权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Improving screening and follow-up for suicidal ideation and behaviors among Latinx youth in primary care

改善初级保健中拉丁裔青少年自杀意念和行为的筛查和随访

基本信息

批准号：
10608186
负责人：
Kiara Alvarez
金额：
$ 32.49万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-04-12 至 2025-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10608186
关键词：
Address Administrator Adolescent Adopted Age Caring Cause of Death Certification Characteristics Child Child Rearing Childhood Climate Clinic Collaborations Communication Communities Community Health Community Health Aides Community Practice Consolidated Framework for Implementation Research Data Death Rate Development Disparity Early Intervention Educational Materials Effectiveness of Interventions Eligibility Determination Evidence based intervention Family Federally Qualified Health Center Feeling suicidal Female Focus Groups Future Goals Health Personnel Health Professional Health Promotion Health Services Hospitals Human Resources Immigrant Immigrant family Implementation readiness Interruption Intervention Interview Latina Latino Latinx Limited English Proficiency Linguistics Maps Medical Mental Health Mental Health Services Methods Modeling National Institute of Mental Health Nature Outcome Parents Patients Pilot Projects Population Prevention Primary Care Procedures Process Protocols documentation Provider Randomized, Controlled Trials Reporting Resources Role Safety Self Efficacy Services Site Strategic Planning Structure Suicide Suicide attempt Suicide prevention Supervision System Testing Time Series Analysis Training Underserved Population Visit Well Child Visits Work Youth acceptability and feasibility bilingualism care coordination collaborative care community clinic cost effectiveness evaluation evidence base experience follow-up health care service health care settings implementation protocol improved literacy male medical specialties member mental health education patient centered medical home pediatrician peer support pilot trial practice setting preference prevent preventive intervention primary care practice primary care setting programs psychoeducation psychoeducational reducing suicide screening service delivery service gap social stigma suicidal behavior suicidal morbidity suicidal risk suicide model suicide rate system-level barriers

项目摘要

Project Summary/Abstract The objective of this proposal is to develop and pilot a systems-level strategy in pediatric primary care to enhance identification and management of suicidal ideation and behavior in Latinx youth, particularly those in immigrant families with parents who have limited English proficiency (LEP). We will focus on the use of trained community health workers (CHWs) to increase clinic capacity and quality of suicide risk screening and early intervention, with a focus on safety planning, parent psychoeducation and care coordination. Our specific aims are 1: To develop site-specific implementation protocols for the integration of CHWs into SIB screening and safety planning for Latinx youth and their families; 2: To pilot the implementation of the program in a six-month open trial in four pediatric primary care practices representing a range of usual practice settings; and 3: To engage a stakeholder network to explore barriers and facilitators, including costs and billing strategies, to implementation of this approach across a broad range of pediatric primary care settings. In Aim 1, we will use Implementation Mapping, a systematic process incorporating the perspectives of users (e.g., families), implementers (e.g., clinic staff), adopters (e.g. clinic administrators) and sustainers (e.g. healthcare service delivery experts and payors) to guide development of strategies to adopt, implement and maintain an evidence-based intervention in the four participating pediatric practices. In Aim 2, we will assess feasibility, acceptability, and impact on organizational (e.g., increase in screening and CHW referral, engagement in follow-up mental health visits) and patient-level outcomes (e.g., improved family functioning, parenting self-efficacy). Quantitative data (e.g., changes in rates of screening) will be examined using an interrupted time series analysis. In Aim 3, we will conduct semi-structured interviews with stakeholders and convene the stakeholder network to develop an implementation plan for a larger trial. We will then integrate pilot trial and qualitative data using mixed methods analysis to assess feasibility and acceptability at the organizational, provider, and patient levels and convene to develop an implementation plan for a larger trial. Successful completion of this deployment-focused pilot study would prepare us for a future multi-site cluster randomized controlled trial assessing the effectiveness of the implementation of suicide prevention interventions delivered by CHWs in health care settings on rates of suicidal ideation and behavior for Latinx youth in pediatric primary care, with the long- term goal of addressing mental health service disparities and preventing youth suicide.

项目总结/文摘