International Latino Research Partnership (ILRP)

国际拉丁裔研究伙伴关系 (ILRP)

• 批准号: 9479821
• 负责人: MARGARITA ALEGRIA
• 金额: $ 0.96万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-10-26 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9479821
• 关键词: Acculturation; Address; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Anxiety; Area; Attention; Boston; Caribbean region; Caring; Central America; Clinic; Collaborations; Communities; Comorbidity; Complement; Country; Data; Data Aggregation; Databases; Dependence; Development; Disease; Documentation; Drug Addiction; Drug usage; Early Diagnosis; Early Intervention; Economics; Elements; Epidemic; European Union; Evidence based treatment; Funding; Funding Agency; Growth; HIV; HIV risk; Health; Health Services; Health Services Accessibility; Health Services Needs; Health Services Research; Healthcare; Healthcare Systems; High Prevalence; Hispanics; Immigrant; Improve Access; Individual; Institution; International; Intervention; Knowledge; Latin America; Latino; Legal; Link; Literature; Medical; Mental Health; Mental disorders; Methodology; Modeling; National Institute of Drug Abuse; Nomads; Outcome; Patients; Pharmaceutical Preparations; Population; Premature Mortality; Primary Health Care; Process; Research; Research Infrastructure; Research Personnel; Research Support; Risk; Safety; Sampling; Services; Site; Smoking; Smoking and Health Research; Social Work; South America; Spain; Standardization; Strategic Planning; Substance Use Disorder; Symptoms; Testing; Tobacco use; Training; Work; base; behavioral health; behavioral health intervention; binge drinking; depressive symptoms; disability; dual diagnosis; evidence base; experience; improved; innovation; international partnership; population movement; productivity loss; public health relevance; response; screening; screening, brief intervention, referral, and treatment; skills; treatment as usual

DESCRIPTION (provided by applicant): Untreated substance use disorders are associated with premature mortality, productivity loss, high rates of disability, and increased risk for HIV. Substance use also places users at risk for elevated depression symptoms and high levels of anxiety. In reciprocal fashion, having mental health problems radically increases the likelihood of augmented drug use, smoking, binge drinking and heavy episodic drinking. Despite a substantial body of evidence documenting the high prevalence of dual-diagnosis patients, few rigorous interventions have been conducted to treat individuals with comorbid substance use and mental health disorders. Globally, most people with substance use and/or mental health problems receive no treatment. The proposed International Latino Research Partnership (ILRP) directly responds to this gap in the literature. The ILRP brings together research institutions an their partnering community clinics in Boston, Madrid and Barcelona to enhance a collaborative international partnership and to develop the research evidence necessary to respond to Latino migrants' behavioral health service needs. We turn our focus to Latino migrants because economic opportunities have moved unprecedented numbers of migrants from Latin America to host countries like Spain and the US. Spain has the second largest number of Latino migrants in the world behind only the US, where most immigrants are Latino. Migrant Latinos confront colossal barriers to behavioral health. During the process of acculturation to the host culture, migrants have been shown to drink more alcohol and use more drugs straining the health care system, public safety, and increasing their risk for HIV. We propose three aims: 1) Develop an international partnership and research collaboration to support research that can improve accessibility, quality and outcomes of integrated behavioral health services for migrant Latinos with co-occurring substance use, mental health problems and/or HIV risk in primary care clinics; 2) Harmonize data across research sites; and 3) Conduct behavioral health services research focused on rapid screening, referral, and integrated behavioral health services research for migrant Latino populations with co-occurring substance use, mental health problems, and HIV risk in primary care clinics. For Aim 3, we follow a Screening, Brief Intervention and Referral to Treatment (SBIRT) model, where we first test the validity of a brief behavioral health screener for Spanish-Speaking populations. Building on that work, we test the feasibility, acceptability and efficacy of the "Integrated Intervention for Dual Problems and Early Action" (IIDEA) intervention addressing substance use, smoking and mental health disorders. As such, the proposed ILRP multi-site international project is a critical step towards developing models of integrated care for the large and diverse Latino migrant population and more broadly towards understanding how best to integrate evidence- based assessment and treatments for co-occurring substance and mental health problems and HIV risks.

描述（由申请人提供）：未经治疗的物质使用障碍与过早死亡、生产力下降、高残疾率和艾滋病毒风险增加有关。药物使用还会使使用者面临抑郁症状和高度焦虑的风险。反过来，存在心理健康问题也会从根本上增加吸毒、吸烟、酗酒和偶尔酗酒的可能性。尽管大量证据证明双重诊断患者的患病率很高，但很少采取严格的干预措施来治疗患有共病药物使用和精神健康障碍的个体。在全球范围内，大多数患有药物滥用和/或心理健康问题的人没有接受治疗。拟议的国际拉丁裔研究伙伴关系（ILRP）直接回应了文献中的这一空白。 ILRP 将波士顿、马德里和巴塞罗那的研究机构及其合作社区诊所聚集在一起，以加强国际合作伙伴关系，并开发满足拉丁裔移民行为健康服务需求所需的研究证据。我们将重点转向拉丁美洲移民，因为经济机会使前所未有的数量的移民从拉丁美洲转移到西班牙和美国等东道国。西班牙是世界上拉丁裔移民数量第二多的国家，仅次于美国，而美国的大多数移民是拉丁裔。拉丁裔移民在行为健康方面面临巨大障碍。在适应东道国文化的过程中，移民喝了更多的酒，使用了更多的药物，这给医疗保健系统、公共安全带来了压力，并增加了感染艾滋病毒的风险。 我们提出三个目标： 1) 建立国际伙伴关系和研究合作，支持研究，提高初级保健诊所中同时存在药物滥用、心理健康问题和/或艾滋病毒风险的拉丁裔移民综合行为健康服务的可及性、质量和结果； 2) 协调各个研究站点的数据； 3) 开展行为健康服务研究，重点是针对初级保健诊所中同时存在药物滥用、心理健康问题和艾滋病毒风险的拉丁裔移民群体进行快速筛查、转诊和综合行为健康服务研究。对于目标 3，我们遵循筛查、简短干预和转介治疗 (SBIRT) 模型，我们首先测试针对西班牙语人群的简短行为健康筛查的有效性。在此工作的基础上，我们测试了针对药物滥用、吸烟和心理健康障碍的“双重问题综合干预和早期行动”（IIDEA）干预措施的可行性、可接受性和有效性。因此，拟议的 ILRP 多地点国际项目是朝着为大量和多样化的拉丁裔移民人口开发综合护理模式迈出的关键一步，更广泛地理解如何最好地将基于证据的评估和治疗结合起来，以解决同时发生的物质和心理健康问题以及艾滋病毒风险。

项目成果

Treating immigrant patients in psychiatric emergency rooms.

• DOI: 10.1177/1363461520916697
• 发表时间: 2021-03
• 期刊: Transcultural psychiatry
• 影响因子: 2.5
• 作者: Collazos F;Malagón-Amor Á;Falgas-Bague I;Qureshi A;Gines JM;Del Mar Ramos M;McPeck S;Hussain I;Wang Y;Alegría M
• 通讯作者: Alegría M