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Enhancing the Role of Black Churches in Addressing Substance Use Problems

加强黑人教会在解决药物使用问题方面的作用

基本信息

批准号：
8147760
负责人：
Eunice C Wong
金额：
$ 25.54万
依托单位：
RAND CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-30 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8147760
关键词：
Abstinence Address African American Alcohol or Other Drugs use Capital Caring Case Study Characteristics Church Clergy Collaborations Communities Development Early Diagnosis Early treatment Feedback Focus Groups Goals Health Healthcare Human Improve Access Individual Institution Intervention Knowledge Lead Link Los Angeles Outcome Patients Persons Population Procedures Process Protocols documentation Provider Public Health Quality of Care Religion and Spirituality Reporting Research Resources Risk Role Sampling Screening procedure Services Shapes Social Welfare Spirituality Stigmata Surveys Testing Training Trust abstracting adverse outcome base care seeking care systems community organizations coping cost empowered experience help-seeking behavior human capital improved interest meetings programs screening, brief intervention, referral, and treatment skills social social stigma substance abuse treatment therapy development

项目摘要

DESCRIPTION (provided by applicant): Project Summary/Abstract African American communities are disproportionately impacted by the adverse consequences of substance use problems (SUPs). Despite similar rates of use, African Americans experience more severe social, health, and criminal related costs than Whites. Significant disparities in the treatment of SUPs have been found with African Americans reporting poorer access and quality of care than Whites. Less than 25% of African Americans who are in need of treatment actually obtain care for SUPs. African Americans, however, are more likely to seek help for SUPs from churches than Whites. Historically and presently, the Black church has served as a trusted haven where help is sought, support is dispensed, and hope is restored. Black churches are often the first and only point of contact for many African Americans with SUPs. Black churches can facilitate the early detection of SUPs, shape social norms and stigma regarding treatment, and establish linkages to formal services. Strategic partnerships between Black churches and formal providers can significantly impact improved access and care for SUPs, yet such partnerships are woefully rare. One major barrier is the mere lack of training. Churches may not recognize serious SUPs or when formal treatment is indicated given that screening and referral is not typically practiced, not due to a lack of interest but of capacity. A more formalized process is needed that considers the kinds of conditions and types of collaboration that churches would be willing to engage in, including screening, brief intervention, and referral to treatment (SBIRT). Black churches may be well-suited to implement SBIRT interventions given their wealth of human and physical capital, expertise in empowering and mobilizing people, and shared experience of SUPs' deleterious effects on the community. This proposed study's faith-based partner, West Angeles Church of God in Christ, with over 24,000 congregants, is one of the largest Black "mega-churches" in the nation. Situated in the South Los Angeles, West Angeles has extensive interfaces with health, social welfare, and community organizations, providing more than 80 programs for the enhancement of the community. Recognizing that the needs of the community are too vast to be met by any one institution, West Angeles desires to help build the capacity of other churches to engage in similar collaborative relationships. West Angeles leads the Faith- based Community Collaborative, a network of over 300 local Black churches. The Collaborative will serve as a kind of case study for generating knowledge on the development of an intervention aimed at enhancing churches' engagement in collaborative practices such as SBIRT that are tailored to the cultural, spiritual, and local needs of the faith community. The proposed research has the following specific aims: (1) Describe the practices of Black churches in addressing SUPs (2) Identify factors associated with Black churches' engagement and receptivity to SBIRT interventions (3) Develop a preliminary protocol to enhance Black churches' implementation of SBIRT interventions PUBLIC HEALTH RELEVANCE: Project Narrative African Americans experience significant disparities in the negative impact of substance use problems and in accessing and obtaining quality substance abuse treatments. Less than 25% of Africans Americans who are in need of treatment actually obtain care for substance use problems. The proposed research would lay the groundwork for the development of a preliminary intervention aimed at enhancing Black churches' implementation of screening, brief intervention, and referral to treatment (SBIRT). The implementation of SBIRT, a successful public health approach to substance use problems, within church settings may provide a potentially powerful avenue to address unmet need for treatment.

描述（由申请人提供）：项目摘要/摘要非裔美国人社区不成比例地受到物质使用问题（SUPs）的不良后果的影响。尽管使用率相似，但非裔美国人比白人经历了更严重的社会，健康和犯罪相关成本。在SUPs的治疗中发现了显着的差异，非洲裔美国人报告的医疗服务和质量比白人差。不到25%的需要治疗的非洲裔美国人实际上获得了SUPs的护理。然而，非洲裔美国人比白人更有可能向教堂寻求帮助。从历史上和现在，黑人教会一直是一个值得信赖的避风港，在那里寻求帮助，提供支持，恢复希望。黑人教堂往往是许多非裔美国人与SUPs的第一个也是唯一的接触点。黑人教堂可以促进SUPs的早期发现，塑造关于治疗的社会规范和耻辱，并建立与正规服务的联系。黑人教会和正式提供者之间的战略伙伴关系可以显着影响改善获得和照顾SUP，但这种伙伴关系是非常罕见的。一个主要障碍是缺乏培训。教会可能不承认严重的SUPs或当正式治疗表明，由于筛选和转诊通常不实行，不是由于缺乏兴趣，但能力。需要一个更正式的过程，考虑教会愿意参与的各种条件和合作类型，包括筛查、简短干预和转诊治疗（SBIRT）。黑人教会可能非常适合实施SBIRT干预措施，因为它们拥有丰富的人力和物质资本，在增强人民权能和动员人民方面的专门知识，以及SUPs对社区有害影响的共同经验。这项拟议研究的信仰为基础的合作伙伴，西洛杉矶上帝在基督教会，拥有超过24,000名会众，是全国最大的黑人“巨型教会”之一。西洛杉矶位于洛杉矶南部，与卫生、社会福利和社区组织有着广泛的联系，提供了80多个改善社区的方案。认识到社区的需求太大，任何一个机构都无法满足，西洛杉矶希望帮助其他教会建立类似的合作关系的能力。西洛杉矶领导着以信仰为基础的社区协作组织，这是一个由300多个当地黑人教堂组成的网络。协作将作为一种案例研究，以产生有关制定干预措施的知识，旨在加强教会参与协作实践，如SBIRT，这些实践是针对信仰社区的文化，精神和地方需求的。本研究的具体目标如下：（1）描述黑人教会在解决SUPs方面的做法;（2）确定与黑人教会参与和接受SBIRT干预措施相关的因素;（3）制定一项初步协议，以加强黑人教会实施SBIRT干预措施公共卫生关系：非裔美国人在物质使用问题的负面影响以及获得和获得高质量的物质滥用治疗方面存在显着差异。在需要治疗的非裔美国人中，只有不到25%的人实际上获得了药物使用问题的治疗。拟议的研究将奠定基础，为发展一个初步的干预，旨在加强黑人教会的实施筛查，简短的干预，并转介治疗（SBIRT）。SBIRT的实施，一个成功的公共卫生方法的物质使用问题，在教会环境内可能提供一个潜在的强大的途径，以解决未满足的治疗需求。