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

培训和授权社区卫生人员实现公平并减少心理健康方面的差异 (TEACH)

基本信息

批准号：
10626343
负责人：
Katherine Sanchez
金额：
$ 81.22万
依托单位：
UNIVERSITY OF TEXAS ARLINGTON
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-24 至 2028-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10626343
关键词：
Address Anxiety Attention Behavioral Caring Certification Collaborations Communities Community Health Community Health Aides Competence Consultations Counseling Country Diagnosis Diagnostic Disabled Persons Disparity Diverse Workforce Dropout Early Intervention Educational Curriculum Enrollment Ensure Equity Ethnic Population Evaluation Evidence based intervention Faculty Frequencies Funding Generations Goals Health Health Personnel Health Services Accessibility Health system Healthcare Systems Improve Access Infrastructure Institution Intervention Measures Mental Depression Mental Health Mental Health Services Mentorship Methodology Minority Minority Groups Minority-Serving Institution Modeling National Institute of Mental Health Not Hispanic or Latino Outcome Patients Population Population Group Poverty Preventive care Process Production Provider Quality of Care Race Reporting Research Resource-limited setting Resources Risk Side Social Work Specialist Structure Students Supervision Texas Time Training Training Activity United States National Institutes of Health access disparities addiction behavioral health brief intervention career college contextual factors cost demographics design digital disparity reduction empowerment ethnic diversity ethnic minority population evidence base experience health disparity health equity higher education implementation barriers implementation framework implementation science indicated prevention inequitable distribution innovation insight intervention cost intervention delivery medical schools medical specialties mental state peer people of color preventive intervention programs psychosocial quality assurance racial diversity racial minority population racial population recruit response retention rate scaffold scale up skill acquisition skills social determinants undergraduate student

项目摘要

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.

项目摘要该应用是对NIH共同基金转型研究的回应，以解决健康少数民族服务机构（RFA-RM-22-001）的差异和提高健康平等。目的该项目是实施一个可扩展的任务共享模型，旨在建立能力并支持种族非专家提供者的多样化劳动力为指定的预防和早期提供简短的干预措施抑郁和焦虑的干预，再加上针对低资源的本地环境量身定制的新内容，种族和种族多样化的环境，重点是评估和解决社会决定因素这些社区的心理健康，最终导致了社区差异的减少。我们将通过从德克萨斯州少数派服务机构的本科生群体招募来做到这一点，资源最低的精神保健状态之一，并部署了创新的数字套件培训，监督和支持这些提供商以提供证据，简短，质量保证的解决方案社会心理干预措施。干预措施是通过系统的共同生产过程设计的学生以及与社区专家的合作，旨在实现跨诊断干预措施常见的心理健康问题，例如抑郁和焦虑。该项目的长期目标是创建资源，机会，结构和脚手架，以建立一个强大的社区心理卫生保健系统通过部署提供者，经过培训和认证为社区卫生工作者（CHW）用于扩大和建立提供干预措施的能力，以将心理保健转移到远离在提供者居住的社区中，针对高频，低成本干预的专业护理。增加反映他们所服务社区人口的提供者的数量是解决护理中的差距以及解决心理健康和差异的社会决定因素 5 在美国国家心理健康研究所（U19MH113211）的支持下，在哈佛医学院进行培训非专业的本科社会工作专业的学生，促进同伴监督以寻求支持和质量保证，并向社区中认证的CHW提供咨询和实时支持。授权课程包括涉及基础咨询技能和行为的基于证据的社会心理干预措施激活，并将通过培训内容进行增强，重点是认识和解决社会心理健康差异的决定因素。我们实施计划和可持续性战略的核心是利用孤星抑郁挑战的基础设施，这是与全州范围的努力授权计划，将参与，培训和部署CHW到卫生系统，以减少所有人的障碍抑郁症的德克萨斯人，更早发现他们的需求，并更有效地照顾他们，同时还要优先考虑和吸引有色人种，残疾人和生活在贫困中的人。