Intervention for Multisector Provider Enhancement

加强多部门提供者干预

• 批准号: 6859069
• 负责人: Arlene Rubin Stiffman
• 金额: $ 16.11万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-04-01 至 2008-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6859069
• 关键词: child mental health service; child welfare; clinical research; computer program /software; decision making; human subject; social service

DESCRIPTION (provided by applicant): Although expected to serve as gateway providers in referring or helping access mental health services for youth and their parents, child welfare providers often lack the resources and knowledge to do so. Failure to identify the mental health or addiction problems of high-risk youth and refer youths for needed service is a pressing public health concern, one that public social service agencies are uniquely positioned to address. This IMPROVE (Intervention for Multisector Provider Enhancement) study responds to PAR-03-078 for R34 proposals, and fits the criteria for an R34 stage-three intervention development research project. It will refine a decision support intervention to increase social service providers' provision of mental health care, examine the feasibility of the intervention in terms of its impact on the process of care, develop an initial body of data concerning the impact of the intervention preparatory to an R01 national study, and explore the ability to access service use information through state Medicaid and Department of Mental Health billing data on the youthful clients and their parents. The intervention, a computerized program housed in a handheld, will aid workers in providing clients access to appropriate mental health and social services through referral. It is based on the Gateway Provider Model (Stiffman, Pescosolido, & Cabassa, in press), which addresses decision-making and organizational factors that may assist or obstruct service provision. This research benefits from the support of Washington University's NIMH funded Center for Mental Health Service Research, and NIDA funded Comorbidity and Addictions Center. The investigative team has expertise in multisector service provision (Stiffman), analysis of Medicaid, Department of Mental Health, and child welfare data sets (Drake), interventions with Child Welfare (Auslander), computer-based decision-making systems (Carise), decision theory and human factor research (Gustafson), network episode theory (Pescoso]ido), qualitative methods (Ware), and organization assessment in Child Welfare (Glisson). IMPROVE also represents a consortium between the Division of Family Services (Thompson), and Washington University (Stiffman).

描述（由申请人提供）：尽管预计将在推荐或帮助青年及其父母的心理健康服务方面充当门户提供者，但儿童福利提供者通常缺乏这样做的资源和知识。未能确定高风险青年的心理健康或成瘾问题，并将青年推荐给所需的服务是一个紧迫的公共卫生问题，这是公共社会服务机构独特地解决的问题。这项改进（对多部门提供商增强的干预措施）研究对R34提案的PAR-03-078响应，并符合R34阶段三级干预开发研究项目的标准。它将完善决策支持干预措施，以增加社会服务提供者的精神保健提供，检查干预措施对其对护理过程的影响的可行性，开发有关R01国家研究的干预措施的最初数据主体，并通过国家医疗补助和年轻的客户及其年轻的客户及其年轻客户及其年轻客户及其年轻客户及其访问服务的能力。干预措施是一项计算机化计划，该计划将安置在手持式中，将帮助工人通过转诊为客户提供适当的心理健康和社会服务。它基于Gateway提供商模型（Firfman，Pescosolido和Cabassa，印刷中），该模型解决了可能有助于或阻碍服务提供的决策和组织因素。这项研究受益于华盛顿大学NIMH资助的精神卫生服务研究中心的支持，NIDA资助了合并症和成瘾中心。调查团队在多部门服务提供（Stixpman），医疗补助分析，心理健康部和儿童福利数据集（DRAKE）方面具有专业知识（Glisson）。改善还代表了家庭服务部（汤普森）和华盛顿大学（Stiffman）之间的一个财团。