HIV Care for Substance Users with Psychiatric Disorders

对患有精神疾病的药物使用者的艾滋病毒护理

基本信息

批准号：
7493973
负责人：
SETH S HIMELHOCH
金额：
$ 17.78万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-01 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7493973
关键词：
AIDS/HIV problem Accident and Emergency department Acquired Immunodeficiency Syndrome Acute Address African American Alcohol or Other Drugs use Appendix Applications Grants Award Baltimore Belief Biometry Caring Case Management Charities Chemicals Cities Clinic Clinical Trials Clinical Trials Design Cognitive Collaborations Communities Condition Contracts Data Databases Development Diagnostic Disease Effectiveness of Interventions Ensure Extramural Activities Feasibility Studies Female Gender General Population Goals Grant HIV HIV Infections Health Health Services Healthcare Highly Active Antiretroviral Therapy Homelessness Hospitalization Improve Access Individual Inpatients Intervention Lead Length of Stay Letters Longitudinal Studies Maryland Medical Mental Health Mental disorders Mentally Ill Persons Mentored Research Scientist Development Award Mentors Methodology Minority Morbidity - disease rate National Institute of Drug Abuse National Institute of Mental Health National Institute on Alcohol Abuse and Alcoholism Neighborhoods Outcome Outpatients Paranoia Patients Pattern Perception Persons Population Prevalence Process Psychosocial Factor Qualitative Methods Race Rate Reliance Reporting Request for Proposals Research Research Personnel Research Project Grants Research Proposals Research Training Risk Secure Services Social support Substance Use Disorder Substance abuse problem Symptoms System Testing Time Title Training Transportation Uninsured base care systems career community based participatory research design dual diagnosis effectiveness trial health care service utilization improved mortality patient oriented programs residence severe mental illness social skills symposium

项目摘要

DESCRIPTION (provided by applicant): This proposal outlines an integrated training and research program for a NIDA K23 Mentored Research Scientist Development Award. Dr, Himelhoch's long-term goal is to become an academic health services researcher studying access, provision and outcomes of HIV related medical care for HIV+ individuals with co-occurring psychiatric and substance disorders. A crucial challenge is to find effective ways to help individuals with co-occurring psychiatric and substance disorders successfully access and coordinate HIV related health care. To address this challenge, key HIV stakeholders in the City of Baltimore have proposed the development of a case-management intervention that may help these individuals better access and coordinate their HIV related health care. My immediate career goal then is to partner with these stakeholders using a community based participatory framework to help develop and then study the feasibility of using this case-management intervention. The training plan includes didactic coursework in advanced biostatistics, design of clinical trials, qualitative methods, and tutorials in community based participatory research, feasibility and effectiveness trials and case management interventions. This training plan will be integrated with three mentored research projects. First, a longitudinal study using data from the HIV Research Network Database will be used to study patterns of HIV related health care utilization to help identify potential factors that may be targeted in the community-based intervention. Second, a qualitative study will be employed to investigate the patient's perspective as it relates to obstacles to receiving HIV related medical care. This study will help ensure that relevant patient centered information is not excluded from the design process. Third, a pilot feasibility study using the final case management approach will be studied. If the results of these studies suggest the case management intervention is feasible it will inform the subsequent development of an extramural grant proposal aimed at studying the effectiveness of this intervention.

描述（由申请人提供）：该提案概述了 NIDA K23 指导研究科学家发展奖的综合培训和研究计划。 Himelhoch 博士的长期目标是成为一名学术健康服务研究员，研究针对同时患有精神疾病和物质障碍的 HIV + 个体的 HIV 相关医疗服务的获取、提供和结果。一个关键的挑战是找到有效的方法来帮助患有精神疾病和物质障碍的人成功获得和协调艾滋病毒相关的医疗保健。为了应对这一挑战，巴尔的摩市的主要艾滋病毒利益相关者提议制定病例管理干预措施，以帮助这些人更好地获得和协调与艾滋病毒相关的医疗保健。我的近期职业目标是使用基于社区的参与框架与这些利益相关者合作，帮助开发并研究使用这种案例管理干预措施的可行性。培训计划包括高级生物统计学的教学课程、临床试验设计、定性方法以及基于社区的参与性研究、可行性和有效性试验以及病例管理干预的教程。该培训计划将与三个指导研究项目相结合。首先，使用艾滋病毒研究网络数据库数据进行的纵向研究将用于研究艾滋病毒相关医疗保健利用模式，以帮助确定社区干预措施中可能针对的潜在因素。其次，将采用定性研究来调查患者对接受艾滋病毒相关医疗护理的障碍的看法。这项研究将有助于确保以患者为中心的相关信息不被排除在设计过程之外。第三，将研究使用最终案例管理方法的试点可行性研究。如果这些研究的结果表明病例管理干预措施是可行的，它将为随后制定旨在研究该干预措施有效性的校外拨款提案提供信息。