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 到达艾滋病毒流行（EHE）的终结目标，以减少2030年的新艾滋病毒感染 西澳必须改善其行为健康障碍个人的计划。县监视数据显示 自2018年以来，新的艾滋病毒感染中精神障碍和药物使用障碍的发生率很高。 研究表明，患有严重精神疾病的患者的艾滋病毒患病率（例如 精神分裂症和躁郁症）至少是普通人群的四倍，但这些是 个人经过不一致的测试，经常通过艾滋病毒筛查工作而错过。美国大多数人 患有严重精神疾病的人通过其心理健康提供者获得医疗保健系统，但对 筛查和预防服务的社区心理健康环境较低。这项研究的目的是 为了提高金县行为卫生组织提供快速艾滋病毒测试的能力和 链接以证明预防服务（暴露前预防和注射器服务计划 预防国王县的柱子的重点）减少金县的艾滋病毒发病率。当前EHE 努力包括学习协作 - 一种广泛的实施策略，以支持实施 新服务或改善护理 - 增加艾滋病毒测试并与急诊部门的服务联系 初级保健诊所。当前的一年提案旨在建立一个协作以支持 行为健康组织，以增加对艾滋病毒测试的访问权限，并与关键的服务联系 目前的努力未达到的人口。我们建议确定艾滋病毒的最佳实践 预防服务以及障碍和促进者，以实施状态中立的艾滋病毒服务方法。我们 将利用一种混合方法方法，从服务清单中收集两个定量数据， 由金县行为健康的25个成员组织的董事完成的资源 提供者协会和定性数据通过45位代表关键的人的深入访谈 利益相关者团体努力改善行为健康组织中的艾滋病毒预防服务。这 提案利用了一个独特的机会，将严格的实施科学研究分层对现有的eHe 活动，以产生有关如何在行为健康中建立艾滋病毒预防能力的知识 组织以及如何评估EHE学习协作。在提案结束时，我们将有一个 量身定制的行为健康组织合作 实施审判。