Train and EMPOWER A Community Health workforce to achieve equity and reduce disparities in mental health (TEACH)

项目摘要 此应用程序是在响应美国国立卫生研究院共同基金转型研究，以解决健康 少数民族服务机构的差异和促进健康公平（RFA-RM-22 - 001）。的目标 该项目旨在实施一个可扩展的任务分担模式，旨在建设能力， 多样化的非专业提供者队伍，为指定的预防和早期 对抑郁和焦虑的干预，结合针对当地情况的新内容， 种族和族裔多样性的环境，重点是评估和解决 这些社区的心理健康，最终有助于减少其社区的差距。 我们将通过从德克萨斯州少数民族服务机构的本科生中招募学生来做到这一点， 精神卫生保健资源最不足的州之一，并部署了一套创新的数字化 培训、监督和支持这些供应商的解决方案，以提供基于证据、简短、有质量保证的服务 心理社会干预。干预措施是通过与联合国儿童基金会合作的系统过程设计的， 学生，并与社区专家合作，旨在实现跨诊断干预， 常见的心理健康问题，如抑郁和焦虑。该项目的长期目标是 创造资源、机会、结构和脚手架，以建立一个强大的社区心理 通过部署经过培训和认证的社区保健工作者，建立保健系统 （CHW）扩大和建设提供干预措施的能力， 专科护理转向提供者所在社区的高频率、低成本干预。 增加反映其所服务社区人口统计数据的提供者数量是 解决保健方面的差距以及解决心理健康的社会决定因素和获得保健服务方面的差距 5我们建议利用由Patel和Naslund开发的EMPOWER平台4 在国家精神卫生研究所（U19MH113211）的支持下，在哈佛医学院进行培训， 非专科社会工作本科生，促进同侪监督的支持和质量保证， 并为社区内的认证社区卫生工作者提供咨询和真实的时间支持。增强权能课程 包括以证据为基础的心理社会干预，包括基本的咨询技能和行为 激活，并将增加培训内容，重点是认识和解决社会 心理健康差异的决定因素。我们的实施计划和可持续发展战略的核心是 利用孤独星星抑郁症挑战的基础设施，这是一项全州范围的努力， EMPOWER计划，该计划将参与、培训和部署CHW到卫生系统，以减少所有人的障碍 得克萨斯州的抑郁症，发现他们的需要更早，更有效地照顾他们，同时也优先考虑， 吸引有色人种、残疾人和贫困人口的参与。

PROJECT SUMMARY This application is in response to the NIH Common Fund Transformative Research to Address Health Disparities and Advance Health Equity at Minority Serving Institutions (RFA-RM-22-001). The objective of this project is to implement a scalable task-sharing model aimed at building capacity and supporting a racially diverse workforce of non-specialist providers to deliver brief interventions for the indicated prevention and early intervention for depression and anxiety, combined with new content tailored to the local context in low resource, racial and ethnically diverse settings with emphasis on assessing and addressing the social determinants of mental health in these communities, ultimately contributing to the reduction of disparities in their communities. We will do so by recruiting from the undergraduate student population at a Minority Serving Institution in Texas, one of the most under-resourced states for mental health care and deploying an innovative suite of digital solutions to train, supervise and support these providers to deliver evidence based, brief, quality assured psychosocial interventions. The intervention, designed through a systematic process of co-production with students, and collaboration with community specialists, will aim to achieve trans-diagnostic intervention for common mental health problems such as depression and anxiety. The long-term goal of the project is the creation of resources, opportunities, structure, and scaffolding that will establish a robust community mental health care system, through deployment of providers, trained and certified as Community Health Workers (CHWs) for scaling up and building capacity for delivery of interventions to shift mental health care away from specialty care toward high-frequency, low-cost interventions in the communities where the providers live. Increasing the number of providers who reflect the demographics of the community they are serving is key to addressing gaps in care as well as addressing social determinants of mental health and disparities in access to care among minority groups.5 We propose to leverage EMPOWER, a platform developed by Patel and Naslund4 at Harvard Medical School with support from the National Institute of Mental Health (U19MH113211), to train non-specialist undergraduate social work students, facilitate peer supervision for support and quality assurance, and provide consultation and real time support to certified CHWs in the community. The EMPOWER curriculum consists of evidence-based psychosocial interventions covering foundational counseling skills and behavioral activation and will be augmented with training content focused on recognizing and addressing the social determinants of disparities in mental health. Central to our implementation plan and sustainability strategy is to leverage the infrastructure of the Lone Star Depression Challenge, a statewide effort in partnership with the EMPOWER program which will engage, train, and deploy CHWs to health systems to reduce barriers for all Texans with depression, detect their needs earlier, and care for them more effectively, while also prioritizing and engaging people of color, individuals with disabilities, and those living in poverty.