CONTINUITY OF CARE & OUTCOME OF SEVERE MENTAL DISORDERS
护理的连续性
基本信息
- 批准号:2893834
- 负责人:
- 金额:$ 14.04万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:1999
- 资助国家:美国
- 起止时间:1999-09-01 至 2004-08-31
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
A five-year research and educational program is proposed to prepare the principal investigator a career in mental health services research with a focus on patients with severe mental disorders. The candidate's long-term research goal is to apply the rigorous methods and analytic tools of epidemiology in services research for these patient groups and to investigate the optimal approaches to their care, especially in the early phases of the illness. Such knowledge will be essential for planning empirically-based services for this population. The program has two major components: an educational plan and a research project. The educational plan involves course work in epidemiology, biostatistics and mental health services research. In addition a group of highly experienced experts in psychiatric epidemiology, mental health services research, early intervention and schizophrenia research will provide tutorials, supervision and consultation. The research and educational programs will be pursued at the Department of Psychiatry, Columbia University, in collaboration with researchers in a number of other institutions. The research project aims to investigate the impact of continuity of care on the course and outcome of the first admission patients with schizophrenia and affective psychoses. The impact of early treatment career on the subsequent course and outcome of psychotic of psychotic disorders has attracted much attention in recent years. This project focuses continuity of care which is an essential element of the early treatment career. Continuity of care is defined here as the degree to which the service system links episodes of treatment in a seamless whole. The impact of continuity of care on the short- and medium term course and outcome of patients in two samples will be examined: a) the Suffolk County Mental Health Project (SCMHP), an epidemiological longitudinal study of first admission psychotic patients in Suffolk County, New York, and b) the National Collaborative Study of Early Psychosis and Suicide (NCSEPS), a large- scale study of first admission patients with schizophrenia and affective psychoses among US military personnel with follow-up through VA services. The project has four specific aims, the first three pertain to the SCMHP sample and the fourth to the NCSEPS. The specific aims are, 1) to describe the treatment career of patients with schizophrenia and affective psychoses; 2) to study the impact of continuity of care in the early course of illness on the 24- and 48-month outcomes; 3) To determine whether the impact of continuity of care on outcomes is similar for different diagnostic groups; and 4) in the NCSEPS sample, toe examine the impact of discontinuity in the care of servicemen and -women who are admitted for the first time in the military hospitals with a diagnosis of schizophrenia or affective psychosis and are referred to the VA system for continuation of treatment after discharge.
提出了一项为期五年的研究和教育计划,以准备主要的研究者精神卫生服务研究职业,重点是严重的精神疾病患者。候选人的长期研究目标是将流行病学的严格方法和分析工具应用于这些患者群体的服务研究中,并研究其护理的最佳方法,尤其是在疾病的早期阶段。此类知识对于为该人群计划基于经验的服务至关重要。该计划有两个主要组成部分:一个教育计划和一个研究项目。该教育计划涉及流行病学,生物统计学和心理健康服务研究的课程。此外,一群经验丰富的精神病流行病学专家,心理健康服务研究,早期干预和精神分裂症研究将提供教程,监督和咨询。该研究和教育计划将在哥伦比亚大学精神病学系与许多其他机构的研究人员合作。该研究项目旨在研究第一个精神分裂症和情感精神病患者的过程和结果的连续性对过程和结果的影响。近年来,早期治疗职业对精神病精神病的过程和结果的影响引起了很多关注。该项目集中于护理的连续性,这是早期治疗职业的重要组成部分。护理的连续性在这里定义为服务系统将治疗情节链接在无缝整体中的程度。护理连续性对两个样本中患者的短期和中期病程的影响:a)萨福克郡心理健康项目(SCMHP),这是一项对萨福克县首次入院精神病患者的流行病学纵向研究纽约和b)关于早期精神病和自杀的国家合作研究(NCSEPS),这是一项大规模研究,对通过VA服务进行随访的美国军事人员中的第一次入院患者和情感精神病。该项目具有四个特定的目标,前三个与SCMHP样本有关,第四个与NCSEP有关。具体目的是:1)描述精神分裂症和情感精神病患者的治疗职业; 2)研究疾病早期护理的连续性对24个月和48个月的结局的影响; 3)确定护理连续性对不同诊断组的结果的影响是否相似; 4)在NCSEPS样本中,脚趾检查了在军事医院首次被诊断出精神分裂症或情感精神病的军人和妇女在护理中的不连续性的影响出院后的治疗。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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RAMIN MOJTABAI其他文献
RAMIN MOJTABAI的其他文献
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8436420 - 财政年份:2013
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8642672 - 财政年份:2013
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CONTINUITY OF CARE & OUTCOME OF SEVERE MENTAL DISORDERS
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6185450 - 财政年份:1999
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$ 14.04万 - 项目类别:
CONTINUITY OF CARE & OUTCOME OF SEVERE MENTAL DISORDERS
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6528089 - 财政年份:1999
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$ 14.04万 - 项目类别:
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