The University of Miami AIDS Research Center on Mental Health and HIV/AIDS - Center for HIV & Research in Mental Health (CHARM) Research Core & MHD-CE

项目摘要：心理健康差距和社区参与核心(D) 艾滋病毒和艾滋病中心的心理健康差异和社区参与(MHD-CE)核心 精神健康研究(CHAME)提供具体的服务和活动，以促进研究 了解、评估和干预艾滋病毒和艾滋病交界处的社会文化和结构性驱动因素 心理健康方面的差距。种族、民族、性和性别少数群体受益的可能性最小 艾滋病毒预防和治疗方面的医学进步，以及最容易与艾滋病毒相关的共病 精神健康问题(包括药物使用)，影响到艾滋病毒预防和护理的方方面面 康涅瓦。查姆位于美国艾滋病毒/艾滋病的中心，是世界上最大的种族之一， 少数民族和性/性别少数人在该国处于艾滋病毒/艾滋病的危险之中并与之生活在一起。这个 环境包括多种风险和劣势，这些风险和劣势为获取和利用环境的差距奠定了基础 利用艾滋病毒和卫生保健服务以及艾滋病毒/艾滋病和卫生保健成果。因此，MHD-CE核心致力于 有意义的地方影响以及国家贡献，以结束艾滋病毒流行。 MHD-CE核心将进一步扩展我们作为发展ARC而非常成功的一系列活动 例如，将社区成员的专业知识带到最前线，直接为研究重点提供信息； 赞助《魅力对话》系列；与开发核心合作支持社区试点 赠款机制，为一个社区组织带头的试点赠款提供资金；实施两项 同意接触数据库(PLWH和社区成员)；并为研究人员配备工具和 与边缘化社区进行道德、公平和高影响力的研究的专业知识。 作为一个完整的中心，Charm的MHD-CE核心将继续促进严谨、多层次、有文化能力的 针对受艾滋病毒影响最严重的社区面临的精神健康(MH)斗争的研究 由于种族主义、异性恋主义、顺性别主义和种族中心主义。这将通过提供专家 心理学、公共卫生、医疗卫生等多学科研究人员和临床医生的咨询， 精神病学、教育和医学，具有艾滋病毒和精神健康不平等方面的专业知识，以及广泛的 公共卫生部门常见的或有感染艾滋病毒风险的MH疾病；促进和最大限度地发挥社区的影响- 通过UM的双向合作参与和响应心理健康和艾滋病毒研究 调查人员与社区利益相关者；吸引来自难以接触到的潜在研究参与者 被置于艾滋病毒风险中的人群；告知内容并提供获得多层次和多层次措施的机会 与艾滋病毒和MH不平等有关的领域结构；以及主办演讲者系列。MHD-CE核心将 因此，促进创新和理论驱动的研究方法，促进研究与 Charm的使命是减少心理健康的影响和艾滋病病毒对少数群体健康的差异 预防和护理连续不断。

PROJECT SUMMARY: MENTAL HEALTH DISPARITIES AND COMMUNITY ENGAGEMENT CORE (D) The Mental Health Disparities and Community Engagement (MHD-CE) Core in the Center for HIV and Research in Mental Health (CHARM) provides specific services and activities to promote research to understand, assess, and intervene with sociocultural and structural drivers at the intersection of HIV and mental health disparities. Racial, ethnic, sexual, and gender minority populations are the least likely to benefit from medical advances in HIV prevention and treatment, and the most susceptible to comorbid HIV-related mental health (MH) problems (including substance use), affecting all aspects of the HIV prevention and care continua. CHARM is located in a US HIV/AIDS epicenter and home to one of the largest populations of racial, ethnic, and sexual/gender minority individuals placed at risk for and living with HIV/AIDS in the nation. The environment includes multiple risks and disadvantages that set the stage for disparities in access to and utilization of HIV and MH services and in HIV/AIDS and MH outcomes. Thus, the MHD-CE Core strives for meaningful local impact as well as nationally contributions in order to end the HIV epidemic. The MHD-CE Core will further expand on our highly successful set of activities as a Developmental ARC such as bringing the expertise of community members to the forefront to directly inform research priorities; sponsoring the “Charming Conversations” Series; partnering with the Dev Core to support a community pilot grant mechanism to fund pilot grants spearheaded by a community-based organization; implementing two consent-to-contact databases (PLWH and community members); and equipping researchers with the tools and expertise to conduct ethical, equitable, and high impact research with marginalized communities. As a Full Center, CHARM’s MHD-CE Core will continue to promote rigorous, multilevel, culturally competent research addressing mental health (MH) struggles faced by communities most impacted by the HIV epidemic due to racism, heterosexism, cisgenderism, and ethnocentrism. This will be accomplished by providing expert consultation from a multidisciplinary team of investigators and clinicians in psychology, public health, psychiatry, education, and medicine with expertise in HIV and mental health inequities and a broad range of MH disorders common to PLWH or at risk for HIV; facilitating and maximizing the impact of community- engaged and responsive mental health and HIV research through bi-directional collaboration of UM investigators with community stakeholders; engaging potential research participants from hard-to-reach populations placed at risk for HIV; informing content and providing access to measures of multi-level and multi- domain constructs relevant to HIV and MH inequities; and hosting a Speakers series. The MHD-CE Core will therefore promote innovative and theory-driven research approaches, stimulating research in synchrony with CHARM’s mission of reducing the impact of mental health and minority health disparities across the HIV prevention and care continua.