Train and EMPOWER A Community Health workforce to achieve equity and reduce disparities in mental health (TEACH)

项目总结 这项申请是为了响应NIH共同基金解决卫生问题的变革性研究 少数群体服务机构的差距和促进健康公平(RFA-RM-22-001)。的目标是 该项目旨在实施可扩展的任务分担模式，旨在建设能力并支持种族问题 多样化的非专家提供者队伍，为指定的预防和早期提供简短的干预措施 对抑郁症和焦虑症的干预，结合在资源不足的情况下针对当地情况量身定做的新内容， 种族和民族多样化的环境，重点是评估和解决以下社会决定因素 在这些社区的精神健康，最终有助于减少其社区的差距。 我们将通过从德克萨斯州少数族裔服务机构的本科生中招募人才来做到这一点， 精神卫生保健资源最不足的州之一，并部署了一套创新的数字 培训、监督和支持这些提供商的解决方案，以提供基于证据的、简短的、质量有保证的 心理社会干预。这一干预措施是通过与 学生以及与社区专家的合作，将致力于实现跨诊断干预 常见的心理健康问题，如抑郁和焦虑。该项目的长期目标是 创建资源、机会、结构和脚手架，以建立强大的社区精神 卫生保健系统，通过部署提供者，培训和认证为社区卫生工作者 (CHW)用于扩大和建设提供干预措施的能力，以将精神卫生保健从 在提供者居住的社区中提供针对高频、低成本干预的专门护理。 增加反映所服务社区人口结构的提供商数量是关键 解决护理方面的差距以及解决心理健康的社会决定因素和获得医疗服务方面的差距 我们建议利用Patel和Naslund4开发的平台Empower 在哈佛医学院，在国家精神卫生研究所(U19MH113211)的支持下，进行培训 非专业本科社会工作专业学生，促进同行监督以获得支持和质量保证， 并为社区内经认证的社区妇女提供咨询和实时支持。赋能课程 包括以证据为基础的心理社会干预，涵盖基本咨询技能和行为 激活，并将通过侧重于识别和解决社会问题的培训内容来增强 心理健康差异的决定因素。我们的实施计划和可持续发展战略的核心是 利用孤星大萧条挑战赛的基础设施，这是全州范围内与 授权计划，让卫生系统参与、培训和部署CHW，以减少所有人的障碍 得克萨斯州患有抑郁症的人，更早发现他们的需求，更有效地照顾他们，同时也优先考虑和 吸引有色人种、残疾人和生活贫困的人。

PROJECT SUMMARY This application is in response to the NIH Common Fund Transformative Research to Address Health Disparities and Advance Health Equity at Minority Serving Institutions (RFA-RM-22-001). The objective of this project is to implement a scalable task-sharing model aimed at building capacity and supporting a racially diverse workforce of non-specialist providers to deliver brief interventions for the indicated prevention and early intervention for depression and anxiety, combined with new content tailored to the local context in low resource, racial and ethnically diverse settings with emphasis on assessing and addressing the social determinants of mental health in these communities, ultimately contributing to the reduction of disparities in their communities. We will do so by recruiting from the undergraduate student population at a Minority Serving Institution in Texas, one of the most under-resourced states for mental health care and deploying an innovative suite of digital solutions to train, supervise and support these providers to deliver evidence based, brief, quality assured psychosocial interventions. The intervention, designed through a systematic process of co-production with students, and collaboration with community specialists, will aim to achieve trans-diagnostic intervention for common mental health problems such as depression and anxiety. The long-term goal of the project is the creation of resources, opportunities, structure, and scaffolding that will establish a robust community mental health care system, through deployment of providers, trained and certified as Community Health Workers (CHWs) for scaling up and building capacity for delivery of interventions to shift mental health care away from specialty care toward high-frequency, low-cost interventions in the communities where the providers live. Increasing the number of providers who reflect the demographics of the community they are serving is key to addressing gaps in care as well as addressing social determinants of mental health and disparities in access to care among minority groups.5 We propose to leverage EMPOWER, a platform developed by Patel and Naslund4 at Harvard Medical School with support from the National Institute of Mental Health (U19MH113211), to train non-specialist undergraduate social work students, facilitate peer supervision for support and quality assurance, and provide consultation and real time support to certified CHWs in the community. The EMPOWER curriculum consists of evidence-based psychosocial interventions covering foundational counseling skills and behavioral activation and will be augmented with training content focused on recognizing and addressing the social determinants of disparities in mental health. Central to our implementation plan and sustainability strategy is to leverage the infrastructure of the Lone Star Depression Challenge, a statewide effort in partnership with the EMPOWER program which will engage, train, and deploy CHWs to health systems to reduce barriers for all Texans with depression, detect their needs earlier, and care for them more effectively, while also prioritizing and engaging people of color, individuals with disabilities, and those living in poverty.