Despite evidence that school mental health can enhance access to care for students from marginalized racial/ethnic groups, disparities remain in the appropriateness, quality, effectiveness, and outcomes of school mental health services. Implementation strategies hold some promise for addressing the disparities that emerge as result of inequitable implementation of mental health services. However, without explicitly examining implementation strategies through an equity lens, it is unclear the extent to which they will promote equitable implementation or student outcomes. Thus, the goal of the current paper is to describe the Adapting Strategies to Promote Implementation Reach and Equity framework, a generalizable process for adapting implementation strategies to explicitly center the goal of reducing disparities in implementation and service recipient outcomes. We outline a three-step process for incorporating an equity lens into implementation strategies and provide examples of how this framework can be applied to implementation strategies in school mental health. We also discuss examples of projects where implementation strategies were intentionally paired with school mental health programs to enhance racial equity. Implications and recommendations for school mental health and implementation research and practice are discussed.

中文翻译：

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调整策略以促进学校心理健康服务的实施范围和公平性 (ASPIRE)

尽管有证据表明学校心理健康可以增加边缘化种族/民族学生获得护理的机会，但学校心理健康服务的适当性、质量、有效性和结果仍然存在差异。实施策略有望解决因精神卫生服务实施不公平而出现的差异。然而，如果没有通过公平的视角明确检查实施策略，它们将在多大程度上促进公平实施或学生成果尚不清楚。因此，本论文的目标是描述促进实施范围和公平框架的适应策略，一个可概括的过程，用于调整实施策略，以明确以减少实施和服务接受者结果差异的目标为中心。我们概述了将公平视角纳入实施策略的三步过程，并提供了如何将该框架应用于学校心理健康实施策略的示例。我们还讨论了实施策略有意与学校心理健康计划配对以增强种族平等的项目示例。讨论了对学校心理健康和实施研究和实践的影响和建议。我们概述了将公平视角纳入实施策略的三步过程，并提供了如何将该框架应用于学校心理健康实施策略的示例。我们还讨论了实施策略有意与学校心理健康计划配对以增强种族平等的项目示例。讨论了对学校心理健康和实施研究和实践的影响和建议。我们概述了将公平视角纳入实施策略的三步过程，并提供了如何将该框架应用于学校心理健康实施策略的示例。我们还讨论了实施策略有意与学校心理健康计划配对以增强种族平等的项目示例。讨论了对学校心理健康和实施研究和实践的影响和建议。