Building an Evidence Base for Treating the Vulnerable: A Community Partnership

描述（由申请人提供）：该提案源于中央城市关怀（CCC）之间的长期合作，中央城市关怀（CCC）是一个国际公认的社区组织，每年为13,000多名内城客户提供医疗保健，住房，就业和成瘾康复支持，俄勒冈健康与科学大学（Oregon Health & Science University）是一个致力于学术/社区伙伴关系的学术医疗中心，波特兰州立大学（Portland State University）是一所因社区参与而得到广泛认可的大学。本项目的具体目标是：1。利用基于社区的参与性研究方法，发展包括不同利益相关者在内的合作，他们将共同开发与当地社区和国家学术和政策社区直接相关的研究。合作将包括以下小组：(a)在健康的社会决定因素、药物和酒精成瘾治疗以及社区参与性研究方面具有专门知识的地方和国家学术研究人员；(b) CCC领导人；以及(c) CCC所服务社区的代表。2. 创建基础设施，研究健康的社会决定因素，并测试社会、环境和医疗干预措施，以管理弱势群体的慢性行为和医学疾病，为此，在对CCC客户的纵向研究中实施严格的原始数据收集机制，并建立CCC现有的电子数据系统，以便在以下领域整合服务和结果措施：医疗、住房、犯罪行为、成瘾/康复、心理健康和就业。3. 通过以下机制确保项目基础设施的可持续性：(a)将项目与OHSU临床和转化科学研究所的现有研究基础设施相结合；(b)确保数据基础设施能够响应支持中央电脑中心使命的现有拨款；(c)在咨询委员会的指导下，制定一系列可行的研究建议，因为该项目提供了独特的数据。

DESCRIPTION (provided by applicant): This proposal stems from a longstanding collaboration between Central City Concern (CCC), an internationally-recognized community-based organization providing healthcare, housing, employment and addiction recovery support to over 13,000 inner city clients annually, Oregon Health & Science University, an academic medical center with a strong commitment to academic/community partnerships, and Portland State University, a university widely-recognized for its community engagement. The Specific Aims of this project are: 1. Using the approaches of community-based participatory research, develop a collaboration including diverse stakeholders who will co-develop research of direct relevance to the local community and to national academic and policy communities. The collaboration will include the following groups: (a) local and national academic researchers with expertise in social determinants of health, drug and alcohol addiction treatment, and community-based participatory research; (b) leaders of CCC; and (c) representatives of the communities served by CCC. 2. Create the infrastructure for research addressing social determinants of health and testing social, environmental and medical interventions for management of chronic behavioral and medical illnesses in a vulnerable population, by implementing mechanisms for rigorous primary data collection in longitudinal studies of CCC's clients and by building upon CCC's existing electronic data system in order to integrate service and outcome measures across the following domains: medical, housing, criminal behavior, addiction/recovery, mental health, and employment. 3. Ensure the sustainability of the project infrastructure through the following mechanisms: (a) integrating the project with the existing research infrastructure of OHSU's Clinical and Translational Science Institute; (b) ensuring that the data infrastructure is responsive to existing grants supporting CCC's mission; and (c) guided by the advisory committees, developing a series of research proposals that will be feasible because of the unique data available as a result of this project. PUBLIC HEALTH RELEVANCE: The partnerships and infrastructure created by this project will lay the foundation for addressing previously unanswerable questions about social determinants of health, for studying comprehensive social, environmental and medical treatments for chemical dependency, and for examining the impact of combined social and medical interventions on outcomes of other chronic diseases.