ASIAN AMERICAN MENTAL HEALTH

这项申请需要五年的资金，以继续亚裔美国人精神健康国家研究中心(NRCAAMH)的前沿研究。长期目标是为增加亚裔美国人获得精神卫生保健的机会和更好的质量做出重大的理论和应用贡献。多年的研究表明，尽管亚裔美国人有大量的心理健康需求，但他们对心理健康服务的利用率极低。该研究计划的具体目标是在服务的利用和有效性的四个方面促进对亚裔美国人护理质量的了解：(1)采用纵向、前瞻性设计调查菲律宾裔美国人获得心理健康护理的途径；(2)考察不同精神卫生系统中特定种族服务在促进获得亚裔美国人护理方面的作用；(3)通过实验测试被认为与客户文化一致的特定干预措施与心理治疗中的标准治疗程序相比是否有效；(4)确定并测试基于文化的护理与针对亚裔美国人创伤患者的标准护理相比是否有效。为了实现这些目标，NRCAAMH将利用创新的研究设计(例如，纵向的、前瞻性的方法)和实际的实验干预项目，将亚裔美国人的精神健康研究带到一个新的水平，了解如何设计一个文化上有效的护理系统。这些战略将为亚裔美国人的护理质量提供洞察力和新知识。四个项目将在一个多地点的研究计划中进行。这些项目是在NRCAAMH的指导下进行的，NRCAAMH的组织结构促进了调查人员之间的合作，因此项目的选择以及项目的系统评估都由这支研究人员团队进行。组织部分包括行政核心、统计和方法核心、四个研究项目、执行委员会、国家咨询委员会和社区机构。

This application requests five years of funding to continue leading-edge research of the National Research Center on Asian American Mental Health (NRCAAMH). The long-term objectives are to make significant theoretical and applied contributions to increase access and better quality of mental health care for Asian Americans. Years of research have demonstrated that Asian Americans have extremely low rates of utilization of mental health services, despite having substantial mental health needs. The specific aims of the research program are to advance knowledge on quality of care for Asian Americans in four aspects of utilization and effectiveness of services: (1) investigate the pathways to mental health care among Filipino Americans, using a longitudinal, prospective design; (2) examine the role of ethnic specific services in facilitating access to care for the Asian American population in different mental health systems; (3) experimentally test whether specific intervention deemed to be culturally consistent with clients are effective compared to standard treatment procedures in psychotherapy; (4) identify and test culturally-based care compared with standard care for Asian American trauma patients. In order to accomplish these aims, NRCAAMH will utilize innovative research designs (e.g., longitudinal, prospective methods) and actual experimental intervention projects that take Asian American mental health research to a new level of understanding of how to devise a culturally effective care system. These strategies that will provide insights and new knowledge into quality of care for Asian Americans. Four projects will be conducted in a multi-site program of research. The projects are carried out under the direction of NRCAAMH which has an organizational structure that promotes collaboration among investigators such that the choice of projects as well as the systematic evaluation of projects are performed by this team of researchers. The organizational components include the Administrative Core, Statistical and Methodology Core, four Research Projects, Executive Committee, National Advisory Board, and community-based agencies.