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Harlem Strong Mental Health Coalition: A Multi-sector Community-Engaged Collaborative for System Transformation

哈林区强大心理健康联盟：多部门社区参与的系统转型合作

基本信息

批准号：
10414696
负责人：
Victoria Khanh Ngo
金额：
$ 197.76万
依托单位：
GRADUATE SCHOOL OF PUBLIC HEALTH AND HEALTH POLICY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-23 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10414696
关键词：
Address Adoption Affect American Awareness Behavioral Businesses COVID-19 Caring Case Management Cessation of life Communities Community Financing Community Health Aides Community Networks Competence Complex Coordination and Collaboration Cost Savings Development Economics Education Effectiveness Emotional Ensure Evaluation Evidence based intervention Family Fireflies Goals Health Health Personnel Health Policy Health system Healthcare Household Housing Human Hybrids Information Systems Institutes Institutional Racism Insurance Carriers Interview Job loss Latino Linguistics Low income Managed Care Medical Mental Health Mental Health Services Methods Modeling Neighborhoods Outcome Poverty Primary Health Care Problem Solving Process Provider Public Health Schools Quality of Care Quality of life Randomized Resources Risk Sequential Multiple Assignment Randomized Trial Services Site Social Work Stress Support System Supported Employment System Technology Testing Time Training United States United States National Institutes of Health Use Effectiveness Work barrier to care base behavioral health care coordination care providers care systems collaborative care community based care community engagement community intervention community planning community setting cost effectiveness crowdsourcing design distrust education resources effectiveness implementation study effectiveness testing empowerment ethnic minority population evidence base federal poverty level hackathon health disparity health economics health knowledge high risk implementation barriers implementation evaluation implementation outcomes implementation strategy implementation tool improved infection rate informant innovation insight learning community neighborhood safety pandemic disease prevent primary care services provider factors research study safety net scale up screening skills social social stigma socioeconomic disparity socioeconomics stressor supported housing technological innovation trial design uptake

项目摘要

Abstract Addressing health disparities, especially in the face of COVID-19, requires an integrated multisector equity-focused, community-based approach. First, community-partnered networks to engage communities, strengthen community-based safety net systems, increase linkages to a wide variety of services, and promote community-wide MH awareness are needed.13 Second, task-shifting MH support skills to non-MH providers in gateway settings has been found to effectively address MH shortages worldwide, but has not been well studied in the U.S for low-income housing developments.14-18 Third, a syndemic approach can not only increase treatment engagement in health and mental health services, but also may offer greater effectiveness for ethnic minorities with multiple barriers to care.19 Guided by a CBPR process, our Harlem Strong Collaborative (CUNY Graduate School of Public Health, Harlem Health Initiative, Center for Innovation in Mental Health, and Harlem Congregation for Community Improvement) will be expanded to include Healthfirst (Managed Care Provider), and their network for primary care practices and Coordinated Behavioral Care (Behavioral Health Provider) to create a multisector coalition to work together to implement an expanded model of community collaborative care for evidence-based mental health to Harlem residents through two strategic gateways (low-income housing developments and primary care). We will also leverage other CUNY institutes, centers, and Firefly Innovations to support a hackathon focused on technological innovations to address barriers and needs identified by the Harlem Strong Coalition. Our proposal examines the impact of Harlem Strong Community Mental Health and Economic Empowerment Collaborative, a community-wide multisectoral coalition in which a health insurer works with community-based organizations and medical and behavioral health providers to (1) problem solve financing, access, and quality of care barriers, (2) support capacity building for mental health task-sharing for community health workers, (3) facilitate coordination and collaboration across mental health / behavioral health, primary care, and social services, and (4) identify a set of common metrics and strategies for continuous system quality improvement. The research study will evaluate the impact and cost-effectiveness using a hybrid Implementation-Effectiveness design to assess effects of the Harlem Strong Collaborative on system and consumer outcomes. We will also describe implementation outcomes and key informant interviews to explore impact of community engagement, organization variables, and provider factors on model impact. The long-term goal of our study is to develop a sustainable model for task-sharing mental health care that will be embedded in a coordinated comprehensive network of services.

摘要

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Substance Use Patterns and Their Association with Depression and Social Factors During COVID-19 Among Harlem Residents in New York City.

DOI：
10.1007/s10900-023-01253-1
发表时间：
2023-12
期刊：
JOURNAL OF COMMUNITY HEALTH
影响因子：
5.9
作者：
Vu, Thinh T.;Dario, Joseph P.;Mateu-Gelabert, Pedro;Levine, Deborah;Punter, Malcolm A.;Borrell, Luisa N.;Ngo, Victoria K.
通讯作者：
Ngo, Victoria K.

Alcohol Misuse, Binge Drinking, and their Associations with Psychosocial Factors during COVID-19 among Harlem Residents in New York City.