INCOME MAINTENANCE DEPENDENCE & SERVICE SYSTEM USE: II

收入维持依赖

• 批准号: 3378379
• 负责人: SUE E ESTROFF
• 金额: $ 20.03万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 1986
• 资助国家: 美国
• 起止时间: 1986-05-01 至 1993-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3378379
• 关键词: chronic disease /disorder; disability insurance; disabling disease; health care service utilization; human population study; human subject; income maintenance; interview; mental disorders; mental health services; psychosocial rehabilitation; self help; social service; social support network; substance abuse related disorder; tardive dyskinesia; violence; young adult human (21-34)

In this proposed continuation of a longitudinal cohort study of persons early in their careers with severe, persistent mental illnesses, we will extend, refine, and expand upon the current investigation of' resistance or concession to chronicity, and pathways to disability, income application and receipt. The focus of this inquiry is the constellation of clinical, social, and service system factors that in complex interaction influence profoundly the life and illness courses of individuals with enduring psychiatric disorders. The specific purposes of the study are: 1) Extending the follow up period from two to five years for the 165 individuals currently comprising the study cohort; 2) Recruiting 120 new subjects, using the same criteria, procedures, and protocols to expand the sample, and to be followed for an initial period of three years; 3) Testing sociometrically and psychometrically and refining the instruments and methods developed for and in use in the current study; 4) Adding protocols for assessing alcohol and drug use, tardive dyskinesia, and violence towards others to the survey instruments, and obtaining an independent DSM III-R diagnosis for all study participants; 5) Initiating a comparative analysis on common key variables with two comparable cohorts assembled by two different investigators in two different service system settings; and 6) Developing further a conceptual and theoretical framework for understanding how clinical, social, and service system factors may contribute to the development of chronicity and disability on one end of the spectrum or to recovery and rehabilitation on the other, with fluctuations and variations in course in between. The investigation examines in the prospective, longitudinal mode, the unfolding, disrupted biographies of individuals with potentially disabling mental illnesses, assessing their adaptations and explanations about themselves and their disorders. Relatives and significant others are also interviewed in order to assess their roles in the disability income process and their contributions to the patients' daily lives.

在这一拟议的继续纵向队列研究的人 在他们职业生涯的早期，患有严重的，持续的精神疾病，我们将 在当前对“抵抗”的研究基础上进行扩展、提炼和扩展 或对慢性病的让步，以及残疾的途径，收入申请 和收据。 本次调查的重点是临床， 社会和服务系统因素，在复杂的相互作用的影响 深刻的生命和疾病的过程中，个人与持久的 精神疾病 研究的具体目的是：1） 将165例患者的随访期从2年延长至5年 目前组成研究队列的个体; 2）招募120名新的 主题，使用相同的标准，程序和协议，以扩大 样本，并将在三年的初始期内进行跟踪; 3）测试 从社会测量学和心理测量学的角度， 为当前研究开发和使用的方法; 4）添加方案 用于评估酒精和药物使用，迟发性运动障碍， 对其他人的调查工具，并获得一个独立的DSM 针对所有研究参与者的III-R诊断; 5）启动比较 对两个可比队列的共同关键变量进行分析， 在两个不同的服务系统设置中的两个不同的调查员;以及 6)进一步发展概念和理论框架， 了解临床、社会和服务系统因素如何可能 有助于慢性病和残疾的发展， 频谱或恢复和康复， 波动和变化之间的过程。 调查 以前瞻性的、纵向的模式来审视， 有潜在致残性精神疾病的个人传记， 评估他们的适应和解释自己和他们的 紊乱 亲属和重要的其他人也接受采访， 评估他们在残疾收入过程中的作用， 为患者的日常生活做出贡献。