Creating Statewide Community Partnerships: Spanning Boundaries between Public Health, Emergency Housing & Criminal Justice

摘要 题为《创建全州社区伙伴关系：跨越公共卫生、 紧急住房和刑事司法“这项提案试图弥合孤立的行为健康 密歇根州的风景。在项目期间，团队将开发、实现和测试多个 弥合结构差距和改善下游影响的活动。第一个是发展和 通过虚拟双诊断紧急护理实体实施全州范围的行为医疗危机系统 (V-DUCE)，提供按需、当天获得危机服务的机会，如面向恢复的护理， 紧急住房、分流和再入服务以及其他行为和医疗服务转介以及 关心。第二是与法院和监狱合作，为并发的个人分流提供便利 健康需求。第三，将实施一项制度，对体验行为健康的个人进行重新定向 从医院急诊科到基于文化的V-Duce，人类服务需求未得到满足的危机- 响应性强的工作人员，以亲身体验为最初的联系点。第四，该项目将发挥作用 为寻求康复的个人创造一条明确、直接的途径获得紧急住房 其他危机护理需求。最后，我们的干预提供了一种系统的方法来解决广泛的 公共卫生问题是我国人口中长期健康状况得不到控制的焦点。创新的 将使用称为边界跨越的方法来实现这些活动，这涉及 雇用对当地系统有深入了解的人员为V-Duce配备人员并同时提供 服务启动。该项目通过帮助患有多发性慢性病的患者来推进NIH的使命 卫生条件、增进公共卫生和消除健康差距。

ABSTRACT Entitled “Creating Statewide Community Partnerships: Spanning Boundaries Between Public Health, Emergency Housing, and Criminal Justice,” this proposal seeks to bridge a siloed behavioral health landscape across Michigan. During the project, the team will develop, implement, and test multiple activities to bridge structural gaps and improve downstream impacts. The first is developing and implementing a statewide behavioral healthcare crises system via a virtual dual-diagnosis urgent care entity (V-DUCE) that provides on-demand, same-day access to crisis services such as recovery-oriented care, emergency housing, diversion and reentry services, and other behavioral and medical service referrals and care. The second is to collaborate with courts and jails to facilitate diversion for individuals with concurrent health needs. Third, a system will be implemented to redirect individuals experiencing behavioral health crises with unmet human service needs from hospital emergency departments to V-DUCE based culturally- responsive staff member with lived-experience as their initial point of contact. Fourth, the project will work to create a clear, immediate pathway to emergency housing for individuals seeking recovery who have additional crisis care needs. Finally, our intervention provides a systematic approach to addressing the broad public health issue of unmanaged chronic health conditions within our population of focus. An innovative approach known as boundary spanning will be used to implement these activities, which involves employing individuals with a deep knowledge of local systems to staff the V-DUCE and provide concurrent service initiation. This project advances NIH's mission by assisting individuals with multiple chronic conditions, enhancing public health and eliminating health disparities.