A novel post-disaster mental health training for black communities

针对黑人社区的新型灾后心理健康培训

• 批准号: 8199252
• 负责人: Danielle Laborde
• 金额: $ 50.98万
• 依托单位: HERMES, LLC
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8199252
• 关键词: Address; Adoption; Affect; Area; Benchmarking; Case Study; Clinical; Clinical Treatment; Communities; Community Practice; Country; Data; Development; Disaster Planning; Disasters; Distress; Educational Curriculum; Educational workshop; Effectiveness; Emotional; Evaluation; Exercise; First Aid; Goals; Health Care Costs; Health Personnel; Information Resources; Intervention; Interview; Knowledge; Learning; Left; Marketing; Measures; Medical; Mental Health; Mental disorders; Methods; Modeling; Natural Disasters; Needs Assessment; North Carolina; Online Systems; Outcome; Participant; Performance; Phase; Physicians; Preparation; Process; Provider; Psyche structure; Readiness; Recommendation; Recovery; Recruitment Activity; Resources; Risk; Rural; Self Perception; Services; Site; South Carolina; Staging; Stress; Survivors; Test Result; Testing; Trainers Training; Training; Work; base; clinical research site; community living; community organizations; community planning; design; disaster survivor; field study; follow-up; health training; improved; novel; palliative; phase 1 study; prototype; provider intervention; psychologic; research and development; resilience; response; skills; social capital; therapy design; tool; treatment planning; usability

DESCRIPTION (provided by applicant): The disparities in disaster-related mental health problems highlight the highlighted the need for local pre-disaster planning in black communities living in high stress areas. Training in Post Disaster Mental Health in Black Communities is a train the trainer, group-level intervention designed to improve the local disaster mental health readiness. HERMES' Phase I study developed a training package based on needs assessment. The results indicate that the training of both clinical providers and community leaders is a promising model for integrating culturally appropriate mental health in local response strategies. Aims: Our Phase II field study will further refine the curriculum components and field test the acceptability, adaptability, effectiveness, and sustainability of our model in high stress black communities of coastal and rural eastern North Carolina and downtown Charleston and Low Country areas in South Carolina. Method: We will recruit and train a core team of mental health providers to deliver clinical provider- and community leader-tailored training workshops to 240 participants in eight target communities. Local collaborative planning teams will be supported by web-based exercise and group training components. Participants will complete evaluations follow each training component and pre, post and 3, 6, and 12 month follow- up tests on knowledge and self-rated competency skills. We will measure benchmarks of increased capacity and performance-based skills using qualitative interviews and site profiles. Expected Results: The triangulation of process and outcome data will determine the effectiveness of this model for increasing knowledge and skills in providing culturally competent mental health support for survivors in the immediate aftermath of disasters. We also will identify best training and local planning practices for promoting and sustaining resilience and document case studies that illustrate the mitigation of disaster-related mental health consequences. PUBLIC HEALTH RELEVANCE: HERMES proposes to field test a training model and materials designed to build an integrated local capacity in black communities to respond to mental in the immediate aftermath of a disaster. The training is will prepare clinical providers and community- based organization leaders who have the relational advantage of insiders to mitigate the risk of longer term mental health consequences that result from disasters. HERMES, will further develop the model according to feasible results and collaborate with partners in implementing a train the trainer model. Follow up sessions will cover clinical treatment and planning skills building with a web-based Community of Practice containing multi- media exercises and information resources to support site clinical and community planning teams. This blended learning product will fill a growing market demand among response agencies and has promise for spinoffs in complementary areas. The resulting product is marketable as social capital building strategy that will increase the coordination and efficiency of mental services in low-resource disaster affected communities.

说明(由申请人提供)：与灾害有关的心理健康问题的差异突出强调了在生活在高压力地区的黑人社区进行地方灾前规划的必要性。黑人社区灾后心理健康培训是对培训者的培训，旨在提高当地灾难心理健康准备的团体层面的干预。Hermes的第一阶段研究开发了一个基于需求评估的培训包。结果表明，对临床提供者和社区领导人的培训是将符合文化背景的心理健康纳入当地应对策略的一种有前途的模式。目标：我们的第二阶段实地研究将进一步完善课程内容，并在北卡罗来纳州东部沿海和农村、查尔斯顿市中心和南卡罗来纳州低地地区的高压力黑人社区中实地测试我们模式的可接受性、适应性、有效性和可持续性。方法：我们将招募和培训一支由心理健康提供者组成的核心团队，为8个目标社区的240名参与者提供临床提供者和社区领导人量身定做的培训讲习班。当地协作规划小组将得到基于网络的演习和小组培训部分的支持。参与者将在每个培训部分之后完成评估，并在知识和自我评估能力技能方面进行3个月、6个月和12个月的跟踪测试。我们将使用定性访谈和网站简介来衡量能力增强和基于业绩的技能的基准。预期结果：过程和结果数据的三角测量将决定这一模式在增加知识和技能方面的有效性，以便在灾难发生后立即为幸存者提供具有文化能力的心理健康支助。我们还将确定促进和维持复原力的最佳培训和当地规划做法，并记录说明减轻与灾害有关的心理健康后果的案例研究。 公共卫生相关性：Hermes建议实地测试一种培训模式和材料，旨在建立黑人社区的综合当地能力，以便在灾难发生后立即应对精神疾病。培训将培养临床提供者和社区组织领导人，他们拥有内部人员的关系优势，以减轻灾难导致的长期心理健康后果的风险。爱马仕将根据可行的结果进一步开发该模型，并与合作伙伴合作实施培训教练员模型。后续会议将包括临床治疗和规划技能建设，以及一个基于网络的实践社区，其中包含多媒体练习和信息资源，以支持现场临床和社区规划团队。这款混合型学习产品将满足响应机构日益增长的市场需求，并有望在互补领域衍生出产品。由此产生的产品作为社会资本建设战略是可以销售的，这将提高受灾害影响的低资源社区的精神服务的协调和效率。