Prevention and Early Identification for High Risk Youth in School-based Clinics

项目摘要和摘要-剑桥健康联盟 高危青少年早期筛查和治疗的快捷性 R34高危青少年在校本诊所的预防和早期识别 拟议的项目旨在实施和测试必要的工具，以防止过渡到精神疾病 在处境危险的青年中，特别是处境危险的种族/民族和语言(REL)少数民族青年中。风险因素 少数族裔青年由于更有可能遭受歧视和 社会经济障碍及其对获得和参与治疗和总体的影响 身体健康。该项目的总体目标是预防和补救青少年精神疾病激增的现象，并 减少持续存在的治疗差距。首先，我们提出了一种远程自适应测试技术，“K- CAT+“，提供基于社区的快速筛查。第二，我们将评估一个有针对性的， 在线健康促进干预，COPE2THRIVE(C2T)，在相关多样化的样本中建立复原力 学龄青年。第三，我们将评估这种方法是否减轻了种族/民族面临的更大风险 和语言(REL)--少数民族青年。 在目标1中，我们测试了父母和青少年报告的电子心理健康的可行性和可接受性 筛查员，K-CAT，在校本环境中12-17岁的青年中使用。自适应筛选平台K- CAT，减少了所需的时间和措施总数。我们补充K-CAT(使“K- CAT+“)，包括功能状态、复杂创伤以及个人和邻里层面的社交活动 健康决定因素(SDOH)。在目标2，我们测试可行性、可接受性和初步有效性 COPE2THRIVE(C2T)干预--针对自我应对机制的复原力干预 具有减轻症状、改善功能的功效。我们选择由K-CAT+决定的青年 患有精神疾病的风险中等。在目标3中，我们评估了早期校本筛查的组合 预防性的C2T干预减少了参与治疗的差异，并减轻了症状 改善弱势群体的功能。 在该项目中测试的筛查和预防干预措施有可能减少持续的相关性 通过增加可获得性，在获得和参与治疗和心理健康结果方面的差异 和筛查的简便性，克服认知和转介方面的已知偏见，并通过早于 这在处于危险之中的少数族裔青年中很常见。

PROJECT SUMMARY AND ABSTRACT – Cambridge Health Alliance ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY) R34 Prevention and Early Identification for High Risk Youth in School-based Clinics The proposed project aims to implement and test tools necessary to prevent transitions to mental illness among at-risk youth, and particularly at-risk racial/ethnic and language (REL)-minority youth. Risk factors for REL-minority youth can be heightened due to their greater likelihood of experiencing discrimination and socioeconomic barriers and their subsequent impacts on access and engagement in treatment and overall wellness. The overall aim of this project is to prevent and remediate a surge in youth mental illness and to reduce persistent treatment disparities. First, we propose to use a remote adaptive testing technology, “K- CAT+”, to provide rapid community-based screening. Second, we will evaluate the effectiveness of a targeted, online health promotion intervention, COPE2THRIVE (C2T), to build resilience in a REL-diverse sample of school-aged youth. Third, we will assess whether this approach mitigates increased risk faced by racial/ethnic and language (REL)-minority youth. In Aim 1, we test the feasibility and acceptability of a parent- and youth-reported electronic mental health screener, K-CAT, among 12-17 year old youth in a school-based setting. The adaptive screening platform, K- CAT, reduces the time and total number of measures that are required. We supplement K-CAT (to make “K- CAT+”) with measures of functional status, complex trauma, and individual- and neighborhood-level social determinants of health (SDOH). In Aim 2, we test the feasibility, acceptability, and preliminary effectiveness of the COPE2THRIVE (C2T) intervention, a resilience intervention targeting the mechanism of coping self- efficacy to reduce symptoms and improve function. We select youth determined by the K-CAT+ to be at moderate risk for mental illness. In Aim 3, we assess whether the combination of early school-based screening and the preventive C2T intervention reduces disparities in engagement in treatment, and reduces symptoms and improves function for REL-minorities. The screening and preventive interventions tested in this project have the potential to reduce persistent REL disparities in access and engagement in treatment and mental health outcomes, by enhancing the availability and ease of screening, overcoming known biases in recognition and referral, and by intervening earlier than usual among at-risk REL-minority youth.