Trauma Interventions for Low-income Women in PrimaryCare

描述（由申请人提供）：创伤暴露和创伤相关的精神障碍对美国广泛认可的健康差异做出了重大贡献。S.由于低收入人群很少获得心理健康专业护理，并且经常发现它是耻辱的，而且由于对初级保健环境中心理健康问题的关注有限，他们的创伤相关问题很少得到专业关注。中心创伤干预在初级保健（C-TIP）的目标是开发创新和可持续的干预措施，以解决创伤相关的心理健康需求的频谱呈现给初级保健设置服务低收入，主要是少数民族人口通过学术社区研究与当地司法管辖区的伙伴关系。为了提高这些干预措施的采用率和可持续性，正在与三个高度投资的社区合作伙伴密切合作，将与创伤有关的服务概念化：马里兰州乔治王子县卫生部;马里兰州蒙哥马利县初级保健联盟;以及团结保健公司。在哥伦比亚特区。该中心将通过与新的学术合作伙伴积极合作，扩展我们的研究基础设施支持计划（RISP）已经在这一研究不足的人群中产生的高质量研究：乔治敦大学护理与健康研究学院及其家庭医学系。该中心的工作将通过三个核心（业务，研究方法和主要研究）进行，提供行政监督，统计支持和专家咨询小组的访问;创新方法/研究设计整合应用人类学和公共卫生的观点;以及专业知识和支持有前途的研究的发展。C-TIP资助的研究项目包括：1）一系列定性人种学研究，描述了将开展工作的卫生保健系统和临床环境的相关方面; 2）一项方法研究，评估创伤相关干预研究的三种招募策略和两种保留参与者策略的可行性和可接受性; 3）由护理人员提供的以创伤为中心的团体干预的试点研究。工作伙伴关系和基础设施的能力，将继续通过C-TIP培养将使我们能够开发全面的创伤干预模式，其翻译为设置服务于低收入个人，我们建议通过先进的中心和其他赠款机制进行研究。

DESCRIPTION (provided by applicant): Trauma exposure and trauma-related mental disorders make substantial contributions to widely recognized health disparities in the U. S. Because low-income populations have little access to mental health specialty care and often find it stigmatizing, and because attention to mental health issues in primary care settings is limited, their trauma-related problems receive little if any professional attention. The goal of the Center for Trauma Interventions in Primary Care (C-TIP) is to develop innovative and sustainable interventions to address the spectrum of trauma-related mental health needs presenting to primary care settings serving low-income, mostly minority populations through academic-community research partnerships with local jurisdictions. To increase the adoption and sustainability of these interventions, the trauma-related services to be developed are being conceptualized in close collaboration with three highly invested community partners: the Department of Health in Prince George's County, MD; the Primary Care Coalition in Montgomery County, MD; and Unity Health Care, Inc. in the District of Columbia. The Center will extend the high quality research our Research Infrastructure Support Program (RISP) has already generated in this under-studied population by active collaboration with new academic partners: Georgetown's School of Nursing and Health Studies and its Department of Family Medicine. The Center's work will be conducted through three cores (Operations, Research Methods, and Principal Research) providing administrative oversight, statistical support, and access to expert advisory groups; innovative methods/research designs integrating perspectives from applied anthropology and public health; and expertise and support for the development of promising research. C-TIP funded research projects include: 1) a series of qualitative ethnographic studies describing relevant dimensions of the health care systems and clinical settings in which the work will take place; 2) a methods study evaluating the feasibility and acceptability of three strategies of recruitment and two strategies of retention of participants to trauma-related intervention research; and 3) a pilot study of a trauma-focused group intervention delivered by nursing personnel. The working partnerships and infrastructure capability that will be continued and fostered through C-TIP will allow us to develop comprehensive trauma intervention models whose translation to settings serving low income individuals we propose to study through an advanced center and other grant mechanisms.