By Youth, For Youth: Digital Supported Peer Navigation for Addressing Child Mental Health Inequities

项目总结 尽管过去几十年在研究、实践和政策方面取得了重大进展，但许多儿童和 青年基于他们的社会经济劣势，继续经历着糟糕的心理健康结果，种族 或少数族裔身份，或移民身份。非洲裔美国人和拉美裔年轻人的几率是他们的1.5-3倍 比他们的白人同龄人更有可能经历未得到满足的心理健康需求 受与贫困有关的心理健康的社会决定因素的负面影响。他们无与伦比的能力 覆盖青少年、学校和儿科初级保健服务是提供心理健康的理想枢纽， 为学生和家庭提供医疗保健、社会服务和预防，否则他们将面临护理障碍。vbl.使用 参与设计和社区合作参与研究(CPPR)，加州大学洛杉矶分校和加州大学旧金山分校 与洛杉矶儿童健康信托基金会和旧金山健康网络合作的精神病学研究中心 建议：(1)与青年、照顾者、临床医生和其他利益相关者充分合作设计一种创新的心理 健康数字工具，称为4Young，用于实现算法支持的心理健康和社会决定因素 筛查和分类、恢复力应用程序和导航活动，并帮助支持初级保健-临床 学校中心内的劳动力和儿科服务；(2)研究实施两项心理健康 分别通航模式(家庭通航+4青年通航+4青年通航+4青年通航)，及其组合 提高将青年与适当水平的关怀和支持联系起来并使之匹配的有效性。这个项目 将与11-24岁的年轻人以及洛杉矶联合大学的10名家庭和社区成员一起发起 学区健康中心和10个旧金山医疗网络儿科初级保健 中心，主要为黑人、拉丁裔和亚洲儿童提供服务。移动技术方法正在获得 经验支持，并拥有巨大的潜力，以加强心理健康导航员模型。合并 可扩展的数字健康工具，以及帮助导航过程的统计评估算法，例如 筛查、分类、跟踪、连接到关怀和多层次沟通，将有助于确保青年 得到导航员、供应商和其他相关系统可以衡量的最佳护理。一位成功的 该项目的成果是CPPR开发的开源干预措施，可在学校和 儿科初级保健服务，以改善少数族裔青年获得精神卫生服务的机会。

PROJECT SUMMARY Despite significant progress in research, practice, and policy over the past few decades, many children and youth continue to experience poor mental health outcomes based on their socioeconomic disadvantage, ethnic or racial minority status, or immigrant status. African American and Latino youth have 1.5–3 times greater odds of experiencing an unmet mental health need than do their white counterparts and are more likely to be negatively impacted by social determinants of mental health related to poverty. With their unrivaled ability to reach youth, school-based and pediatric primary care services are ideal hubs to provide mental health, healthcare, social services, and prevention to students and families who otherwise face barriers to care. Using Participatory Design and Community Partnered Participatory Research (CPPR), UCLA and UCSF psychiatry research centers with Los Angeles Trust for Children’s Health and San Francisco Health Network propose to: (1) Fully co-design (with youth, caregivers, clinicians and other stakeholders) an innovative mental health digital tool, called 4Youth, to implement algorithmically supported mental health and social determinants screening and triage, resiliency apps and navigation activities AND help support the primary care-clinical workforce within school centers and pediatric services; (2) Study the implementation of two mental health navigation models separately (family navigaton+4Youth and youth navigation+4Youth), and their combined effectiveness for improving connecting and matching youth to the right level of care and supports. This project will be initiated with youth 11-24 years old and family and community members across 10 Los Angeles Unified School District (LAUSD) Wellness Centers and 10 San Francisco Health Network pediatric primary care centers, which serve mostly Black, Latino, and Asian children. Mobile technology approaches are gaining empirical support and hold great potential for enhancing mental health navigator models. Incorporating scalable digital health tools, and statistically evaluated algorithms to aid the navigation process, such as screening, triage, tracking, connecting to care, and multi-level communication, will help ensure youth are receiving optimal care that navigators, providers and other relevant systems can measure. A successful outcome of the project is a CPPR developed open-source intervention implementable in school-based and pediatric primary care services, for improving mental health services access for minoritized youth.