Co-Developing a Psychoeducational Mental Health Toolkit for Underserved Families to Navigate the Mental Health System

项目摘要/摘要 尽管年轻人中精神疾病的患病率很高，但高达80%的美国青年有精神健康(MH) 有需要的人得不到卫生保健服务，需要和服务使用的差异在种族/民族中最高 少数群体和社会处境不利的家庭。MH识字--关于问题本质的知识和信念 和有效的治疗--是限制有效使用的最常见的感知障碍之一 治疗。心理教育提供有关MH问题和治疗选择的基本信息， 成为吸引家庭参与MH护理的一种有前途的工具。然而，心理教育的内容有限。 专为未得到充分服务的家庭设计，是共同开发的、免费的、易于访问的、有英语和 西班牙语。为了解决这一差距，我们建议与圣巴巴拉县的社区合作伙伴共同制定一项 心理教育工具包，旨在让服务不足的家庭参与基于社区的心理健康环境 (CMHS)。该提案的长期目标是通过共同为服务不足的家庭实现健康公平 与社区利益攸关方共同开发心理教育工具包，并评估实施结果。 使用与圣巴巴拉县社区利益相关者的协作、迭代方法，该工具包将 最终旨在提高心理健康素养，减少耻辱，并加强求助行为。 以下目标将使我们能够制作工具包，以使用 作为指导执行工作的理论框架的执行研究综合框架 为CMHS创建的基于证据的、响应文化的工具包的努力。目标1：共同开发 CMHS中的提供者和家庭的心理教育工具包。预计这一目标将增加 供供应商在CMHS环境中实施的工具包的可行性、可接受性、实用性和适应性。 目的2：检验心理工具包在飞行员中的可行性、可接受性、实用性和适应性。这是意料之中的 这一目标将解决潜在的实现障碍，并提高工具包的外部有效性 在CMHS环境中使用。我们将采用混合方法，Delphi方法在开发和 实施工具包，从而能够审查关于执行成果的量化数据 以及对影响工具包交付的定性消费者观点的评估。重要的是，这 提案将通过吸引代表人数不足的群体的学生来实现这一资助机制的目标 在研究方面。因为CSUN是一家西班牙裔服务机构，第一代大学所占比例很高 来自弱势背景的学生，这个项目将使国际学生协会能够指导代表不足的学生 在实践心理学研究中。国际学生联合会在指导代表人数不足的学生方面有着良好的记录 已经成功进入博士课程的学生。预计完成这一项目将解决 社区利益相关者需要实现健康公平。由于目前的提案侧重于执行 结果，未来的研究将在随机对照试验中检查该工具包的预期效果(R34)。

Project Summary/Abstract Despite high prevalence rates of mental illness in youth, up to 80% of U.S. youth with mental health (MH) need do not receive MH services, with the disparity in need and service use highest among racial/ethnic minority and socially disadvantaged families. MH literacy - knowledge and beliefs about the nature of problems and effective treatments – is among the most common perceptual barrier limiting the use of effective treatments. Psychoeducation, which provides basic information about MH problems and treatment options, has emerged as a promising tool for engaging families in MH care. Yet, there is limited psychoeducational content designed for underserved families that is co-developed, free, easily accessible, and available in English and Spanish. To address this gap, we propose to develop, with our community partners in Santa Barbara County, a Psychoeducation Toolkit designed to engage underserved families in community-based mental health settings (CMHS). The long-term goal of the proposal is to achieve health equity for underserved families by co- developing a Psychoeducation Toolkit with community stakeholders and assessing implementation outcomes. Using a collaborative, iterative approach with community stakeholders in Santa Barbara County, the toolkit will ultimately be designed to increase mental health literacy, reduce stigma, and enhance help-seeking behaviors. The following aims will allow us to produce the toolkit to examine implementation outcomes using the Consolidated Framework for Implementation Research as a theoretical framework to guide implementation efforts of the evidence-based, culturally responsive toolkit created for the context of CMHS. Aim 1: Co-Develop the Psychoeducation Toolkit with Providers and Families in CMHS. It is expected that this aim will increase the feasibility, acceptability, utility, and adaptability of the toolkit for providers to implement in the CMHS context. Aim 2: Examine the feasibility, acceptability, utility, and adaptability of Psychoed Toolkit in a pilot. It is expected that this aim will address potential implementation barriers and increase the external validity of the toolkit for use in the CMHS context. We will employ a mixed methods, Delphi approach in the development and implementation of the toolkit, which allows the examination of quantitative data on implementation outcomes and an assessment of qualitative consumer perspectives impacting the delivery of the toolkit. Importantly, this proposal will achieve the goal of this funding mechanism by engaging students from underrepresented groups in research. As CSUN is a Hispanic Serving Institution with a high proportion of first-generation college students from disadvantaged backgrounds, this project will enable the PI to mentor underrepresented students in hands-on psychological research. The PI has a strong track record of mentoring underrepresented students that have successfully entered into Ph.D. programs. It is expected that accomplishing this project will address community stakeholder needs to achieve health equity. As the current proposal is focused on implementation outcomes, future studies will examine the intended effects of the toolkit in a randomized control trial (R34).