YOUTHS' ACCESS TO MENTAL HEALTH SERVICES: A CAREER AWARD

青少年获得心理健康服务：职业奖

• 批准号: 6528098
• 负责人: Arlene Rubin Stiffman
• 金额: $ 11.71万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-08-04 至 2005-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6528098
• 关键词: Medicare /Medicaid; adolescence (12-20); child welfare; clinical research; health care service availability; health care service utilization; health services research tag; human subject; juvenile delinquency; managed care; mental health services

DESCRIPTION (Applicant's abstract): Knowledge of youths' access to mental health services is an underdeveloped, but nationally important, issue that will impact the way youths' services are funded and provided. This research career proposal addresses youths' entry into and pathways through mental health services provided by both specialty and nonspecialty sectors (mental health, public health, child welfare, juvenile justice, education, and drug and alcohol). To date, services research has neglected the role of social workers and nonspecialty mental health professionals in the provision of mental health services. A K02 Award will allow Dr. Stiffman the time to build upon her previous work, adding breadth to its significant contributions in this area. The research will test hypotheses with data from ongoing studies and address knowledge needed to provide better access to mental health services in multiple service sectors. The hypotheses relate to service access; the role of the gateway provider, and Medicaid/managed care: 1. Youths' use of services for their mental heath problems is determined by: their need, their predisposing characteristics, and service enabling characteristics; 2. Youths' access to services for their mental health problems is determined by: their need as perceived by gateway providers; and those gateway providers' resources, service connections, and service knowledge; 3. The use of specialty mental health services is positively associated with the availability and accessibility of Medicaid and managed care reimbursed services. This study will also explore service access questions about which too little is yet known to frame specific hypotheses, but which are important to improving access and delivery of services. During the K02, exploratory analyses will help frame these as hypotheses for new studies: 1.) What are the multisector configurations of services and their complementary or supplementary relationships?; 2.) What is the relationship of problem persistence to service configuration change over time? and; 3.) What is the relationship of barriers (which will change over time) to changes in service configurations?

描述（申请人的摘要）： 了解年轻人获得心理健康服务的知识是不发达的，但是 在全国范围内，将影响青年服务方式的问题 资助并提供。这项研究职业建议涉及年轻人进入 以及通过专业和专业提供的心理健康服务的途径 非专业部门（心理健康，公共卫生，儿童福利，少年 正义，教育，毒品和酒精）。迄今为止，服务研究有 忽略了社会工作者和非专业心理健康的角色 提供精神卫生服务的专业人士。 K02奖将 允许斯蒂夫曼博士的时间在她以前的工作上建立，并将其添加到 它在这一领域的重要贡献。该研究将检验假设 借助正在进行的研究和解决知识的数据，以提供更好的知识 在多个服务部门获得心理健康服务。 该假设与服务访问有关；网关提供商的角色，以及 医疗补助/托管护理： 1。青年人将服务用于精神卫生问题的使用是由以下方式确定的： 他们的需求，诱人的特征以及启用服务 特征; 2。确定年轻人为心理健康问题提供服务 作者：网关提供商所感知的需求；那些网关提供商的 资源，服务连接和服务知识； 3。专业心理健康服务的使用正相关 医疗补助和托管护理的可用性和可访问性报销 服务。 这项研究还将探索服务访问问题，关于哪个太少 但已知以框架特定的假设，但对于改善很重要 访问和交付服务。在K02期间，探索性分析将有助于 将这些作为新研究的假设框架：1。）多部门是什么 服务的配置及其补充或补充 关系？ 2.）问题持续与服务的关系是什么 配置会随着时间而变化？和; 3.）障碍的关系是什么 （随着时间的推移会改变）到服务配置的变化？