ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY)

项目总结/摘要-剑桥健康联盟 ALACRITY for Early Screening and Treatment of High Risk Youth（eSToRY） 有精神疾病风险的青年获得高质量精神卫生保健的障碍是公认的，但持续存在， 特别是在种族、民族和语言（REL）少数民族青年中。建议的早期筛查中心 和治疗的风险青年（eSToRY中心）致力于研究和培训，以改善早期 检测精神疾病，防止不良后果，提高护理质量，促进平等， 为少数民族青年提供治疗。eSToRY中心旨在确定关闭精神障碍的干预措施。 少数民族青年在获得保健和治疗质量方面存在差距。通过一个强大的网络 基于社区的连接，我们将：a）收集和分析实时临床和社会背景信息 通过自适应症状监测（CAT-MH），电子健康记录（EHR）， 保险索赔和社区数据;以及B）计划和管理基于测量的 心理健康护理 我们提出的项目跨越社区和医疗保健系统的设置，认识到需要改善 一旦少数民族青年获得治疗，他们就能获得治疗和高质量的护理。在目标1中，我们开发 有效的以社区为基础的外联和筛查方案，以确定、转诊和提供早期干预， 有可能患上精神疾病的青少年。在目标2中，我们严格测试和实施医疗保健系统- 基于有针对性的干预措施，以防止精神疾病和自杀的发展，在不同的青年。在 目标3：我们建立一个中心，开发和测试创新干预措施，以减少获得机会的不平等 为少数民族青年提供治疗，并将研究结果直接转化为临床实践。 为了实现这些目标，我们将建立：一个行政核心，监督试点研究，开展培训， 并促进社区参与;一个利用适应性精神病理学筛查的方法核心 和健康筛查的社会决定因素，实施严格的随机对照试验，并进行 预测分析，为减少差异的努力提供信息;三个研究项目， 以及对精神病理学、自杀倾向和创伤经历的早期治疗。

PROJECT SUMMARY/ABSTRACT- Cambridge Health Alliance ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY) Barriers to quality mental health care for youth at risk of mental illness are well recognized but persistent, especially among racial, ethnic, and language (REL)-minority youth. The proposed Center for Early Screening and Treatment of at-Risk Youth (the eSToRY Center) is dedicated to research and training to improve early detection of mental illness, to prevent adverse outcomes, to improve quality of care, and to foster equity in treatment for REL-minority youth. The eSToRY Center is designed to identify interventions that close mental health care access and treatment quality gaps among REL-minority youth. Through a strong web of community-based connections, we will: a) collect and analyze real-time clinical and sociocontextual information via an integrated data warehouse of adaptive symptom monitoring (CAT-MH), electronic health records (EHR), insurance claims, and community data; and b) plan and manage the rollout and testing of measurement-based mental health care. Our proposed projects span community and healthcare system settings, recognizing the need to improve access to treatment and quality of care once treatment is realized for REL-minority youth. In Aim 1, we develop effective community-based outreach and screening programs to identify, refer and provide early interventions, to youth at risk for developing mental illnesses. In Aim 2, we rigorously test and implement healthcare system- based targeted interventions to prevent the development of mental illness and suicide in REL-diverse youth. In Aim 3, we establish a Center for developing and testing innovative interventions to reduce disparities in access and treatment for REL-minority youth and translating findings directly into clinical practice. To accomplish these aims, we will create: an Administrative Core that oversees pilot studies, conducts training, and promotes community participation; a Methods Core that leverages adaptive psychopathology screening and social determinants of health screeners, implements rigorous randomized controlled trials, and conducts predictive analytics to inform efforts to reduce disparities; three research projects that improve the identification and early treatment of psychopathology, suicidality, and traumatic experiences among REL-diverse youth.