Resiliency Education to Reduce Depression Disparities

Abstract: Depression is the leading cause of adult disability and common among lesbian, gay, bisexual (LGB) adults. Primary care depression quality improvement (QI) programs can improve outcomes for minorities more significantly than for nonminorities, but they are seldom available in safety-net systems. We build on findings from Community Partners in Care (CPIC) and Building Resiliency and Increasing Community Hope (B-RICH). CPIC compared depression QI approaches across healthcare and social /community services in communities of color. CPIC included healthcare and “community-trusted” programs (e.g., homeless, faithbased) to work as a network to address depression, compared to individual-program technical assistance. In CPIC, both conditions improved mental wellness, mental health quality of life, and depression over 12 months. B-RICH, a randomized study, evaluated lay delivery of a seven-session, CBTinformed resiliency education class versus case management on patients’ depressive symptoms over three months, in unpublished but completed analyses. The proposed demonstration supplements the resiliency class with a mobile/interactive voice response case management tool to reinforce class content and depression care reminders (BRICH+).

 

HIV Prevention Capacity Building Assistance and Technical Assistance for Community-Based Organizations and Health Departments

This CDC-funded project is a collaboration between AIDS Project Los Angeles (APLA) and CHIPTS aimed to deliver capacity building assistance (CBA) services to community based organizations (CBOs) and health departments in the areas of (1) organizational infrastructure and program sustainability, (2) evidence based interventions and public health strategies, and (3) monitoring and evaluation.

The project will provide a wide range of CBA services to CBOs, including individually-tailored CBA (ICBA) services to address specific HIV prevention programmatic needs for organizations serving racial and ethnic minority communities and other high risk populations. The project will conduct an individual CBA needs assessment as the foundation of ICBA services, through which we will jointly develop an action plan with the CBO to address identified needs.

ICBA services may include: individualized technical assistance and consultation; skills building trainings (both inperson and web-based formats); web seminars; information transfer and technology transfer through the broad dissemination of technical information; participation in an online discussion forum to promote peer-to-peer sharing of best practices; and promotion of program collaboration and service integration across public health initiatives. In addition, the project will implement similar CBA services to health departments as it does to CBOs. However, we will tailor information and materials, skills building trainings, web seminars, etc. to address the unique needs and problems of health departments. The project will also work closely with health departments to provide training in the evaluation of community planning methodologies. We also propose to collaborate with other CBA providers to develop a Professional Development Certificate Program for health department staff, ensuring a basic level of knowledge across all four component areas.

For more information, please visit the Shared Action website at www.sharedaction.org.

HIV Technology Transfer in Los Angeles

The aims of the HIV Technology Transfer in Los Angeles project are to document and develop resources for technology transfer among HIV/AIDS community-based organizations (CBOs) serving Los Angeles communities. Several CBOs have publicly commented on the gap between current mandates to implement and evaluate evidence-based HIV interventions and the resources that are available to meet these requirements. A long-term objective is to share CBOs insights into using science-based interventions and to increase the training, materials and other resources they need to carry out HIV prevention. CHIPTS and the City of Los Angeles AIDS Coordinator (ACO) seek to assist CBOs in meeting these objectives. The potential impact of the study is enhanced implementation of evidence-based interventions in Los Angeles and throughout California.

The process of adapting evidence-based interventions into CBO settings is known as technology transfer. The Technology Transfer Model (TTM) outlines three primary phases of this process: pre-implementation, implementation, maintenance and evolution. The pre-implementation phase consists of identifying the need for an intervention, acquiring information, assessing the fit between an intervention and the goals and activities of the organization, and preparing the organizational staff. Implementation includes obtaining technical assistance and conducting process evaluation of the interventions. Finally, maintenance and evolution includes ensuring the presence of staff that can continue to implement the intervention, organizational change, and program evolution.

CBO staff who have been involved in the three phases of technology transfer can offer rich insights on best practices and lessons learned in their communities. Up to 18 science-based programs have been or are being implemented in Los Angeles. Up to two staff from each of these programs are eligible to participate (N = 36). Eligible participants for this study completed close-ended background surveys regarding their organization’s characteristics and were interviewed for up to 90 minutes. Participants were paid $30 for each interview completed. Interviews were conducted twice with staff from these programs. The first wave of interviews asked about pre-implementation and implementation phases of technology transfer. The second wave of interviews, scheduled when many of the programs finished at least one cycle of implementation, asked about maintenance and evolution. Surveys were summarized and used to describe the general organizational characteristics of CBOs using evidence-based programs. Interviews were transcribed, coded and analyzed for techniques, challenges, strategies, and resources used or needed by the CBOs.

Interventions, Training Manuals, etc. :

  1. HIV Technology Transfer in LA (developing resources for technology transfer among HIV/AIDS community-based organizations)- Interview Questions
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