Developing the Unified Protocol-Single Session Experience Platform for Adolescent Mental Health

摘要 长期以来，逻辑和系统性障碍阻碍了有情绪障碍的青年获得精神卫生服务。 遇险（例如，抑郁和焦虑）导致了一个令人不安的差距，只有不到50%的年轻人有一个 情绪障碍实际上得到任何心理健康服务，更不用说基于证据的干预 战略布局在COVID-19大流行之后，年轻人正在经历更严重的情绪困扰， 面对社会孤立，家庭经济紧张，以及同龄人和学校的支持较少， 可扩展的，可访问的，可行的心理健康支持比以往任何时候都更加紧迫。单场次 干预措施（SSI）已被证明是减少青年精神病理学的有效手段， 有效降低心理健康治疗的成本、时间和耻辱障碍。通过这一SBIR，我们将应用 统一协议（UP）青少年情绪障碍的transdiagnosis原则，以创建一套数字，自我， 节奏，并以证据为基础的SSI模块为青年与一系列的情绪障碍。最终产品将 利用先进的软件，为年轻人提供一个显着增强的经验相比，现有的（研究- 聚焦）数字SSI。目前没有数字（自我管理）SSI产品提供建议的唯一 内容和数字交互性以及个性化的结合。 这个为期12个月的SBIR第一阶段项目将完成三个具体目标：（1）开发软件原型 包含两个功能齐全的SSI模块：“身体感觉和情感体验的意识” 和“灵活解决问题”;（2）与年轻人进行可用性和可接受性测试， 筛选为情绪障碍症状升高;以及（3）与利益相关者进行可行性测试 通常监督或支持青少年心理健康的人（学校和社区心理健康提供者， 课后辅导员、儿科保健提供者和家长）。拟议的SBIR项目将解决 需要为青年提供创新的成本和时间效率高的循证精神卫生服务 经历着精神上的痛苦第一阶段的开发将以迭代的以用户为中心的设计为指导， 试验.我们期望第一阶段能够提供足够的证据，证明我们所提议的产品的可行性和前景 以支持II期的持续开发和有效性测试。这项工作的首要目标是支持 广泛传播和使用数字化SSI模块，以尽可能多的年轻人了解证据- 基于心理健康支持。

Abstract Logistical and systemic barriers have long impeded access to mental health services for youth with emotional distress (e.g., depression and anxiety) resulting in a troubling gap where fewer than 50% of youth with an emotional disorder actually receive any mental health services, much less evidence-based intervention strategies. In the wake of the COVID-19 pandemic, youth are experiencing heightened emotional distress as faced with social isolation, familial financial strain, and fewer supports by peers and schools, making the need for scalable, accessible, and feasible mental health supports more urgent than ever. Single-Session Interventions (SSIs) have been shown to be an effective means for reducing youth psychopathology and to effectively lower cost, time, and stigma barriers to mental health treatment. Through this SBIR, we will apply the Unified Protocol (UP) transdiagnostic principles for emotional disorders in youths to create a suite of digital, self- paced, and evidence-based SSI modules for youth with a range of emotional disorders. Our end product will utilize cutting-edge software to offer youth a significantly enhanced experience compared to existing (research- focused) digital SSIs. No digital (self-administered) SSI product currently exists that offers the proposed unique combination of content and digital interactivity and personalization. This 12-month SBIR Phase I project will accomplish three specific aims: (1) develop a software prototype containing two fully-functioning SSI modules: “Awareness of Physical Sensations and Emotional Experience” and “Being Flexible in Your Problem-Solving”; (2) conduct usability and acceptability testing with youth who screen as having elevated emotional disorder symptoms; and (3) conduct feasibility testing with stakeholders who commonly oversee or support youth mental health (school- and community-based mental health providers, after-school counselors, pediatric healthcare providers, and parents). The proposed SBIR project will address the need for innovative cost- and time-efficient access to evidence-based mental health services for youth experiencing emotional distress. Phase I development will be guided by iterative user-centered design and testing. We expect Phase I to provide sufficient evidence of the feasibility and promise of our proposed product to support continued development and efficacy testing in Phase II. The overarching goal of this work is to support broad scale dissemination and use of digital SSI modules to reach as many youth as possible with evidence- based mental health supports.