UPR-CHA Research Center of Excellence: Making a Difference for Latino Health

描述（由申请人提供）：此申请涉及NCMHD竞争性修订申请（NOT-MD-10-002）。通过比较两种公共卫生方法，填补了拉丁裔心理卫生保健比较有效性研究（CER）的知识空白。一种是通过电话提供，另一种是面对面提供，包括以证据为基础的简短抑郁症治疗（6至8次疗程），包括护理协调、积极的外联和系统的监测和监督。波多黎各大学（UPR）通过其多元文化心理健康研究中心（CMMHR）与剑桥健康联盟（CHA）合作提出了拟议的申请。它寻求将综合卓越研究中心（UPR-CHA RCE）扩展到：1)开展CER，重点关注拉丁美洲人在“诊所外”提供的基于证据的抑郁症护理；(2)将初级侦查人员的比较效能培训纳入

DESCRIPTION (provided by applicant): This application addresses NCMHD Competitive Revision Application (NOT-MD-10-002). It provides the opportunity to fill the knowledge gap of Comparative Effectiveness Research (CER) for mental health care for Latinos by comparing two public health approaches. One is offered by telephone and one face-to face, consisting of a brief evidence-based depression treatment (6 to 8 sessions), with care coordination, aggressive outreach and systematic monitoring and supervision. The proposed application is made by the University of Puerto Rico (UPR) in collaboration with Cambridge Health Alliance (CHA) through its Center for Multicultural Mental Health Research (CMMHR). It seeks to expand the Comprehensive Research Center of Excellence (UPR-CHA RCE) to: 1) conduct CER focusing on evidence based depression care given "outside the clinic walls" for Latinos; (2) incorporate training of junior investigators on comparative effectiveness into current P60 activities; (3) establish CER data infrastructure in two large public health systems; and 4) develop tools (i.e. manuals) and methods (training materials like DVDs) to disseminate CER findings and methodologies. The ongoing UPR-CHA RCE focuses on the multiple and complex factors contributing to health disparities among mainland and island Latino populations. Depression is a highly prevalent, chronic condition among ethnic and racial minorities with significant consequences for health care costs. There are enduring disparities in depression treatment for Latinos, as evidenced by problems In access, engagement and retention. Latinos with depression are less likely to access specialty mental health services than non- Latino whites and for those that do access care, early dropout and high rates of missed follow-up appointments persist. Our proposed research design responds to depression disparities in entry, engagement and retention into depression treatment for Latinos. We propose a two site randomized control trial to test the comparative effectiveness of a combined care manager and brief Cognitive Behavioral Therapy (CBT) intervention called Engagement and Counseling for Latinos, administered by telephone (ECLA-T), compared against the same intervention administered face to face (ECLA-F), and mental health treatment in usual primary care for 300 Latino depressed patients attending primary care clinics.