Community Partners in Care

描述(由申请人提供)：这是对社区关怀合作伙伴(CPIC)(1R01MH078853-01A1)的竞争性修订，该修订是为响应PAR-06-039(重新发布为PAR07-086)“卫生领域的传播和实施研究”而提供资金的。母公司CPIC研究是一项随机试验，比较了两种干预措施，以实施循证工具包，以改善服务不足的洛杉矶社区的抑郁症护理(护理中的合作伙伴和我们护理)。一个是在社区会议上提供技术援助。另一个增加了社区参与(CE)，使用社区合作参与研究(CPPR)的原则，建立一个由不同机构组成的网络，以合作改善护理。修订增加了新的目标，以检查干预对机构和提供者在关怀和我们关怀中的合作伙伴的质量管理监督和实施的可持续性的影响，以及对长期健康和就业客户结果客户的影响。这些目标需要为各机构和供应商增加36个月的后续网络调查，以及12个月和18个月的后续客户调查。我们还将增加第三个主要社区(东洛杉矶)，并在每个社区内对干预效果进行子分析，并更丰富地观察干预实施情况。主要研究和这次修订将在社区合作的参与性研究方法下进行。社区合作伙伴是健康的非裔美国家庭、洛杉矶城市联盟、昆士兰保健健康与信仰伙伴关系、Cope Health Solutions和洛杉矶县心理健康部门；学术合作伙伴是兰德、加州大学洛杉矶分校和南加州大学。项目说明修订增加了政策和社区的意义，使研究能够检查实践中变化的可持续性，以及作为一个社区改善护理的方法对包括健康和就业在内的长期客户结果的影响。第三个完整社区的增加、社区内干预效果的子分析以及更丰富的执行分析也增加了对其他社区的潜在相关性和有用性。

DESCRIPTION (provided by applicant): This is a competing revision to Community Partners in Care (CPIC) (1R01MH078853-01A1), which was funded in response to PAR-06-039 (re-issued as PAR07-086), "Dissemination and Implementation Research in Health". The parent CPIC study is a randomized trial comparing two interventions for implementing evidence- based toolkits to improve care for depression (Partners in Care and We Care) in underserved Los Angeles communities. One is technical assistance in a community conference. The other adds Community Engagement (CE), using principles of Community Partnered Participatory Research (CPPR), to build a network of diverse agencies to collaborate in improving care. The revision adds new aims to examine intervention effects on sustainability of quality management oversight and implementation of Partners in Care and We Care by agencies and providers, and effects on longer term health and employment client outcomes clients. These aims require adding 36 month follow-up web surveys for agencies and providers and 12 and 18-month follow- up client surveys. We will also add a 3rd main community (East Los Angeles), and subanalyses of intervention effects and richer observation of intervention implementation, within each community. The main study and this revision will be conducted under a community partnered participatory research approach. The community partners are Healthy African American Families, Los Angeles Urban League, QueensCare Health and Faith Partnerships, Cope Health Solutions, and Los Angeles County Department of Mental Health; the academic partners are RAND, UCLA, and USC. Project Narrative The revision adds policy and community significance to the study by allowing an examination of sustainability of change in practice, and impacts of ways to improve care as a community on long-term client outcomes, including health and employment. The addition of a third full community, subanalyses of intervention effects within communities, and richer implementation analyses also increase potential relevance and usefulness to other communities.