A novel post-disaster mental health training for black communities

描述（由申请人提供）：与灾害有关的心理健康问题的差异突出了生活在高压力地区的黑人社区需要进行当地灾前规划。黑人社区灾后心理健康培训是一种培训培训师，群体层面的干预旨在改善当地的灾难心理健康准备。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，临床提供者和社区领导人的培训是一种有希望的模式，将文化上适当的心理健康纳入当地的应对策略。目的：我们的第二阶段实地研究将进一步完善课程组成部分，并在北卡罗来纳州东部沿海和农村地区、查尔斯顿市中心和南卡罗来纳州低乡村地区的高压力黑人社区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名参与者提供针对临床提供者和社区领导者的培训讲习班。地方协作规划小组将得到基于网络的练习和小组培训部分的支持。参与者将在每个培训内容之后完成评估，并在培训前、培训后以及3、6和12个月的知识和自评能力技能跟踪测试。我们将使用定性访谈和站点概要来衡量增加的能力和基于性能的技能的基准。预期结果：过程和结果数据的三角测量将确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向幸存者提供符合文化要求的心理健康支持。我们还将确定促进和维持复原力的最佳培训和地方规划做法，并记录说明减轻与灾害有关的心理健康后果的案例研究。

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.