 计划扩大中心活动的范围和范围，更广泛地在整个国家和国家。

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.