Integrating Status-Neutral Linkage to Services in Behavioral Health Organizations

将状态中立的联系整合到行为健康组织的服务中

• 批准号: 10599470
• 负责人: Jane M. Simoni
• 金额: $ 29.95万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10599470
• 关键词: AIDS prevention; Accident and Emergency department; Acute; Administrator; Area; Back; Bipolar Disorder; Caring; Client; Clinic; Code; Communities; Community Mental Health Centers; Complex; Congresses; Consolidated Framework for Implementation Research; County; Data; Data Reporting; Development; Disease; Effectiveness; Elements; Epidemic; Equipment and supply inventories; Foundations; Frontline worker; General Population; Goals; Group Meetings; HIV; HIV Infections; Health Personnel; Healthcare; Healthcare Systems; Homelessness; Human immunodeficiency virus test; Incidence; Individual; Institutes; Interview; Knowledge; Leadership; Learning; Link; Medical; Mental Health; Mental Health Services; Mental disorders; Methods; Modeling; Needle-Exchange Programs; New York; Outpatients; Persons; Population; Preparation; Prevalence; Primary Health Care; Provider; Recovery; Reporting; Research; Research Personnel; Resources; Risk; Sampling; Schizoaffective Disorders; Schizophrenia; Services; Specific qualifier value; Structure; Substance Use Disorder; Surveys; System; Testing; Time; Work; World Health Organization; base; behavioral health; case finding; data sharing; design; evidence base; experience; health care availability; health organization; high risk behavior; implementation barriers; implementation science; implementation strategy; implementation trial; improved; member; peer; peer learning; person centered; pre-exposure prophylaxis; prevent; prevention service; programs; screening; screening services; severe mental illness; social; surveillance data; testing services

PROJECT SUMMARY/ABSTRACT To reach the Ending the HIV Epidemic (EHE) targets for reducing new HIV infections by 2030, King County WA must improve its plan to reach individuals with behavioral health disorders. County surveillance data reveal very high rates of mental disorders and substance use disorder among new HIV infections since 2018. Research has demonstrated that the HIV prevalence among people with serious mental illnesses (such as schizophrenia and bipolar disorder) is at least four times that of the general population, but that these individuals are inconsistently tested and often missed through HIV screening efforts. Most people with the US who have serious mental illness access the healthcare system through their mental health provider, but rates of screening and prevention services are low in community mental health settings. The goal of this research is to increase the capacity of King County behavioral health organizations to provide rapid HIV testing and linkage to proven prevention services (pre-exposure prophylaxis and syringe services programs that are the focus of the Prevent Pillar of the King County EHE plan) to reduce HIV incidence in King County. Current EHE efforts include Learning Collaboratives--a widely-used implementation strategy to support implementation of new services or improve care—to increase HIV testing and linkage to services in emergency departments and primary care clinics. The current one-year proposal aims to develop an EHE Collaborative to support behavioral health organizations to increase access to HIV testing and linkage to services among a critical population that is not being reached by current EHE efforts. We propose to identify best practices for HIV prevention services and barriers and facilitators to implementing a status neutral approach to HIV services. We will utilize a mixed methods approach, collecting both quantitative data from an inventory of services and resources completed by directors of the 25 member organizations of the King County Behavioral Health Provider Association and qualitative data through in-depth interviews of 45 individuals who represent key stakeholder groups in efforts to improve HIV prevention services in behavioral health organizations. This proposal leverages a unique opportunity to layer rigorous implementation science research on existing EHE activities, to generate knowledge both about how to build HIV prevention capacity in behavioral health organizations and how to evaluate EHE Learning Collaboratives. At the end of the proposal, we will have a tailored EHE Collaborative for Behavioral Health organizations which we will test in a subsequent implementation trial.

项目摘要/摘要 为了实现到2030年减少新的艾滋病毒感染的结束艾滋病毒流行(EHE)的目标，金县 西澳必须改进其计划，以帮助有行为健康障碍的个人。县监测数据显示 自2018年以来，在新的艾滋病毒感染中，精神障碍和物质使用障碍的比率非常高。 研究表明，患有严重精神疾病的人(如 精神分裂症和双相情感障碍)至少是普通人群的四倍，但这些 个人接受的检测不一致，在艾滋病毒筛查工作中往往被遗漏。大多数在美国工作的人 患有严重精神疾病的人通过他们的精神健康提供者获得医疗保健系统，但费率 在社区精神卫生环境中，筛查和预防服务的比例很低。这项研究的目标是 增加金县行为卫生组织提供快速艾滋病毒检测和 与经过验证的预防服务的联系(暴露前预防和注射器服务计划是 金县预防支柱计划的重点)，以减少金县的艾滋病毒发病率。当前的EHE 努力包括学习协作--一种广泛使用的实施战略，以支持实施 新服务或改善护理--增加艾滋病毒检测和与急诊科服务的联系 初级保健诊所。目前为期一年的提案旨在开发EHE Collaborative，以支持 行为健康组织增加获得艾滋病毒检测的机会并与关键服务相联系 目前的努力没有触及到的人口。我们建议确定艾滋病毒的最佳做法 预防服务以及对艾滋病毒服务采取中立地位做法的障碍和促进者。我们 将使用混合方法，从服务库存中收集定量数据，并 金县行为健康协会25个成员组织的董事完成的资源 通过对代表关键人物的45人进行深入访谈，提供提供商关联和定性数据 利益相关者团体努力改善行为健康组织的艾滋病毒预防服务。这 Proposal利用一个独特的机会在现有EHE的基础上进行严格的实施科学研究 活动，以产生关于如何在行为健康方面建设艾滋病毒预防能力的知识 组织和如何评估EHE学习协作。在提案的最后，我们将有一个 为行为健康组织量身定制的EHE Collaborative，我们将在随后的测试中进行测试 实施试行。