MENTAL HEALTH SERVICES RESEARCH CENTER

这是一个建立一个研究中心的建议， 组织和资助对严重精神病患者的护理。 本中心的宗旨是促进研究，服务于 为严重精神病患者提供护理的系统。 中心 将特别关注农村和小城镇的护理系统， 城市环境。 将通过三个方面促进研究 独立但高度相关的努力：1）支持个人 研究人员，研究人员网络，以及必要的研究 基础设施，2）建立一个护理数据库， 严重精神病患者，以及3）促进具体的研究项目 特殊问题和人群。 对研究人员的支持，研究人员之间的网络， 研究基础设施将完成， 关于服务提供问题，组织跨学科研究 工作组、分发新闻稿材料、支持预印本 和专著系列，就选定的问题举办小型年度会议， 如农村护理系统的主题，邀请访问学者 到该中心，促进该地区的图书馆采购， 扩大计算能力，提供培训， 在三个国家精神卫生研究所接受精神卫生服务培训的机会 资助的项目。 护理数据库将提供解决关键问题的机会 提供服务的理论问题，使用九个国家的数据， 威斯康星州县系统。 这种自然主义的、非实验性的数据 基础将围绕县和医疗补助支出的数据建立， 专业心理健康治疗服务，患者结果，以及 服务系统特征（系统结构特征， 行政程序和融资机制）。 它将 包含约3000名慢性男性的多年经验数据- 生病的病人。 这些数据的次要分析将 推进 将鼓励特殊问题/人口研究项目 通过援助试点研究、可行性研究、与 Care数据库，并帮助撰写提案， 为后续重大研究提供更多资源。 研究课题 应鼓励和支持的包括家庭应对和负担 治疗系统、精神药物和其他治疗方法 对于疗养院里的严重精神病患者， 关于协调CSP护理、服务的不同方式， 严重精神病患者在HMO接受，以及 公共、营利和非营利性住院治疗 医院的

This is a proposal to establish a center for research on the organization and financing of care for the seriously mentally ill. The purpose of the center is to promote research, on the service systems providing care for the seriously mentally ill. The center will have a specific focus on systems of care in rural and small city environments. Research will be promoted through three separate but highly interrelated efforts: 1) supporting individual researchers, networks of researchers, and the necessary research infrastructure, 2) building a care data base on publically funded seriously mentally ill, and 3) promoting specific research projects on special problems and populations. Support for researchers, networking among researchers, and the research infrastructure will be accomplished establishing seminars on service delivery issues, organizing interdisciplinary research work groups, distributing newsletter material, supporting preprint and monograph series, running small annual conferences on selected topics such as rural systems of care, inviting visiting scholars to the center, promoting library acquisitions in the area, enlarging computing capabilities, and providing training opportunities for mental health services trainees in three NIMH funded programs. The Care Data Base will provide opportunities to address key theoretical issues in service delivery, using data from nine Wisconsin county systems. This naturalistic, non-experimental data base will be built around data on county and Medicaid expenditures, specialty mental health treatment services, patient outcomes, and service system characteristics (system structure characteristics, administrative processes, and financing mechanisms). It will contain data on a years experience of about 3000 chronically men- tally ill patients. Secondary analyses of this data will be promoted. Special problems/populations research projects will be encouraged through aid in pilot studies, feasibility studies, links to the Care Data Base, and help in proposal writing for the purposes of further resources for subsequent major studies. Research topics to be stimulated and supported include family coping and burden across treatment systems, psychotropic drugs and other treatments for the severely mentally ill in nursing homes, patient outcomes as related to different ways of coordinating CSP care, services received by the severely mentally ill in HMOs, and patterns of inpatient treatment in public, for profit, and non-profit hospitals.