Youth in Emergency: how and why youth of color use psychological stabilization services.

摘要 心理健康治疗方面的种族差异仍然存在，特别是在年轻人(12-21岁)中。青春年华 颜色(YOC)正在通过急诊科和移动危机获得心理稳定服务 团队(ED/MCT)正在以越来越快的速度增长，但很少有关于原因的信息。我提出了一个定性的 青年会既往寻求心理健康护理经验对青少年心理健康服务使用的影响调查 急诊精神科服务。拟议的案例研究将以候选人模式为指导， 已经成功地用来解开患者与医疗保健系统的经验的框架， 阐明患者获得适当和及时护理的途径，并描述患者是如何被误导的。至 为有色人种年轻人使用EDS进行心理健康护理提供新的证据，我将探索 2021年全国有色人种青年接受紧急心理分流的健康参选经历 波士顿紧急服务团队(BEST)是一项横跨马萨诸塞州五个城市的倡议，包括 精神科急诊室就诊、危机护理服务和/或流动危机单元干预。我的目标包括 1.确定青奥会如何以及为什么成为紧急心理稳定的候选者 服务；2.描述青少年以往的精神卫生保健经历，并探讨种族主义如何 和父母的参与影响了这些经历；以及3.探索他们的候选人资格如何与最佳 与之前的精神卫生保健经历相似或不同。我将表演定性的主题 对关键线人访谈的分析和对稳定后跟踪访问的非参与者观察。 参与者将包括多达30名青奥会、他们的父母/监护人和最好的临床医生。在这项为期12个月的研究中， 我将产生可转让的调查结果，为正在进行的为有色人种青年提供所需资源的努力提供信息 和适当的精神卫生保健，并为有关候选人资格的文献作出贡献。我将从这个项目中产生 在同行评议期刊上发表的两篇文章(一篇是关于MCT/ED患者的经验，另一篇是关于角色 使用ED/MCT的候选人资格)。我将在会议上提交研究结果，并向最佳利益相关者提供 向心理健康护理提供者和项目经理的专业社区提供更广泛的学习。

Abstract Racial disparities in mental health treatment remain persistent, particularly among youth (ages 12-21). Youth of color (YOC) are accessing psychological stabilization services through emergency departments and mobile crisis teams (ED/MCTs) at increasing rates, but there is little information as to why. I propose a qualitative investigation of how YOC prior experiences seeking mental health care have influenced their use of emergency psychiatric services. The proposed case study will be guided by the Candidacy model, a framework that has been successfully used to unpack patients’ experiences with the health care system, elucidate patients’ pathways to appropriate and timely care, and characterize how patients are misdirected. To generate new evidence as to why youth of color are using EDs for mental health care, I will explore the mental health Candidacy experiences of youth of color who received emergency psychological triage in 2021 from the Boston Emergency Services Team (BEST) an initiative spanning five cities in Massachusetts that include psychiatric emergency room visits, crisis care services, and/or mobile crisis unit interventions. My aims include 1. To determine how and why YOC became candidates for emergency psychological stabilization services; 2. To characterize the youth’s prior mental health care experiences and explore how racism and parent involvement influenced those experiences; and 3. To explore how their candidacy with BEST was similar or dissimilar from prior mental health care experiences. I will perform qualitative thematic analysis of key informant interviews and non-participant observation of post-stabilization follow-up visits. Participants will include up to 30 YOC, their parents/guardians, and BEST clinicians. From this 12-month study, I will generate transferable findings that inform the ongoing efforts to provide youth of color with access to needed and appropriate mental health care and contribute to the literature on Candidacy. From this project I will produce two publications in peer-reviewed journals (one on patient experiences with MCT/ED, and the other on the role of candidacy in ED/MCT use). I will present study findings at conferences and to BEST stakeholders to provide wider learning to the professional community of mental health care providers and program managers.