Co-Developing a Psychoeducational Mental Health Toolkit for Underserved Families to Navigate the Mental Health System

为服务不足的家庭共同开发心理教育心理健康工具包，以适应心理健康系统

• 批准号: 10696210
• 负责人: Jonathan Martinez
• 金额: $ 18.13万
• 依托单位: CALIFORNIA STATE UNIVERSITY NORTHRIDGE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-02 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10696210
• 关键词: Address; Belief; Cognitive; Communities; Consolidated Framework for Implementation Research; County; Data; Development; Disparity; Doctor of Philosophy; Elements; Family; First Generation College Students; Funding Mechanisms; Future; Goals; Health system; High Prevalence; Hispanic-serving Institution; Knowledge; Measures; Mental Health; Mental Health Services; Mental disorders; Mentors; Methods; Modeling; Nature; Provider; Randomized, Controlled Trials; Research; Services; Translating; Underrepresented Populations; Underrepresented Students; Visual; Work; Writing; Youth; barrier to care; design; disadvantaged background; effective therapy; ethnic minority; evidence base; health equity; health literacy; help-seeking behavior; implementation barriers; implementation efforts; implementation evaluation; implementation outcomes; programs; psychoeducation; psychoeducational; psychologic; racial minority; social disparities; social stigma; student participation; theories; tool

Project Summary/Abstract Despite high prevalence rates of mental illness in youth, up to 80% of U.S. youth with mental health (MH) need do not receive MH services, with the disparity in need and service use highest among racial/ethnic minority and socially disadvantaged families. MH literacy - knowledge and beliefs about the nature of problems and effective treatments – is among the most common perceptual barrier limiting the use of effective treatments. Psychoeducation, which provides basic information about MH problems and treatment options, has emerged as a promising tool for engaging families in MH care. Yet, there is limited psychoeducational content designed for underserved families that is co-developed, free, easily accessible, and available in English and Spanish. To address this gap, we propose to develop, with our community partners in Santa Barbara County, a Psychoeducation Toolkit designed to engage underserved families in community-based mental health settings (CMHS). The long-term goal of the proposal is to achieve health equity for underserved families by co- developing a Psychoeducation Toolkit with community stakeholders and assessing implementation outcomes. Using a collaborative, iterative approach with community stakeholders in Santa Barbara County, the toolkit will ultimately be designed to increase mental health literacy, reduce stigma, and enhance help-seeking behaviors. The following aims will allow us to produce the toolkit to examine implementation outcomes using the Consolidated Framework for Implementation Research as a theoretical framework to guide implementation efforts of the evidence-based, culturally responsive toolkit created for the context of CMHS. Aim 1: Co-Develop the Psychoeducation Toolkit with Providers and Families in CMHS. It is expected that this aim will increase the feasibility, acceptability, utility, and adaptability of the toolkit for providers to implement in the CMHS context. Aim 2: Examine the feasibility, acceptability, utility, and adaptability of Psychoed Toolkit in a pilot. It is expected that this aim will address potential implementation barriers and increase the external validity of the toolkit for use in the CMHS context. We will employ a mixed methods, Delphi approach in the development and implementation of the toolkit, which allows the examination of quantitative data on implementation outcomes and an assessment of qualitative consumer perspectives impacting the delivery of the toolkit. Importantly, this proposal will achieve the goal of this funding mechanism by engaging students from underrepresented groups in research. As CSUN is a Hispanic Serving Institution with a high proportion of first-generation college students from disadvantaged backgrounds, this project will enable the PI to mentor underrepresented students in hands-on psychological research. The PI has a strong track record of mentoring underrepresented students that have successfully entered into Ph.D. programs. It is expected that accomplishing this project will address community stakeholder needs to achieve health equity. As the current proposal is focused on implementation outcomes, future studies will examine the intended effects of the toolkit in a randomized control trial (R34).

项目总结/摘要 尽管青少年精神疾病的患病率很高，但高达80%的美国青少年精神健康（MH） 需要接受卫生保健服务的人，不同种族/族裔之间的需要和服务使用差异最大 少数民族和社会弱势家庭。MH素养-关于问题性质的知识和信念 和有效的治疗-是最常见的知觉障碍之一，限制了有效的治疗方法的使用。 治疗。心理教育提供有关MH问题和治疗方案的基本信息， 作为一个有前途的工具，使家庭参与MH护理。然而，心理教育内容有限， 专为服务不足的家庭设计，共同开发，免费，易于访问，并以英语提供， 西班牙语.为了弥补这一差距，我们建议与圣巴巴拉县的社区合作伙伴一起， 心理教育工具包，旨在使服务不足的家庭参与社区心理健康环境 （CMHS）。该提案的长期目标是通过共同努力， 与社区利益攸关方一起开发心理教育工具包，并评估实施成果。 该工具包与圣巴巴拉县的社区利益相关者采用协作、迭代的方法， 最终旨在提高心理健康素养，减少耻辱，并加强寻求帮助的行为。 以下目标将使我们能够制作工具包，利用 实施研究综合框架作为指导实施的理论框架 为CMHS创建的以证据为基础、对文化敏感的工具包的努力。目标1：共同发展 在CMHS中与提供者和家庭的心理教育工具包。预计这一目标将增加 可行性，可接受性，实用性，和提供商在CMHS环境中实施的工具包的适应性。 目的2：检验Psychoed Toolkit的可行性、可接受性、实用性和适应性。预计 这一目标将解决潜在的执行障碍，并提高工具包的外部有效性， 在CMHS背景下使用。我们将采用混合的方法，德尔菲的方法在发展和 工具包的实施，该工具包可用于审查关于实施成果的量化数据 以及对影响工具包交付的定性消费者观点的评估。重要的是这 该提案将通过吸引来自代表性不足群体的学生来实现这一资助机制的目标 在研究中。由于CSUN是一个西班牙裔服务机构，第一代大学的比例很高， 来自弱势背景的学生，该项目将使PI能够指导代表性不足的学生 进行心理学研究PI在指导代表性不足的学生方面有着良好的记录 成功进入博士学位的人程序.预计完成该项目将解决 社区利益攸关方需要实现卫生公平。由于目前的建议侧重于执行， 未来的研究将在随机对照试验（R34）中检查工具包的预期效果。