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Detecting and Addressing Bulimia Nervosa in Adolescent Girls through Local Community Service Boards

Award Number: ASTWH220109
ORGANIZATION: OFFICE ON WOMEN'S HEALTH
OPDIV: DHHS/OS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: DEMONSTRATION
PERIOD OF PERFORMANCE START DATE: 09/30/2022
PERIOD OF PERFORMANCE END DATE: 09/29/2025

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Detecting and Addressing Bulimia Nervosa in Adolescent Girls through Local Community Service Boards - Bulimia nervosa (BN) onsets in adolescence, impacts adolescent girls at increased rates relative to boys, and is associated with significant mental health comorbidities and increased risk for medical complications and mortality. BN occurs at equivalent rates across all demographic groups in the United States, and sexual minority adolescents are at increased risk relative to heterosexual peers. The significant barriers to evidence based treatment for BN are increased for historically marginalized adolescents. Restrictions related to the COVID-19 pandemic exacerbated risk for BN in adolescent girls. The goals of this project are to improve the detection of BN, intervention for BN, and implement sustainable strategies for detection and intervention in Fairfax County VA following increased need after the pandemic restrictions. Our research team has expertise in the etiology and treatment of BN (Dr. Fischer), in adolescent treatment development and implementation (Dr. Esposito-Smythers), and in culturally responsive assessment, treatment engagement, and implementation (Dr. Sanchez). We have already established a strong, collaborative community partnership with our stakeholders (Healthy Minds Fairfax, (including administrators and clinicians at our community mental health centers) the Fairfax Consortium for Evidence Based Practice, Project Echo, and Fairfax County Public Schools) over the past five years and thus are poised to begin work on providing evidence based assessment and intervention for BN to the underserved adolescents in our community. Our approach is consistent with a deployment focused intervention development model, in which we will collaborate with our community partners to develop and implement our detection, assessment, and intervention strategies directly within their systems of care serving historically marginalized adolescent girls. Our primary intervention for risk factors and symptoms of BN is a cognitive behavioral transdiagnostic treatment adapted for use in community mental health centers. After further developing outreach, assessment, and intervention materials with our partners, we will compare the effectiveness of the intervention to usual care within our community mental health centers. In the final phase of the project, we will work with partners to create a plan for sustainable implementation.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2024	GEORGE MASON UNIVERSITY	4400 UNIVERSITY DR	FAIRFAX	VA	22030	FAIRFAX CITY	USA	Advancing System Improvements for Key Issues in Women's Health	01	3	3/4/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	GEORGE MASON UNIVERSITY	4400 UNIVERSITY DR	FAIRFAX	VA	22030	FAIRFAX CITY	USA	Advancing System Improvements for Key Issues in Women's Health	01	3	3/4/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $410,538 )
2024	2024	GEORGE MASON UNIVERSITY	4400 UNIVERSITY DR	FAIRFAX	VA	22030	FAIRFAX CITY	USA	Advancing System Improvements for Key Issues in Women's Health	00	3	9/20/2024	NON-COMPETING CONTINUATION	$410,538
2024	2023	GEORGE MASON UNIVERSITY	4400 UNIVERSITY DR	FAIRFAX	VA	22030	FAIRFAX CITY	USA	Advancing System Improvements for Key Issues in Women's Health	01	2	12/8/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	GEORGE MASON UNIVERSITY	4400 UNIVERSITY DR	FAIRFAX	VA	22030	FAIRFAX CITY	USA	Advancing System Improvements for Key Issues in Women's Health	00	3	9/20/2024	NON-COMPETING CONTINUATION	$0
2024	2022	GEORGE MASON UNIVERSITY	4400 UNIVERSITY DR	FAIRFAX	VA	22030	FAIRFAX CITY	USA	Advancing System Improvements for Key Issues in Women's Health	01	2	12/8/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $410,538

Issue Date FY: 2023 ( Subtotal = $441,489 )
2023	2023	GEORGE MASON UNIVERSITY	4400 UNIVERSITY DR	FAIRFAX	VA	22030	FAIRFAX CITY	USA	Advancing System Improvements for Key Issues in Women's Health	00	2	9/21/2023	NON-COMPETING CONTINUATION	$441,489
														Subtotal = $441,489

Issue Date FY: 2022 ( Subtotal = $485,490 )
2022	2022	GEORGE MASON UNIVERSITY	4400 University Dr	Fairfax	VA	22030	FAIRFAX CITY	USA	Advancing System Improvements for Key Issues in Women's Health	00	1	9/12/2022	NEW	$485,490
														Subtotal = $485,490

Grand Total All Awards = $1,337,517

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Detecting and Addressing Bulimia Nervosa in Adolescent Girls through Local Community Service Boards

Award Number: ASTWH220109

ORGANIZATION: OFFICE ON WOMEN'S HEALTH

OPDIV: DHHS/OS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: DEMONSTRATION

PERIOD OF PERFORMANCE START DATE: 09/30/2022

PERIOD OF PERFORMANCE END DATE: 09/29/2025

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