APPROPRIATENESS AND COMPLIANCE IN DEPRESSION TREATMENT

这是NIMH K01指导科学家发展的新应用程序 授予新的少数民族教师（MSDA/NMF），题为"适当和 抑郁症的治疗“。 候选人的主要职业 兴趣是研究和提高心理健康质量 服务 候选人在流行病学、精神病学和 精神药理学引起了他对重要空白的注意， 存在于对精神疾病最佳管理的知识 抑郁症等疾病，以及许多人接受的实际治疗， 患者然而，他认识到，他需要更多的技能， 严格定义决定因素、利用率、适当性， 精神卫生服务提供的结果，并最终改善其 质量和成本效益。 因此，他现在进一步寻求 心理健康服务研究培训，质量改进，心理 卫生政策和卫生保健经济学，使他能够建立在他的 流行病学背景，进行精神卫生服务研究 在这一重要领域。候选人提出的研究项目 包含两种定义广泛的指导研究类型。 第一类是 一系列结合卫生服务研究和流行病学的研究 衡量目前的模式和治疗不足的预测因素， 抑郁症与治疗不依从性 人口。 第二项研究将包括一项实验性研究，其中 关于不充分治疗和不充分治疗的决定因素的干预措施 将制定第一系列研究中发现的遵守情况， 试点测试，以改善这些成果。 通过他的提议， 培训和指导研究，候选人将获得一套 协同技能，这将使他成为一个独立的， 生产性心理健康服务研究员。

This is a new application for an NIMH K01 Mentored Scientist Development Award for New Minority Faculty (MSDA/NMF) entitled "Appropriateness and Compliance in Depression Treatment". The candidate's primary career interest is in studying and improving the quality of mental health services. The candidate's experience in epidemiology, psychiatry, and psychopharmacology have drawn his attention to the important gaps that exist between knowledge on the optimal management of psychiatric illnesses such as depression, and the actual care received by many patients. However, he recognizes that he needs additional skills to rigorously define the determinants, utilization, appropriateness, and outcomes of mental health service delivery and ultimately to improve its quality and cost-effectiveness. Therefore, he now seeks further training in mental health services research, quality improvement, mental health policy, and health care economics to equip him to build upon his background in epidemiology to conduct mental health services research in this important area. The candidate's proposed research project contains two broadly defined types of mentored research. The first are a series of studies combining health services research with epidemiology to measure current patterns and predictors of inadequate treatment for depression and treatment noncompliance in several different patient populations. The second will consist of an experimental study, in which interventions on the determinant of inadequate treatment and non- compliance found in the first series of studies will be developed and pilot-tested in order to improve these outcomes. Through his proposed training and mentored research, the candidate will acquire a set of synergistic skills which will prepare him to become an independent and productive mental health services researcher.