CBPR to Improve Depression Care for African-American Domestic Violence Survivors

描述(由申请人提供)：很少有心理健康治疗计划专门针对非裔美国人(AA)虐待幸存者的复杂需求。我们计划使用CBPR来开发和测试一种基于社区的多方面干预措施，以减少经历过IPV的非裔美国女性的抑郁症差异。这项建议的目的是加强我们的社区和学术界的合作伙伴关系，并获得进行大规模对照试验所需的技能、工具和初步数据。我们的合作伙伴包括非裔美国人IPV幸存者、社区领袖、家庭暴力倡导者、精神健康提供者和研究人员，他们一直在共同努力，了解非裔美国人IPV幸存者的信仰和需求。我们现在正在以治愈根中心为基础开发一个抑郁症护理模式，这是一个基于社区的非裔美国人家庭暴力项目。我们的干预结合了许多相同的原则，包括在基于健康系统的慢性护理模式中，但它将社区及其资源置于计划的核心。非裔美国家庭暴力倡导者将扮演与护理经理类似的角色，提供护理协调和患者教育。他们将把IPV幸存者与医疗保健系统联系起来，使他们能够与现场和诊所的提供者进行更有效的互动。倡导者将使用激励性采访技巧来帮助女性以文化上合适的方式做出她们希望做出的改变。最后，我们将纳入以艺术为基础的创意项目，作为招募和留住女性的一种方式，否则她们可能会犹豫是否获得心理健康服务或承认自己的IPV。我们将加强我们的学术和社区团体之间的伙伴关系，在所有成员中建设CBPR的能力，并监测这一进程的成功。我们将对我们的干预措施进行调整、优先排序和试点测试，以评估其可行性和可接受性，并收集初步有效性数据。此外，我们会邀请社会人士参与设计和筹备一项可接受的大型干预研究。我们的项目以微观和宏观层面的赋权理论原则为基础。在个人层面上，我们的项目将使妇女能够解决其关系中的暴力问题，使用自我管理支持工具和自我护理做法来控制她们的抑郁，并成为心理健康服务的知情消费者。在社区一级，该项目将使社区成员能够与研究人员合作，设计和开展与他们的需求相关并尊重他们的专业知识的研究，从而保留长期的资源，并直接导致社会变革。

DESCRIPTION (provided by applicant): Few mental health treatment programs specifically address the complex needs of African American (AA) abuse survivors. We plan to use CBPR to develop and test a community-based multi-faceted intervention to reduce depression disparities in African American women who experienced IPV. The purpose of the proposal is to strengthen our community-academic partnership and to acquire the skills, tools and preliminary data necessary to conduct a large scale controlled trial. Our partnership consists of African American IPV survivors, community leaders, domestic violence advocates, mental health providers and researchers who have been working together to understand the beliefs and needs of depressed African American IPV survivors. We are now developing a depression care model based within the Healing Roots center, a community-based African American domestic violence program. Our intervention incorporates many of the same principles included in the heath system based Chronic Care Model but it places the community and its resources at the core of the program. African American domestic violence advocates will serve in a similar role to that of care managers, providing care coordination and patient education. They will link IPV survivors into the health care system and empower them to have more effective interactions with both onsite and clinic based providers. Advocates will use motivational interviewing techniques to help women make changes they wish to make in a culturally appropriate manner. Finally, we will incorporate creative arts-based programs as a way to recruit and retain women who might otherwise be hesitant to access mental heath services or recognize their IPV. We will strengthen the partnership between our academic and community groups, build capacity from CBPR among all members, and monitor the success of the process. We will adapt, prioritize and pilot test our intervention to assess its feasibility and acceptability and collect preliminary effectiveness data. Moreover, we will engage the community in designing and preparing an acceptable large-scale intervention study. Our project is strongly grounded in principles of Empowerment theory on both micro and macro levels. On an individual level our project will empower women to address violence in their relationships, to use self-management support tools and self-care practices to control their depression, and to become involved informed consumers of mental health services. At the community level, the project will enable community members to partner with researchers to design and conduct research that is relevant to their needs and respectful of their expertise, which leaves long lasting resources in place and leads directly to social change.