Methods Core for Study and Data Collection, Design, Support and Dissemination

项目总结/摘要-剑桥健康联盟 ALACRITY for Early Screening and Treatment of High Risk Youth（eSToRY） 研究和数据收集的核心方法设计、支持和传播 方法核心将是eSToRY中心的关键，汇集了强大的组合 临床和社会背景数据，最新的快速计算机自适应测试， 精神病理学和精神病学，一套严格的深入社区参与 大型行政和临床试验的定性技术和定量方法 数据，并强调以社区为基础的参与性研究，以提高相关性 种族/民族和语言（REL）-少数民族青年和家庭的适当性。的 方法核心的骨干是一个由著名的方法学专家组成的团队， 临床-社会背景数据集，连接超过600，000名不同类型患者的电子健康 记录（EHR），保险索赔，刑事司法，社区和个人层面的社会 健康决定因素（SDOH）数据和计算机自适应精神病测试。这些合并 数据包括一个广泛的数据仓库，将促进新的解决方案，以棘手的 心理健康问题 在目标1中，我们将建立一个符合HIPAA的综合临床-社会背景数据 用于早期识别，预防和治疗精神疾病的仓库， 多元化的年轻人。在目标2中，我们将为三个R34项目提供方法支持， 试点项目，采用最新的严格的定量和定性方法， 种族/族裔和语言不平等机制的相关性和理解 和精神健康护理的质量。在目标3中，我们将吸引和征求个人参与 来自不同背景，包括社区利益相关者，以确保 研究项目，解释结果，制定干预措施，并通过 强大的临床网络，学校，和社区为基础的连接。

PROJECT SUMMARY/ABSTRACT - Cambridge Health Alliance ALACRITY for Early Screening and Treatment of High Risk Youth (eSToRY) Methods Core for Study and Data Collection Design, Support and Dissemination The Methods Core will be the linchpin of the eSToRY Center, bringing together a powerful mix of clinical and sociocontextual data, the latest rapid computer adaptive testing of psychopathology and symptomatology, a suite of rigorous in-depth community-engaged qualitative techniques and quantitative methods applied to large administrative and clinical trial data, and an emphasis on community-based participatory research to increase the relevance and appropriateness to racial/ethnic and language (REL)-minority youth and families. The backbone of the Methods Core is a team of renowned methodological experts and a large clinical-sociocontextual dataset, linking >600,000 REL-diverse patients' electronic health records (EHR), insurance claims, criminal justice, neighborhood- and individual-level social determinants of health (SDOH) data, and computer adaptive psychiatric testing. These merged data comprise an extensive data warehouse that will facilitate novel solutions to intractable mental health problems. In Aim 1, we will establish a HIPAA-compliant integrated clinical-sociocontextual data warehouse for use in early identification, prevention, and treatment of mental illness among REL-diverse youth. In Aim 2, we will provide methodological support to three R34 projects and pilot projects, employing the latest rigorous quantitative and qualitative methods to increase the relevance and understanding of mechanisms of racial/ethnic and language disparities in access and quality of mental health care. In Aim 3, we will engage and solicit participation of individuals from diverse backgrounds, including community stakeholders, to assure the relevance of the research projects, interpret results, develop interventions, and disseminate findings through a strong web of clinical-, school-, and community-based connections.