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满足未满足的心理健康和药物滥用需求:基层社区机构、信仰组织、服务提供者和学术机构之间的合作规划努力。

Addressing unmet mental health and substance abuse needs: a partnered planning effort between grassroots community agencies, faith-based organizations, service providers, and academic institutions.

机构信息

RAND Corporation, 1776 Main Street, PO Box 2138; Santa Monica, CA 90407, USA.

出版信息

Ethn Dis. 2011 Summer;21(3 Suppl 1):S1-107-13.

Abstract

OBJECTIVE

To conduct a process evaluation of the Restoration Center Los Angeles, a community-academic partnered planning effort aimed at holistically addressing the unmet mental health and substance abuse needs of the Los Angeles African American community.

DESIGN

Semi-structured interviews with open-ended questions on key domains of partnership effectiveness were conducted with a random stratified sample of participants varying by level of involvement.

PARTICIPANTS

Eleven partners representing grassroots community agencies, faith-based organizations, service providers, and academic institutions.

MEASURES

Common themes identified by an evaluation consultant and partners relating to partnership effectiveness, perceived benefits and costs, and future expectations.

RESULTS

Findings underscore the importance of considering the potential issues that may arise with the increasing diversity of partners and perspectives. Many of the challenges and facilitating factors that arise within academic-community partnerships were similarly experienced between the diverse set of community partners. Challenges that affected partnership development between community-to-community partners included differences in expectations regarding the final goal of the project, trust-building, and the distribution of funds. Despite such challenges, partners were able to jointly develop a final set of recommendations for the creation of restoration centers, which was viewed as a major accomplishment.

CONCLUSIONS

Limited guidance exists on how to navigate differences that arise between community members who have shared identities on some dimensions (eg, African American ethnicity, Los Angeles residence) but divergent identities on other dimensions (eg, formal church affiliation). With increasing diversity of community representation, careful attention needs to be dedicated to not only the development of academic-community partnerships but also community-community partnerships.

摘要

目的

对洛杉矶修复中心进行过程评估,这是一个社区-学术合作的规划工作,旨在全面满足洛杉矶非裔美国人社区未满足的心理健康和药物滥用需求。

设计

对参与程度不同的随机分层参与者样本进行了半结构式访谈,访谈内容涉及伙伴关系有效性的关键领域,并采用开放式问题。

参与者

11 位代表基层社区机构、信仰组织、服务提供商和学术机构的合作伙伴。

措施

评估顾问和合作伙伴共同确定的与伙伴关系有效性、感知收益和成本以及未来期望相关的共同主题。

结果

研究结果强调了考虑合作伙伴和观点日益多样化可能带来的潜在问题的重要性。许多在学术-社区伙伴关系中出现的挑战和促进因素也在多样化的社区伙伴之间经历过。影响社区间伙伴关系发展的挑战包括对项目最终目标、建立信任和资金分配的期望差异。尽管存在这些挑战,但合作伙伴能够共同制定创建修复中心的最终建议,这被视为一项重大成就。

结论

关于如何应对在某些方面具有共同身份(例如非裔美国人种族、洛杉矶居民)但在其他方面具有不同身份(例如正式教会隶属关系)的社区成员之间出现的差异,现有的指导有限。随着社区代表性的多样性不断增加,不仅需要关注学术-社区伙伴关系的发展,还需要关注社区-社区伙伴关系。

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