Navigating Resource-Constrained Systems and Communities to Promote the Behavioral Health of Black Youth

项目总结/摘要 生活在受贫困影响的社区的黑人青年不成比例地承受着行为健康的负担 严重的破坏性行为困难（DBD）。如果得不到照顾， DBD经常遭受严重的损害。本研究的前提是，如果护理导航模型 将成功地消除儿童精神卫生保健中的种族差异，然后准备和 对儿童行为健康导航员（cbhN）的支持需要包括：1）提供基于证据的培训 家庭参与，心理教育和支持干预; 2）持续的辅导和监督重点 在家庭和提供者伙伴之间建立合作关系; 3）提高 社区/系统的接受，以及分析和中断对差距的多层次结构性影响， 制度差距。 涉及 个人 STL。 集成 教育、 拟定研究（响应PAR 18-428）将分2个阶段进行。1期 对一组新的cbhN（n=15）进行重新训练和培训，故意涉及犯下的 从现有的社区为基础的网络的outh服务系统的合作伙伴，本土 社区保健网络将准备通过互动培训协议与青年/家庭合作， 现有的基于愿景的方法，包括参与干预措施19、家庭支持和 调整护理导航模型和经验支持的实施策略，以解决 y e 隔栏.第二阶段为混合方法、混合效果实施实验研究，共入组390例 非洲裔青少年（10至14岁）及其家庭居住在按地理位置划分的圣 路易斯北部城市和县的社区（种族隔离地区，贫困人口高度集中）。的 研究旨在同时检查增强或阻碍cbhN相互作用的多水平因素， 青年/家庭成果。在 利益攸关方， 此外，本研究还探讨了关键网络和系统对cbhNs的反应 以及cbhN。这项研究是由一个跨学科的网络， 圣路易斯华盛顿大学和纽约大学的科学家与圣路易斯服务合作 组织、政策官员和本土STL咨询委员会。该应用程序与NIH的 优先解决根本的健康差距，以及加强精神卫生对公共卫生的影响 集中研究。

PROJECT SUMMARY/ABSTRACT Black youth living in poverty-impacted communities are disproportionately burdened by behavioral health challenges, notably serious disruptive behavioral difficulties (DBDs). Without access to care, children with DBDs frequently suffer serious impairment. This study is based on the premise that if care navigation models are going to succeed in eliminating racial disparities in child mental health care, then the preparation and support for child behavioral health navigators (cbhNs) needs to include: 1) training to deliver evidence-based family engagement, psychoeducation and support interventions; 2) ongoing coaching and supervision focused on building collaborative relationships between families and provider partners and; 3) skills to enhance community/system buy-in, as well as to analyze and interrupt multi-level structural influences on disparities and system gaps. involves individuals STL. integrates education, The proposed study (in response to PAR 18-428) will be conducted in 2 phases. Phase 1 the r ecruitment and training of a new cohort of cbhNs (n=15), intentionally involving committed of color from an existing community-based network of outh service system partners, HomeGrown CbhNs will be prepared to collaborate with youth/families via an interactive training protocol which existing vidence-based approaches, including engagement interventions 19 , family support and adapted care navigation models and empirically supported implementation strategies to address y e barriers. Phase 2 is a mixed methods, hybrid effectiveness implementation experimental study, enrolling 390 early adolescent youth (10 to 14 years) of African descent and their families living in geographically defined St. Louis north city and county neighborhoods (racially segregated areas with high poverty concentration). The study aims to simultaneously examine multi-level factors that enhance or impede cbhN interaction and youth/family outcomes. In stakeholders, addition, the study explores the response to cbhNs by key network and system as well as of the cbhNs.This study is being conducted by a transdisciplinary network of scientists at Washington University in St. Louis and New York University in collaboration with St. Louis service organizations, policy officials and the HomeGrown STL Advisory Board. This application aligns with NIH's priorities to address underlying health disparities, as well as to enhance public health impact of mental health focused research studies.