Transdisciplinary Research, Equity and Engagement Center for Advancing Behavioral Health

项目概要/摘要 我们提议建立一个创新的跨学科研究、公平和参与中心以促进发展 行为健康（TREE 中心）。我们建议扩展和利用知识、研究能力 以及前 NM CARES 健康差异中心 (P20 MD004811，R. 威廉姆斯，PI）。我们将利用这些优势来专门改善行为 西南地区社会经济弱势和服务不足的农村人口的健康差距 区域重点关注美洲印第安人/阿拉斯加原住民 (AI/AN) 和新墨西哥州的拉丁裔。我们的目标是突出 行为健康的社会决定因素，包括不良童年经历、历史创伤和 贫困和歧视对改善青年相关条件和成果的交叉影响 自杀、酗酒和滥用药物、抑郁以及获得行为健康服务。该组织的四大目标 TREE中心的目标是： 1. 实施共同领导模式，以促进跨学科、多层次的 干预研究将推进知识和科学的发展，以改善行为健康结果； 2. 将理论、研究设计和分析协作整合到多层次的干预措施中， 由于生物、行为、物理环境的相互作用，改善行为健康结果， 我们的代表性农村、AI/AN、拉丁裔和其他合作伙伴的医疗保健系统、经济和政治力量 社区； 3. 通过培训新的和早期阶段扩大多元化科学队伍的发展 代表性不足的少数族裔调查员在跨学科背景下开展社区参与、多方合作 水平干预行为健康研究； 4. 培养与社区和社区的公平合作 区域和国家的部落利益相关者，以翻译和共同传播跨学科研究 将证据转化为实践和政策。人力、智力和关系资源以及机构的结合 树木中心办公空间的承诺、参与社区科学咨询的差旅费 高级教师的委员会和专门指导将增强我们在培训下一代方面的影响力 保护代表性不足的少数群体，并促进西南部不同人群的行为健康。

PROJECT SUMMARY / ABSTRACT We propose an innovative Transdisciplinary Research, Equity and Engagement Center for Advancing Behavioral Health (TREE Center). We propose to expand on and leverage the knowledge, research capacities and cross-sectoral collaborations established by the former NM CARES Health Disparities Center (P20 MD004811, R. Williams, PI). We will use these strengths to specifically target improvement of behavioral health disparities for socioeconomically disadvantaged and underserved rural populations with a southwest regional focus on American Indian/Alaska Natives (AI/ANs) and Latinos in New Mexico. Our goal is to highlight the social determinants of behavioral health, including Adverse Childhood Experiences, historical trauma, and intersectional effects of poverty and discrimination to improve conditions and outcomes related to youth suicide, alcohol and drug misuse, depression, and access to behavioral health services. The four aims of the TREE Center are to: 1. Implement a co-leadership model in order to promote transdisciplinary, multi-level intervention research that will advance the knowledge and science to improve behavioral health outcomes; 2. Operationalize collaborative integration of theories, study design, and analysis into multi-level interventions that improve behavioral health outcomes due to an the interplay of biological, behavioral, physical environment, health care system, economic, and political forces in our representative rural, AI/AN, Latino and other partner communities; 3. Expand the development of a diverse scientific workforce by training new and early stage under-represented minority investigators in a transdisciplinary context, to conduct community engaged, multi- level intervention behavioral health research; and 4. Cultivate equitable collaborations with community and tribal stakeholders regionally and nationally in order to translate and co-disseminate transdisciplinary research evidence into practice and policy. The combined human, intellectual and relational resources and institutional commitments of Tree Center office space, travel funding for engaging with the Community Scientific Advisory Committee and dedicated mentoring of senior faculty will strengthen our impact in training the next generation of under-represented minorities and advancing the behavioral health of diverse populations in the southwest.