CENTER FOR RESEARCH ON SERVICE FOR SEVERE MENTAL ILLNESS

总体描述：（改编自申请人摘要）：中心 进行旨在确定和评估创新的研究 照顾残疾人的筹资和组织办法 严重精神疾病（SMI）。优先考虑这些备选方案 预期对功能状态和质量产生重大影响， 重度精神障碍患者的生活，以及预期改善的患者 护理系统的效率。核心资金用于试点 和发展研究，这些研究有望导致重大研究， 新的资金来源， 寻找。中心的研究目标是针对四个政策 相关领域：评估严重精神疾病病程的影响， 疾病及其相关问题，对服务需求和 治疗模式;评估替代疗法的有效性和成本 重度精神障碍患者的治疗方法， 具有既定功效或公认做法的模式，并开发和 测试护理质量标准，以匹配治疗需求和服务 为严重精神病患者提供的服务; 机制作为一种手段，鼓励效率， 适当照顾SMI，并提供激励措施， 患者结局，包括精神状态、身体状况 地位、适当的生活安排和生活质量;以及 研究管理的替代组织和系统方法 资源，协调服务的人与SMI，并评估其 对利用率、住房一般医疗保健和资源的影响 包括收入支助和治疗及相关服务费用。 本中心自1987年以来一直在追求这些目标。在接下来的5 未来两年，将继续开展两个核心研究领域：组织和 金融研究和临床服务研究。中心代表 卫生与公共卫生学院的合作努力， 约翰霍普金斯大学医学院和 本院精神科精神卫生服务研究 马里兰州大学。

OVERALL DESCRIPTION: (Adapted from applicant's abstract): The Center under-takes research directed at identifying and evaluating innovative financing and organizational approaches to the care of individuals with severe mental illnesses (SMI). Priority is given to those options expected to have substantial impact on functional status and quality of life for persons with SMI, as well as those expected to improve efficiency of the care system. Core funding is directed toward pilot and developmental studies that are expected to lead to major research and demonstration initiatives for which new sources of funding are sought. Research objectives of the Center are directed at four policy relevant areas: Assess the impact of the course of severe mental illnesses, and their associated problems, on service needs and the patterns of treatment; assess the effectiveness and costs of alternative treatment approaches for persons with SMI which are based on treatment models with established efficacy or accepted practice, and develop and test quality of care criteria for matching treatment needs to services for patients with severe mental illnesses; examine the role of financing mechanisms as a means to encourage efficiency, assure access to appropriate care for the SMI, and provide incentives for enhancing patient outcomes, including dimensions of mental status, physical status, adequacy of living arrangements, and quality of life; and examine alternative organizational and system approaches for managing resources, coordinating services to persons with SMI, and evaluate their impact on utilization, housing general medical care, and resources including income support and payment for treatment and related services. The Center has pursued these objectives since 1987. During the next 5 years, two core research areas will be pursued: organization and finance research, and clinical services research. The Center represents a collaborative effort of the School of Hygiene and Public Health and School of Medicine of the Johns Hopkins University, and the Center for Mental Health Services Research of the Department of Psychiatry of the University of Maryland.