CORE--PRINCIPAL RESEARCH

核心--主要研究

• 批准号: 6833797
• 负责人: ENOLA K PROCTOR
• 金额: $ 22.31万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-01 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6833797
• 关键词: behavioral /social science research tag; biomedical facility; clinical research; health care cost /financing; health care policy; health care quality; health care referral /consultation; health care service availability; health care service evaluation; health care service planning; health disparity; health services research tag; human subject; interdisciplinary collaboration; medically underserved population; mental disorders; mental health services; preference; racial /ethnic difference; social service

The Principal Research Core (PRC) of the Center for Research to Improve Mental Health Care in the Social Services (C-RIMMS) will support the generation, implementation, and maturation of a research agenda that addresses the most pressing issues in current health policy: quality of mental health care, quality for vulnerable populations, and quality improvement through settings with the highest potential to reduce racial and ethnic disparities. Our practice and systems research will be conducted in partnership with social service agencies, where prevalence of mental disorder is high and the most vulnerable of clients predominate. Five proposed pilot studies will address three aims: (1) understand what constitutes quality of care for mental disorders in the social services from the perspective of key stakeholders; (2) within the context of competing demands, assess practice variation in quality of care and identify provider, client, and system ecostructure influences (including financing) on that variation; and (3) working "trench to bench and back to trench," develop and test a menu of quality improvements for mental health care in social service agencies. Led by muttidisciplinary teams, each pilot study will use resources of the Operations Core, employ mixed methods in sequence or concurrently, benefit from agency partnerships and stakeholder networks developed in the Research Network Development Core, and be informed by methods teams in the Research Methods Core. All pilots will lead to NIMH R01, R03, R21, and R34 grant proposals. The incorporation of"local knowledge" from setting-specific clients and contexts (i.e., payers, administrators, front-line providers, consumers, family members, mental health advocates) will guide our efforts to develop acceptable and durable quality improvements. Leveraging social service settings to reach and treat persons with mental disorder has high potential to ensure treatment to persons whose disorder currently goes undetected, to improve care for those now poorly served, and to reduce disparities in care. This agenda is highly responsive to priorities reflected in the President's New Freedom Commission Report on Mental Health, IOM Quality of Care, Surgeon General's and Bridging Science and Services reports.

研究中心的主要研究核心（PRC）改善社会服务中的心理保健（C-RIMMS）将支持一项研究议程的产生，实施和成熟，该研究议程解决了当前卫生保健中最紧迫的问题：易受欢迎的人群的质量，以及通过设置减少种族和种族差异的质量改善的质量，以及质量改善。我们的实践和系统研究将与社会服务机构合作进行，在这种社会服务机构中，精神障碍的患病率很高，并且最容易受到客户的影响。五个提议的飞行员 研究将解决三个目标：（1）从主要利益相关者的角度了解社会服务中精神障碍的护理质量； （2）在竞争需求的背景下，评估护理质量的实践差异，并确定提供商，客户和系统生态结构的影响（包括融资）； （3）在“沟槽到板凳上并返回沟渠”，开发和测试社会服务机构心理保健质量改进的菜单。每个试验研究 将使用操作核心的资源，按顺序或同时采用混合方法，从研究网络开发核心中开发的代理合作伙伴关系和利益相关者网络中受益，并由研究方法核心中的方法团队告知。所有飞行员将导致NIMH R01，R03，R21和R34赠款提案。从特定的客户和环境（即付款人，管理人员，前线提供商，消费者，家庭成员，心理健康倡导者）中纳入“本地知识”将指导我们为开发可接受且持久的质量改进的努力。利用社会服务设置到达和 治疗精神障碍的人具有很高的潜力，可以确保对目前未被发现的疾病的人进行治疗，以改善现在服务不善的人的护理，并减少护理方面的差异。该议程对总统新自由委员会关于心理健康，IOM护理质量，外科医生和桥接科学与服务报告的重点的反应高度敏感。