CENTER FOR RESEARCH ON SERVICE FOR SEVERE MENTAL ILLNESS

严重精神疾病服务研究中心

• 批准号: 2519719
• 负责人: DONALD Michael STEINWACHS
• 金额: $ 114.85万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-09-01 至 2000-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2519719
• 关键词: AIDS; adolescence (12-20); behavioral /social science research tag; community mental health services; comprehensive care; comprehensive medical planning; correctional institutions; employment /unemployment; health care cost /financing; health care policy; health care service evaluation; health care service organization; homeless; housing; human old age (65+); human subject; income maintenance; mental disorders; mental health organization; mental health services; outcomes research; patient care planning; psychiatric patient care; psychosocial rehabilitation; quality of life; regional medical planning

OVERALL DESCRIPTION: (Adapted from applicant's abstract): The Center under-takes research directed at identifying and evaluating innovative financing and organizational approaches to the care of individuals with severe mental illnesses (SMI). Priority is given to those options expected to have substantial impact on functional status and quality of life for persons with SMI, as well as those expected to improve efficiency of the care system. Core funding is directed toward pilot and developmental studies that are expected to lead to major research and demonstration initiatives for which new sources of funding are sought. Research objectives of the Center are directed at four policy relevant areas: Assess the impact of the course of severe mental illnesses, and their associated problems, on service needs and the patterns of treatment; assess the effectiveness and costs of alternative treatment approaches for persons with SMI which are based on treatment models with established efficacy or accepted practice, and develop and test quality of care criteria for matching treatment needs to services for patients with severe mental illnesses; examine the role of financing mechanisms as a means to encourage efficiency, assure access to appropriate care for the SMI, and provide incentives for enhancing patient outcomes, including dimensions of mental status, physical status, adequacy of living arrangements, and quality of life; and examine alternative organizational and system approaches for managing resources, coordinating services to persons with SMI, and evaluate their impact on utilization, housing general medical care, and resources including income support and payment for treatment and related services. The Center has pursued these objectives since 1987. During the next 5 years, two core research areas will be pursued: organization and finance research, and clinical services research. The Center represents a collaborative effort of the School of Hygiene and Public Health and School of Medicine of the Johns Hopkins University, and the Center for Mental Health Services Research of the Department of Psychiatry of the University of Maryland.

总体描述：（改编自申请人的摘要）：中心 开展旨在识别和评估创新的研究 照顾患有以下疾病的个人的融资和组织方法 严重精神疾病（SMI）。优先考虑这些选项 预计会对功能状态和质量产生重大影响 SMI 患者以及预计会改善的患者的生活 护理系统的效率。核心资金用于试点 和预计将导致重大研究的发展研究 以及新的资金来源的示范举措 寻求。该中心的研究目标针对四项政策 相关领域：评估严重精神疾病过程的影响 疾病及其相关问题、服务需求和 治疗模式；评估替代方案的有效性和成本 SMI 患者的治疗方法以治疗为基础 具有既定功效或公认实践的模型，并开发和 测试护理质量标准，以将治疗需求与服务相匹配 对于患有严重精神疾病的患者；审查融资的作用 机制作为鼓励效率、确保获得资源的手段 为 SMI 提供适当的照顾，并提供激励措施以提高 患者结果，包括精神状态、身体状况等维度 状况、生活安排的充足性和生活质量；和 研究替代的组织和系统管理方法 资源，协调为 SMI 患者提供的服务，并评估他们的情况 对利用率、住房一般医疗保健和资源的影响 包括收入支持以及治疗和相关服务的付款。 该中心自 1987 年以来一直致力于实现这些目标。在接下来的 5 年里 年，将开展两个核心研究领域：组织和 金融研究和临床服务研究。该中心代表 卫生与公共卫生学院的共同努力和 约翰霍普金斯大学医学院和中心 精神病学系心理健康服务研究 马里兰大学。