HSR&D Research Career Scientist Award

高铁

• 批准号: 10702023
• 负责人: Daniel Michael Blonigen
• 金额: --
• 依托单位: VETERANS ADMIN PALO ALTO HEALTH CARE SYS
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-10-01 至 2028-09-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10702023
• 关键词: Affect; Alcohol consumption; Applications Grants; Area; Award; Behavioral Sciences; Book Chapters; Caring; Chronic; Clinical Psychology; Collaborations; Criminal Justice; Doctor of Philosophy; Effectiveness; Foundations; Funding; Grant; Grant Review; Health; Health Services; Health Services Accessibility; Health Services Research; Healthcare; Healthcare Systems; Homelessness; Homogeneously Staining Region; Hybrids; Improve Access; Individual; Institution; Intervention; Journals; Justice; Letters; Manuals; Medical Care Costs; Mental Health; Mental Health Services; Mental disorders; Mentors; Methodology; Mission; Modeling; Outcome; Paper; Patients; Peer Review; Policies; Positioning Attribute; Primary Care; Protocols documentation; Psychiatry; Publications; Published Comment; Publishing; Quality of Care; Reporting; Research; Research Personnel; Review Committee; Risk; Risk Reduction; Role; Science; Scientist; Self Management; Services; Study Section; Suicide prevention; System; Tablets; Testing; Time; Training; United States National Institutes of Health; Universities; Veterans; Vulnerable Populations; Work; Writing; acute care; addiction; behavioral health; care systems; career; connected care; cost; editorial; effectiveness testing; effectiveness/implementation study; evidence base; improved; indexing; innovation; mHealth; medical schools; mobile application; multidisciplinary; patient population; peer; peer support; primary care patient; programs; recidivism; service utilization; substance use; virtual healthcare

Approximately 1 in 4 Veterans has a substance use or mental health disorder. Yet, the majority of these Veterans do not receive treatment for these problems. My VA research program aims is to develop innovations to improve access and engagement in substance use and mental health care for vulnerable populations, test if these innovations are effective, and facilitate their implementation. This work involves investigating the effectiveness and implementation potential of mobile health and peer-based interventions for Veterans who struggle with homelessness and/or cyclical involvement in the criminal justice system. Such research is critical to the VA’s mission, given that justice system involvement and homelessness disproportionately affect Veterans and increase risk for chronic health problems and use of high-cost services. Using a variety of sophisticated methodologies (e.g., hybrid trials, qualitative analysis), and in collaboration with multidisciplinary teams from institutions in and outside VA and operational partners in VA’s Homeless Program Office, Office of Mental Health and Suicide Prevention, and Office of Connected Care, my research contributions focus on: (1) improving treatment engagement and outcomes for justice-involved and homeless Veterans. My prior and future research in this area tests the effectiveness and implementation potential of interventions that aim to reduce risk for criminal recidivism and acute care service utilization in this high-need patient population; (2) evaluating virtual care services for Veterans with substance use and mental health disorders. My prior and future research in this area studies the scalability and implementation of mobile applications and video-enabled tablets to increase Veterans’ access to behavioral healthcare; (3) developing, testing, and implementing peer-supported mobile health interventions. To date, my research in this area has focused on developing and testing protocols for peers to support patients’ use of mobile apps for self-management of alcohol use and mental health problems. My future research will seek to advance implementation of this model of care into the continuum of behavioral health services for Veteran primary care patients. I have become a leader in these areas of research, as demonstrated by my peer-reviewed publications, grant funding, invited memberships on study sections for VA and NIH, editorial positions for leading addiction and mental health journals, and letters of support from non-VA colleagues. If I am fortunate enough to receive a Research Career Scientist award from VA HSR&D, I will devote my full-time effort to research, mentoring, and VA service activities as a distinguished leader on improving access and engagement in substance use and mental health care for vulnerable populations.

大约有4分之一的退伍军人患有药物使用或精神健康障碍。但是，其中大多数 退伍军人不接受这些问题的治疗。我的VA研究计划的目的是开发创新 为了改善对弱势群体的物质使用和精神保健的获取和参与，请测试是否 这些创新是有效的，并促进了它们的实施。这项工作涉及调查 移动健康和基于同伴的干预措施的有效性和实施潜力 与无家可归和/或在刑事司法系统中的无家可归和/或周期性参与斗争。这样的研究至关重要 鉴于司法系统的参与和无家可归的影响不成比例地影响VA的使命 退伍军人并增加了长期健康问题和使用高成本服务的风险。 使用各种复杂的方法（例如，混合试验，定性分析）和合作 来自弗吉尼亚州和外部机构的多学科团队以及VA无家可归者的运营合作伙伴 我的研究 贡献重点是：（1）改善涉及正义的治疗和结果 无家可归的退伍军人。我在此领域的先前和未来研究测试了有效性和实施 旨在减少犯罪累犯和急性护理服务利用风险的干预措施的潜力 高需求的患者人数； （2）评估用于使用物质使用的退伍军人的虚拟护理服务和 心理健康障碍。我在该领域的先前和未来研究研究可伸缩性和实施 移动应用程序和启用视频的平板电脑，以增加退伍军人获得行为医疗保健的机会； （3） 开发，测试和实施同伴支持的移动健康干预措施。迄今为止，我的 该领域的研究重点是为同龄人开发和测试协议，以支持患者使用 移动应用程序用于自我饮酒和心理健康问题。我未来的研究将寻求 将这种护理模型提前实施到资深人士行为卫生服务的连续性 初级保健患者。 正如我的同行评审出版物Grant所证明的那样，我已经成为这些研究领域的领导者 资金，邀请成员的VA和NIH成员资格，领导成瘾的编辑职位和 心理健康期刊和非VA同事的支持信。如果我很幸运能收到 VA HSR＆D的研究职业科学家奖，我将全职努力研究，心理和 VA服务活动是改善药物使用的获取和参与和参与的杰出领导者 弱势群体的心理保健。