一个多部门的社区参与的协作精神健康整合在初级保健和住房开发:一个阶梯随机对照试验 (哈莱姆强计划) 的协议
Victoria K Ngo1,2, Thinh T Vu3,4, Deborah Levine5
1Center for Innovation in Mental Health, Graduate School of Public Health and Health Policy, The City University of New York, NY, New York, USA.
这项研究评估了多部门社区参与的合作伙伴在低收入住房中的任务共享心理健康护理. 调查结果将为非医疗环境中可持续,公平的心理健康整合提供信息.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
背景情况:
- 解决COVID-19后的心理健康差异需要适应性,多部门和社区战略.
- 在非医疗环境中,如低收入住房 (LIH),任务共享精神卫生保健在美国未得到充分利用.
- 这项研究通过评估社区参与的精神健康任务共享协作来解决这一差距.
研究的目的:
- 评估一个多部门社区参与的协作,共享任务的精神健康护理的有效性.
- 评估不同任务共享策略的消费者,提供商和实施结果.
- 确定在LIH环境中实施心理健康任务共享的障碍和促进者.
主要方法:
- 一个步骤的随机对照试验,在20个LIH和初级保健站点进行技术补充.
- 三个实施策略:教育和资源 (E&R),多部门社区协作护理 (MCC) 和MCC + 技术.
- 主要结果包括满足消费者需求和增加获得护理的机会 (reach);次要结果包括消费者福祉和实施因素.
主要成果:
- 假设MCC和MCC+技术条件将显示出比E&R更高的疗效.
- 预计MCC + 技术将在心理健康任务中产生与单独MCC相比的显著更高的覆盖范围.
- 该研究旨在证明可行性,并提供可持续的,社区范围内的心理健康解决方案.
结论:
- 该研究将证明将精神卫生保健整合到可访问的非医疗社区环境中的可行性.
- 结果将支持一个多层次的系统解决方案,持续,全社区的心理健康护理.
- 结果将指导实施公平的,社区参与的心理健康任务共享模式.
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