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

项目 2：行为健康 - 预防和减少行为健康不平等的公共卫生方法：弗林特康复公司促进行为健康公平并加强弗林特家庭

• 批准号: 9196549
• 负责人: Debra M. Furr-Holden
• 金额: $ 31.3万
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-20 至 2021-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9196549
• 关键词: Address; Advocate; Age-Years; Alcohols; Baltimore; Caring; Characteristics; Child; Chronic Disease; Cities; Client satisfaction; Climate; Collaborations; Communities; Community Participation; Community Practice; Community Services; Community of Practice; Data; Data Collection; Diagnosis; Effectiveness; Effectiveness of Interventions; Ethnic Origin; Evaluation; Family; Feedback; Goals; HIV; Health; Health Services; Health Services Accessibility; Individual; Intervention; Intervention Studies; Knowledge; Life; Longitudinal Studies; Medicaid; Mental Depression; Mental Health; Methods; Michigan; Modeling; Outcome; Outcomes Research; Outpatients; Overdose; Parents; Patient Self-Report; Personality Disorders; Pharmaceutical Preparations; Philadelphia; Phobias; Prevention; Process; Program Effectiveness; Public Health; Randomized; Readiness; Recording of previous events; Recovery; Recruitment Activity; Research; Research Design; Research Personnel; Research Project Grants; Research Training; Risk; Risk Factors; Services; Site; Staging; Substance abuse problem; System; Time; Training; Training Programs; Translations; United States Substance Abuse and Mental Health Services Administration; Work; base; behavioral health; community based participatory research; density of AOD outlets; design; disorder prevention; dissemination research; effectiveness research; empowerment; evidence base; field study; health disparity; health equity; health inequalities; implementation trial; improved; innovation; member; mental health center; novel; peer; peer support; physical conditioning; prevent; program dissemination; programs; resilience; skills training; social anxiety; substance abuse treatment; underserved minority; working group

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.

这个多层次干预研究项目旨在加快循证家庭的成功翻译 干预社区范围的惯例，以减少服务不足的行为健康差异 少数民族社区通过改善家庭的韧性和获得服务。一名五年的研究员/从业者 协作将创建一个集中的社区网站，该网站建立弗林特恢复公司（Flint Recovery Corp） 同行恢复倡导者的劳动力谁1）提供同行恢复支持服务，以将同行引导到 药物滥用治疗，2）为从事滥用药物的社区成员提供同伴支持 治疗，3）为社区成员提供同行恢复支持服务 （例如，高度门诊门诊）或过渡到治疗，4）招募药物或 酒精历史，问题或风险因素进入基于证据的社区范围的实施试验 加强家庭计划（SFP）。参与式行动研究和授权评估方法 将指导这项多管齐下的多层次研究。这项传播研究的目标之一是减少健康 通过改善现有社区/研究人员的差异 伙伴关系和反馈循环，以更好地了解改善研究，培训， 计划，并传播基于循证的家庭干预加强家庭计划。 SFP 是由家庭培训，儿童技能组成的14条课程以家庭为中心的干预措施 培训和家庭互动。发现SFP 10至14年可以减少2至3倍的儿童一生 六个随机控制效率的抑郁症，社交焦虑，恐惧症和人格障碍的诊断 不同的研究团队的研究在22岁时进行了长达10年的纵向研究。随着SFP的发展 为了扩展全国和全球的行为和心理健康中心，问题仍然存在 在如此广泛的传播条件下以及这些方面的相关变量以及这些变量如何 发现可以通过第三方报销（例如医疗补助）向贫困家庭提供该计划。 该申请代表了在全市研究社区参与研究的独特机会 并与密歇根州新成立的健康差异合作合作。这种创新的具体目的 研究是：（1）增强现有的社区/研究人员伙伴关系以减少行为健康分布； （2）现场测试实施变量影响全市传播的干预效果； （3） 评估SFP作为第三方报销的合格计划的可行性。该研究项目需要 作为慢性健康差异研究的跨学科合作中心（TCC）的一部分 DHHS定义的第5区中的疾病预防，标题为弗林特卫生平等解决方案中心 （fches）。 TCC针对密歇根州弗林特的最初行为健康和健康生活活动， 计划在整个州和国家更广泛地扩展中心活动的范围和范围。