Transdisciplinary Research, Equity and Engagement Center for Advancing Behavioral Health

项目总结/摘要 我们提出了一个创新的跨学科研究，公平和参与中心，以促进 行为健康（树中心）。我们建议扩大和利用知识，研究能力， 和前NM CARES健康差异中心（P20）建立的跨部门合作 MD004811，R.威廉姆斯，PI）。我们将利用这些优势，专门针对改善行为 社会经济弱势和服务不足的农村人口的健康差距， 区域重点是美洲印第安人/阿拉斯加原住民（AI/AN）和新墨西哥州的拉丁美洲人。我们的目标是突出 行为健康的社会决定因素，包括不良童年经历，历史创伤， 贫穷和歧视的交叉影响，以改善与青年有关的条件和成果 自杀、酗酒和滥用药物、抑郁症以及获得行为健康服务。四个目标 树中心是：1。实行共同领导模式，以促进跨学科、多层次 干预研究，这将促进知识和科学，以改善行为健康的结果; 2。 将理论、研究设计和分析的协作整合操作化为多层次干预措施， 由于生物、行为、物理环境的相互作用， 我们代表性农村、AI/AN、拉丁美洲人和其他合作伙伴的医疗保健系统、经济和政治力量 社区; 3.通过培训新的和早期的阶段，扩大多元化科学劳动力的发展 代表性不足的少数民族调查员在跨学科的背景下，进行社区参与，多， 水平干预行为健康研究; 4.培养与社区的公平合作， 部落利益攸关方在区域和国家一级，以翻译和共同传播跨学科研究 实践和政策。人力、智力和关系资源以及机构 树木中心办公空间的承诺，参与社区科学咨询的旅行资金 委员会和资深教师的专门指导将加强我们在培养下一代的影响 代表性不足的少数民族和促进西南部不同人群的行为健康。

PROJECT SUMMARY / ABSTRACT We propose an innovative Transdisciplinary Research, Equity and Engagement Center for Advancing Behavioral Health (TREE Center). We propose to expand on and leverage the knowledge, research capacities and cross-sectoral collaborations established by the former NM CARES Health Disparities Center (P20 MD004811, R. Williams, PI). We will use these strengths to specifically target improvement of behavioral health disparities for socioeconomically disadvantaged and underserved rural populations with a southwest regional focus on American Indian/Alaska Natives (AI/ANs) and Latinos in New Mexico. Our goal is to highlight the social determinants of behavioral health, including Adverse Childhood Experiences, historical trauma, and intersectional effects of poverty and discrimination to improve conditions and outcomes related to youth suicide, alcohol and drug misuse, depression, and access to behavioral health services. The four aims of the TREE Center are to: 1. Implement a co-leadership model in order to promote transdisciplinary, multi-level intervention research that will advance the knowledge and science to improve behavioral health outcomes; 2. Operationalize collaborative integration of theories, study design, and analysis into multi-level interventions that improve behavioral health outcomes due to an the interplay of biological, behavioral, physical environment, health care system, economic, and political forces in our representative rural, AI/AN, Latino and other partner communities; 3. Expand the development of a diverse scientific workforce by training new and early stage under-represented minority investigators in a transdisciplinary context, to conduct community engaged, multi- level intervention behavioral health research; and 4. Cultivate equitable collaborations with community and tribal stakeholders regionally and nationally in order to translate and co-disseminate transdisciplinary research evidence into practice and policy. The combined human, intellectual and relational resources and institutional commitments of Tree Center office space, travel funding for engaging with the Community Scientific Advisory Committee and dedicated mentoring of senior faculty will strengthen our impact in training the next generation of under-represented minorities and advancing the behavioral health of diverse populations in the southwest.