Johns Hopkins Center for Adolescent Health

项目概要/摘要 约翰霍普金斯青少年健康中心（CAH）有25年的合作历史 在巴尔的摩，以改善10-24岁年轻人的健康和福祉。CAH有一个强大的记录， 在培训、应用研究和学术界伙伴关系方面取得的成就。CAH教师工作与 巴尔的摩的各种合作伙伴、市政机构和组织，包括学区和 卫生部。CAH由社区和青年咨询委员会指导，与全市范围的合作伙伴关系 为青年服务的实践网络。我们的长期目标是改善青年人口的健康， 青年健康差距，实现青年健康公平。我们将通过以下方式实现这一目标： 我们以青年为中心的研究和翻译议程以及我们在中心基础设施、翻译和 合作伙伴关系，传播和翻译中心的知识和产品，致力于培训，多 渠道沟通中心的活动和产品，并参与中国网络。 我们的核心研究项目将研究几个健康因素在塑造年轻人的 参与全市范围的就业倡议（Grads 2Careers）及其长期就业和健康。 该项目涉及与市长就业发展办公室和巴尔的摩市的伙伴关系 公立学校，以及“巴尔的摩的承诺”，一个致力于提高成果的全市合作 为了青春。这种基于公共卫生实践的证据研究将产生新的和实用的信息 与工作培训相关的因素。Grads 2Careers模型的目标是改进 脆弱青年的经济稳定，这是健康的社会决定因素之一 健康人2020 Grads 2Careers参与者是近期没有计划参加的高中毕业生 大学生是长期脱离高等教育和劳动力的高危人群。的 该计划将参与者与提供全面支持的职业培训计划联系起来， 实现可持续的就业和维持生计的工资（例如，心理健康服务）。 我们将在为巴尔的摩的承诺进行的过程评估的基础上，通过调查 在招聘时，青年的健康和五个额外的点在两年期间。我们的样本将是年轻人， 与计划招聘人员会面，无论他们是否参加或完成培训。具体目标是：1） 研究青少年心理健康与项目参与的关系; 2）评估健康与 在两年的随访中，计划暴露于青年就业和健康结果; 3）进行成本 分析，为未来的计划使用和传播提供信息;以及4）传播研究成果和产品 广泛开展翻译活动，以支持其他项目的大规模采用。城市我们 使命和核心研究项目支持CDC 5年健康影响（HI-5）倡议的优先事项， 《2020年健康人》，包括预防、健康的社会决定因素和促进青年健康。

Project Summary/Abstract The Johns Hopkins Center for Adolescent Health (CAH) has a 25-year history of working collaboratively within Baltimore to improve the health and wellbeing of young people ages 10-24. CAH has a strong record of accomplishments in training, applied research, and academic-community partnerships. CAH faculty work with a diverse set of partners, municipal agencies, and organizations in Baltimore, including the school district and health department. CAH is guided by Community and Youth Advisory Boards, in partnership with citywide practice networks that serve youth. Our long-term goal is to improve youth population health, eliminate youth health disparities, and achieve health equity for young people. We will achieve this goal through our youth-focused research and translation agenda and our investment in Center infrastructure, translation partnerships, dissemination and translation of Center knowledge and products, commitment to training, multi- channel communication about Center activities and products, and participation in the PRC network. Our Core Research Project will examine the role of several health factors in shaping young people’s participation in a citywide employment initiative (Grads2Careers) and their longer-term employment and health. The project involves partnerships with the Mayor’s Office of Employment Development and Baltimore City Public Schools, as well as with ‘Baltimore’s Promise’, a citywide collaborative dedicated to improving outcomes for youth. This public health practice-based evidence research will yield new and practicable information about factors related to engagement in job training. The Grads2Careers model targets improvement in economic stability among vulnerable youth, which is one of the social determinants of health highlighted in Healthy People 2020. Grads2Careers participants are recent high school graduates without plans to attend college, a population at high risk for long-term disconnection from higher education and the workforce. The program links participants with occupational training programs that provide wraparound supports to help them achieve sustainable employment at a living wage (e.g., mental health services). We will build on a process evaluation we are conducting for Baltimore’s Promise by surveying the health of youth at recruitment and five additional points over a two-year period. Our sample will be youth who meet with a program recruiter, regardless of whether they enroll in or complete training. Specific aims are: 1) examine how youth mental health is related to program participation; 2) assess associations of health and program exposure to youth employment and health outcomes over the two-year follow up; 3) conduct a cost analysis to inform future program use and dissemination; and 4) disseminate research findings and products widely and initiate translation activities to support large-scale program adoption across other. cities. Our mission and Core Research Project support priorities of CDC’s Health Impact in 5 Years (HI-5) Initiative and Healthy People 2020, including prevention, social determinants of health, and youth health promotion.