Adaptation of post-disaster mental health training for black communities

针对黑人社区的灾后心理健康培训的调整

• 批准号: 7481837
• 负责人: Danielle Laborde
• 金额: $ 25.11万
• 依托单位: HERMES, LLC
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-01 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7481837
• 关键词: Accounting; Address; Adoption; Adult; Advisory Committees; Affect; Area; Benchmarking; Caring; Clinical; Cognitive; Color; Communities; Community Integration; Condition; Data; Diagnosis; Disasters; Distance Learning; E-learning; Educational Intervention; Educational process of instructing; Educational workshop; Emergency Situation; Evaluation; Evidence based practice; Exercise; Feedback; Focus Groups; Future; Goals; Health; Health Personnel; Healthcare; Hurricane; Instruction; Intervention; Knowledge; Learning; Low income; Manuals; Materials Testing; Measures; Mental Health; Mental Health Services; Mental disorders; Minority; Minority Groups; Modeling; Modification; National Institute of Mental Health; Natural Disasters; Needs Assessment; North Carolina; Online Systems; Other Minority; Outcome; Participant; Pathway interactions; Phase; Population; Pre-Post Tests; Process; Provider; Psyche structure; Public Health; Qualitative Evaluations; Readiness; Recommendation; Recovery; Recruitment Activity; Research; Resources; Risk; Rural; Sampling; Site; Slide; Stress; Teaching Materials; Techniques; Testing; Trainers Training; Training; Training Programs; Work; World Health Organization; acute stress; base; concept; cost effective; design; emergency service responder; experience; gulf coast; health training; improved; instrument; interest; member; novel; programs; prototype; psychologic; psychological distress; response; skills; social capital; tool; usability

DESCRIPTION (provided by applicant): Adaptation and adoption of evidence based mental health strategies has been challenging for those working with subpopulations disproportionately affected by the aftermath of natural disasters and may contribute to the growing racial disparities seen in access to mental health services, diagnosis, and treatment of mental health conditions. Outside assistance teams have faced overwhelming demands for tools that take into account the cultural and ethnic context of mental health conditions and facilitate expedient and cost effective measure to mitigate the mental health effects of disasters. Our proposed post disaster mental health intervention training tool will assist in addressing these challenges and holds promise for delivering effective interventions to those in need of support because it will be developed through an iterative collaborative approach with health providers and black community leaders working in areas in the Southeastern and Gulf states that have experienced the greatest impact of recent hurricanes. We first will conduct thorough needs assessment in coastal and eastern North Carolina and continue to incorporate materials that respond to audience learning needs through implementation testing of materials developed by Dr. Stan Kutcher. This model is based on World Health Organization and NIMH recommended post disaster mental health practices. The novel training program will also include capacity and social capital building techniques and expansion through a train the trainer component. The results of this formative research will be woven into a novel disaster intervention training program that can be successively tailored to other minority groups in high risk areas. The prototype training package will consists of 1) a core knowledge/care competencies manual; 2) clinical provider and community leader trainee toolkits (with testable cooperative learning exercises for 1 completed core competency, a list of resources for practical mental health referral and treatment approaches, and training evaluation pre and post tests, a sample CD rom to test the acceptance of future distance learning using web based format for training components); and 3) a trainer facilitation manual with slide sets and testable instructions for implementing a train the trainer program. We will elaborate a plan for conducting a multi site field evaluation trial. In Phase II we will further develop the training components, including distance learning CD rom and web based instruction based on the Phase I proof of concept evidence. PUBLIC HEALTH RELEVANCE: The disaster mental health training tool that we propose to develop will promote an appropriate and cost effective response to the need to prepare health providers and black community leaders for addressing the adverse mental health consequences to disasters. Through the iterative adaptation of teaching materials to the cultural context of communities of color, we will have a useful tool to address cultural barriers that challenge outsiders in providing mental health services. Expansion to other formats for distance learning of different training components and tailoring for other vulnerable communities will allow local first responders to gain the sustainable skills.

描述（由申请人提供）：适应和采用以证据为基础的心理健康战略，对于那些与受自然灾害后果严重影响的亚群体合作的人来说是一项挑战，并可能导致在获得心理健康服务、诊断和治疗心理健康状况方面出现越来越大的种族差异。外部援助小组面临着对工具的巨大需求，这些工具考虑到心理健康状况的文化和种族背景，并促进采取权宜之计和具有成本效益的措施，以减轻灾害对心理健康的影响。我们提出的灾后心理健康干预培训工具将有助于应对这些挑战，并有望向需要支持的人提供有效的干预措施，因为它将通过与在最近遭受飓风影响最大的东南部和海湾各州工作的保健提供者和黑人社区领导人的反复合作方法来开发。我们首先将在北卡罗莱纳沿海和东部地区进行彻底的需求评估，并通过对Stan Kutcher博士开发的材料进行实施测试，继续纳入满足观众学习需求的材料。这个模型是基于世界卫生组织和NIMH推荐的灾后心理健康实践。新的培训计划还将包括能力和社会资本建设技术，并通过培训培训师部分进行扩展。这一形成性研究的结果将被纳入一项新的灾害干预培训计划，该计划可以陆续为高风险地区的其他少数群体量身定制。原型培训包将包括：1)核心知识/护理能力手册；2)临床提供者和社区领导培训工具包（包括1项已完成核心能力的可测试的合作学习练习、实用心理健康转诊和治疗方法的资源清单、培训评估前后测试、用于测试对未来使用基于网络格式的远程学习的接受程度的CD样本）；3)培训师指导手册，包括幻灯片集和可测试的指导，用于实施培训师计划。制定开展多地点实地评价试验的方案。在第二阶段，我们将进一步开发培训组件，包括远程学习光盘和基于第一阶段概念验证证据的网络教学。公共卫生相关性：我们提议开发的灾害心理健康培训工具将促进采取适当和具有成本效益的应对措施，使保健提供者和黑人社区领导人做好准备，以应对灾害对心理健康造成的不利后果。通过不断调整教材以适应有色人种社区的文化背景，我们将有一个有用的工具来解决在提供心理健康服务时挑战外部人员的文化障碍。将不同培训内容扩展到其他形式的远程学习，并为其他脆弱社区量身定制，将使当地的急救人员能够获得可持续的技能。