A novel post-disaster mental health training for black communities

描述（由申请人提供）：与灾害有关的心理健康问题的差异突出了生活在高压力地区的黑人社区对当地灾前规划的需要。黑人社区灾后心理健康培训是一项培训培训师，旨在提高当地灾难心理健康准备的团体级干预措施。爱马仕的第一阶段研究根据需求评估制定了一套培训方案。结果表明，临床提供者和社区领导人的培训是一个很有前途的模式，将文化上适当的心理健康纳入当地的应对战略。目的：我们的第二阶段实地研究将进一步完善课程组成部分和实地测试的可接受性，适应性，有效性和可持续性，我们的模式在沿海和农村东部北卡罗来纳州和市中心查尔斯顿和低国家地区在南卡罗来纳州的高压力黑人社区。方法：我们将招募和培训一个心理健康提供者的核心团队，为八个目标社区的240名参与者提供临床提供者和社区领导者定制的培训研讨会。地方合作规划小组将得到网上演习和集体培训部分的支持。参与者将在每个培训部分以及培训前、培训后以及3个月、6个月和12个月的知识和自我评估能力技能后续测试后完成评估。我们将使用定性访谈和网站简介来衡量增加的容量和基于性能的技能的基准。预期结果：过程和结果数据的三角测量将确定这一模式的有效性，以增加知识和技能，在灾难发生后立即为幸存者提供文化上胜任的心理健康支持。我们还将确定促进和维持复原力的最佳培训和地方规划做法，并记录说明减轻灾害相关心理健康后果的案例研究。 公共卫生相关性：爱马仕建议实地测试一种培训模式和材料，旨在建立黑人社区在灾难发生后立即应对心理问题的综合当地能力。该培训将为临床提供者和社区组织领导人做好准备，他们具有内部人士的关系优势，以减轻灾害造成的长期心理健康后果的风险。爱马仕将根据可行的结果进一步发展该模式，并与合作伙伴合作实施培训员培训模式。后续会议将涵盖临床治疗和规划技能建设与基于网络的实践社区包含多媒体练习和信息资源，以支持现场临床和社区规划团队。这一混合学习产品将满足应急机构日益增长的市场需求，并有望在互补领域产生副产品。由此产生的产品是有市场的社会资本建设战略，将增加协调和效率的精神服务在低资源的灾害影响的社区。

DESCRIPTION (provided by applicant): The disparities in disaster-related mental health problems highlight the highlighted the need for local pre-disaster planning in black communities living in high stress areas. Training in Post Disaster Mental Health in Black Communities is a train the trainer, group-level intervention designed to improve the local disaster mental health readiness. HERMES' Phase I study developed a training package based on needs assessment. The results indicate that the training of both clinical providers and community leaders is a promising model for integrating culturally appropriate mental health in local response strategies. Aims: Our Phase II field study will further refine the curriculum components and field test the acceptability, adaptability, effectiveness, and sustainability of our model in high stress black communities of coastal and rural eastern North Carolina and downtown Charleston and Low Country areas in South Carolina. Method: We will recruit and train a core team of mental health providers to deliver clinical provider- and community leader-tailored training workshops to 240 participants in eight target communities. Local collaborative planning teams will be supported by web-based exercise and group training components. Participants will complete evaluations follow each training component and pre, post and 3, 6, and 12 month follow- up tests on knowledge and self-rated competency skills. We will measure benchmarks of increased capacity and performance-based skills using qualitative interviews and site profiles. Expected Results: The triangulation of process and outcome data will determine the effectiveness of this model for increasing knowledge and skills in providing culturally competent mental health support for survivors in the immediate aftermath of disasters. We also will identify best training and local planning practices for promoting and sustaining resilience and document case studies that illustrate the mitigation of disaster-related mental health consequences. PUBLIC HEALTH RELEVANCE: HERMES proposes to field test a training model and materials designed to build an integrated local capacity in black communities to respond to mental in the immediate aftermath of a disaster. The training is will prepare clinical providers and community- based organization leaders who have the relational advantage of insiders to mitigate the risk of longer term mental health consequences that result from disasters. HERMES, will further develop the model according to feasible results and collaborate with partners in implementing a train the trainer model. Follow up sessions will cover clinical treatment and planning skills building with a web-based Community of Practice containing multi- media exercises and information resources to support site clinical and community planning teams. This blended learning product will fill a growing market demand among response agencies and has promise for spinoffs in complementary areas. The resulting product is marketable as social capital building strategy that will increase the coordination and efficiency of mental services in low-resource disaster affected communities.