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

项目摘要/摘要 生活在贫困社区的黑人青年背负着不成比例的行为健康负担 挑战，特别是严重的破坏性行为困难(DBD)。如果得不到护理，患有这种疾病的儿童 DBD经常遭受严重损害。本研究的前提是，如果CARE导航模型 将在消除儿童精神卫生保健方面的种族差异方面取得成功，然后准备和 对儿童行为健康导航员(CBHN)的支持需要包括：1)培训，以提供循证的 家庭参与、心理教育和支持干预；2)持续的辅导和监督 关于在家庭和提供商合作伙伴之间建立协作关系；3)提高技能 社区/系统接受，以及分析和中断对差异和 系统鸿沟。 牵扯 个人 STL. 集成 教育， 拟议的研究(回应PAR 18-428)将分两个阶段进行。阶段1 恢复和培训新的cbhns队列(n=15)，有意涉及承诺 来自现有社区服务系统合作伙伴网络的有色人种，本土 中心将准备通过一项互动培训协议与青年/家庭合作， 现有的以暴力为基础的办法，包括参与干预19、家庭支助和 调整后的CARE导航模型和经验支持的实施战略，以解决 是 E 障碍。第二阶段为混合方法，混合有效性实施实验研究，招生390人 非洲裔早期青少年(10至14岁)及其家人生活在地理上定义的圣彼得堡。 路易斯市北部城市和县社区(种族隔离、贫困高度集中的地区)。这个 这项研究的目的是同时检查促进或阻碍cbhN相互作用的多水平因素和 青年/家庭结果。在……里面 利益相关者， 此外，研究还探讨了关键网络和系统对cbhns的响应。 这项研究是由一个跨学科网络进行的 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机构合作 各组织、政策官员和本土的STL咨询委员会。该应用程序与美国国立卫生研究院的 优先处理潜在的健康差距，以及加强心理健康对公共健康的影响 重点研究。

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.