Patient Navigators for Children's Community Mental Health Services in High Poverty Urban Communities

项目摘要 这笔赠款的目的是为非裔美国人研究一种心理健康导航模式 高贫困城市社区的拉丁裔儿童专注于减少关键的父母 护理的态度障碍。减少儿童心理上持续存在的种族和民族差异 健康是国家的优先事项，患者导航是一种非常有希望的方法，这种方法很少 用于儿童心理健康服务。这项研究将检验两种类型的有效性 领航员：具有很强的社区知识和案例的辅助专业人员(PP) 经过正式培训的经理(CM)。这项研究将检查具体的机制， 导航员对儿童心理健康的影响及两种导航员的比较 对提议的机制进行严格的测试。从这一过程中获得的知识 应用程序对于缩小差距和雇用最适合的劳动力可能很重要 在社区精神卫生系统中导航。两个社区委员会，一个专注于 确定对支持各机构的导航员很重要的因素，另一个重点是 对州和联邦政策的影响，将每年举行会议，目标是确定关键的 这些发现可能会影响地方、州和国家对儿童心理健康的优先考虑 健康。

Project Summary The purpose of this grant is to study a model of mental health navigation for African American and Latinx children in high poverty urban communities focused on reducing key parental attitudinal barriers to care. Reducing persistent racial and ethnic disparities in children’s mental health is a national priority and patient navigation is a highly promising approach that is rarely used in children’s mental health services. The study will examine the effectiveness of two types of navigators: paraprofessionals (PP) who have strong community knowledge, and case managers (CM) who are formally trained. The study will examine specific mechanisms of navigator effectiveness in children’s mental health and compare the two types of navigators to provide a rigorous test of the proposed mechanisms. The knowledge gained from this application may be important to reducing disparities and employing the workforce best suited to navigation in the community mental health system. Two community boards, one focused on identifying factors important to supporting navigators at the agencies, and the other focused on implications for state and federal policy, will meet annually with the goal of identifying key findings with the potential to influence local, state, and national priorities for children’s mental health.