Implementing and Sustaining a Transdiagnostic Sleep and Circadian Treatment to Improve Severe Mental Illness Outcomes in Community Mental Health.

多样性补充摘要 最近的努力成功地培训了提供者， 社区精神卫生中心（CMHC）的治疗（EBT）;然而，许多 CMHC没有坚持这些举措。拟议的研究是为了回应 迫切需要对维持的关键机制进行实证调查， 上下文父R 01试图检查TransS-C，一种针对睡眠的EBT， SMI的昼夜节律功能障碍，可以通过社区有效地提供和维持 CMHC内的供应商。提供者将接受培训，使用一个有前途的，但未经充分研究， 维持机制：培训培训员。将使用两代培训： 第1代，其中加州大学伯克利分校的专家培训师培训社区提供者提供 第二代，培训一批选定的社区提供者 在他们的社区网站内培训其他人。拟议的研究补充将 通过经验评估第1代和第2代之间的差异， 第二代。我们将研究阿拉米达县至少128个供应商的样本 CMHC在2年实施期内。同时考虑到 学习和社会认同理论，我们将评估第一代之间的差异 和第二代在供应商的可接受性，适当性和可行性评级， 使用供应商培训后评估的TransS-C和供应商知识。此外，本发明还 我们将制定一个黄金标准培训清单，并进行探索性分析， 比较第1代和第2代培训在使用金标准培训方面的情况 元素本补编将通过提供 更深入地了解我们如何在EBT中有效地培训社区提供者 并持续提供服务，以帮助我们社区中最得不到充分服务的成员。

Abstract of Diversity Supplement Recent efforts have successfully trained providers to deliver evidence-based treatments (EBTs) in community mental health centers (CMHCs); however, many CMHCs have not sustained these initiatives. The proposed research is responding to the urgent calls for empirical investigation on key mechanisms of sustainment in this context. The Parent R01 seeks to examine if TranS-C, an EBT targeting sleep and circadian dysfunction in SMI, can be effectively delivered and sustained by community providers within CMHCs. Providers will be trained using a promising, yet understudied, mechanism of sustainment: train-the-trainer. Two generations of training will be utilized: Generation 1, in which UC Berkeley expert trainers train community providers to deliver TranS-C; and Generation 2, in which a select group of community providers are trained to train others within their community site. The proposed research supplement will extend the Parent R01 by empirically evaluating differences between Generation 1 and Generation 2. We will study a sample of at least 128 providers in Alameda County CMHCs over the 2-year Implementation period. Considering both the transfer of learning and social identity theories, we will evaluate differences between Generation 1 and Generation 2 in provider acceptability, appropriateness and feasibility ratings of TranS-C and provider knowledge using provider post-training evaluations. Additionally, we will develop a Gold Standard Training Checklist and conduct exploratory analyses to compare Generation 1 and Generation 2 trainings in the use of gold standard training elements. This supplement will contribute to the science of sustainment by providing a deeper understanding of how we can effectively train community providers in an EBT and sustain its delivery to reach the most underserved members of our communities.