Bronx Youth Partnership on Mental Health Disparities

描述（由申请人提供）：在过去的两年里，AECOM的预防干预研究中心一直是一个布朗克斯社区联盟的牵头机构，由青少年领导，“阿尔伯特的明天的领导者”（A. L. O.T.）。它使用CPBR来确定心理健康差异是少数族裔内城青少年中最重要的问题，并与48个社区机构组成联盟，开发了BxThunder，一种心理健康干预措施。我们计划在3个社区机构进行BxThunder的随机对照试验：Mosholu-Montefiore社区中心，野猫学院和公民咨询局。BxThunder有三个部分：第一部分。青少年是一个屡获殊荣的积极的青年发展计划，改善心理健康和培训青少年成为同伴教育者;第二部分。毕业生将加入“ALOTMore”，并在布朗克斯机构开展多媒体研讨会，讲授心理健康知识，减少耻辱感;第三部分。BxThunder中需要心理健康服务的青少年将在现场从临床心理学家和三个社区合作伙伴，Lehman College CUNY，Wurzweiler社会工作学院和Ferkauf心理学研究生院获得他们。我们将对BxThunder进行一项意向治疗随机对照试验。我们将在每个研究中心招募240名青少年（共720名），并将他们随机分配接受BxThunder或标准治疗。青少年将在基线和6个月和12个月后接受采访。结果的措施是积极的心理健康（弹性量表的青少年，RSCA;青少年的自我认知概况，SPPA）和心理症状（青年自我报告，YSR）。在有症状的青少年中，我们将评估接受转介服务的确定青年人数;实施转介的人数;正在接受或已完成服务的人数;以及治疗后的心理健康结果（症状）。具体目标是测试与对照组青少年相比的假设： (1)BxThunder中的青少年将经历更少的心理健康症状; (2)BxThunder中的青少年将体验到积极心理健康的更大增长; (3)BxThunder中有心理问题的青少年更有可能成功转诊接受治疗，并且更有可能完成治疗; (4)在BxThunder中有心理问题的青少年将经历心理症状的更大减少; (5)BxCAM讲习班将增加知识，减少参加者的耻辱感，这可以通过讲习班参加者的测试前和测试后措施的变化来衡量。 亲和健康计划将与纽约市健康和心理卫生部共同设计和实施一个可持续性项目。

DESCRIPTION (provided by applicant): For the past two years, AECOM's Preventive Intervention Research Center has been the lead agency for a Bronx community coalition, led by adolescents, "Albert's Leaders of Tomorrow" (A.L.O.T.). It used CPBR to identify mental health disparities as the most important to address among minority inner-city adolescents, and with a Coalition of 48 community agencies, it developed BxThunder, a mental health intervention. We plan to conduct a randomized controlled trial of BxThunder in 3 community agencies: Mosholu-Montefiore Community Center, Wildcat Academy, and Citizen's Advice Bureau. BxThunder has three parts: PART I. TEEN is an award-winning positive youth development program that improves mental health and trains teens to be peer educators; PART II. graduates will join "ALOTMore" and implement a multimedia workshop in Bronx agencies to teach about mental health and reduce stigma; PART III. teens in BxThunder who need mental health services will receive them on site from clinical psychologists and externs from three community partners, Lehman College CUNY, Wurzweiler School of Social Work, and Ferkauf Graduate School of Psychology. We will conduct an intent-to-treat randomized controlled trial of BxThunder. We will recruit 240 teens at each site (n=720 total), and randomize them to receive BxThunder or standard care. Teens will be interviewed at baseline and 6- and 12-months later. Outcome measures are positive mental health (Resiliency Scales for Adolescents, RSCA; The Self-Perception Profile for Adolescents, SPPA) and psychological symptoms (Youth Self Report, YSR). Among symptomatic teens, we will assess the number of identified youth who received a referral for services; the number of those who implemented the referral; the number who are in or have completed services; and their mental health outcomes (symptoms) after treatment. The Specific Aims are to test the hypotheses that compared to control teens: (1) teens in BxThunder will experience fewer mental health symptoms; (2) teens in BxThunder will experience a greater increase in positive mental health; (3) teens with psychological problems in BxThunder are more likely to have a successful referral for care, and are more likely to complete treatment; (4) teens in BxThunder with psychological problems will experience a larger reduction in psychological symptoms; (5) the BxCAM workshop will increase knowledge and decrease stigma among those who attend, as measured by change in pre-test and post-test measures of workshop attendees. A sustainability project will be designed and implemented by Affinity Health Plan in conjunction with the New York City Department of Health and Mental Hygiene.