ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY)

项目摘要/摘要-剑桥健康联盟 高危青少年早期筛查和治疗的快捷性 为有精神疾病风险的青少年提供高质量的心理卫生保健的障碍是众所周知的，但仍然存在， 特别是在种族、民族和语言(REL)少数民族青年中。拟建的早期筛查中心 高危青少年的治疗(Eestory Center)致力于研究和培训，以期早期改善 发现精神疾病，预防不良后果，提高护理质量，促进公平 对少数民族青年的治疗。Eestory Center旨在确定关闭精神障碍的干预措施 少数民族青年之间的卫生保健机会和治疗质量差距。通过一个强大的网络 通过基于社区的联系，我们将：a)收集和分析实时临床和社会背景信息 通过自适应症状监测(CAT-MH)、电子健康记录(EHR)、 保险索赔和社区数据；以及b)规划和管理基于测量的 心理健康护理。 我们建议的项目跨越社区和医疗保健系统设置，认识到需要改进 一旦少数族裔青年实现了治疗，就能获得治疗和护理质量。在目标1中，我们开发了 有效的以社区为基础的外联和筛查方案，以确定、转介和提供早期干预， 给有精神疾病风险的青少年。在目标2中，我们严格测试和实施医疗保健系统- 基于有针对性的干预措施，以预防相关青年的精神疾病和自杀。在……里面 目标3，我们建立了一个开发和测试创新干预措施的中心，以减少获取机会方面的差距 以及对少数民族青年的治疗，并将研究结果直接转化为临床实践。 为了实现这些目标，我们将创建一个行政核心，负责监督试点研究、开展培训、 并促进社区参与；利用适应性精神病理学筛查的方法核心 和健康筛查者的社会决定因素，实施严格的随机对照试验，并进行 为缩小差距的努力提供信息的预测性分析；改善识别的三个研究项目 以及对不同类型青年的精神病理、自杀和创伤经历的早期治疗。

PROJECT SUMMARY/ABSTRACT- Cambridge Health Alliance ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY) Barriers to quality mental health care for youth at risk of mental illness are well recognized but persistent, especially among racial, ethnic, and language (REL)-minority youth. The proposed Center for Early Screening and Treatment of at-Risk Youth (the eSToRY Center) is dedicated to research and training to improve early detection of mental illness, to prevent adverse outcomes, to improve quality of care, and to foster equity in treatment for REL-minority youth. The eSToRY Center is designed to identify interventions that close mental health care access and treatment quality gaps among REL-minority youth. Through a strong web of community-based connections, we will: a) collect and analyze real-time clinical and sociocontextual information via an integrated data warehouse of adaptive symptom monitoring (CAT-MH), electronic health records (EHR), insurance claims, and community data; and b) plan and manage the rollout and testing of measurement-based mental health care. Our proposed projects span community and healthcare system settings, recognizing the need to improve access to treatment and quality of care once treatment is realized for REL-minority youth. In Aim 1, we develop effective community-based outreach and screening programs to identify, refer and provide early interventions, to youth at risk for developing mental illnesses. In Aim 2, we rigorously test and implement healthcare system- based targeted interventions to prevent the development of mental illness and suicide in REL-diverse youth. In Aim 3, we establish a Center for developing and testing innovative interventions to reduce disparities in access and treatment for REL-minority youth and translating findings directly into clinical practice. To accomplish these aims, we will create: an Administrative Core that oversees pilot studies, conducts training, and promotes community participation; a Methods Core that leverages adaptive psychopathology screening and social determinants of health screeners, implements rigorous randomized controlled trials, and conducts predictive analytics to inform efforts to reduce disparities; three research projects that improve the identification and early treatment of psychopathology, suicidality, and traumatic experiences among REL-diverse youth.