ORGANIZATION & FINANCING OF CARE FOR THE SERIOUSLY MI

描述（申请人摘要）：严重精神病患者护理组织和融资研究中心为精神卫生服务研究和政策方面的研究和培训提供了一个完善的基础设施，这些研究和政策与改善严重精神疾病患者的护理系统、临床实践、社会政策决策以及功能和生活质量直接相关。为此，它招募有才能的研究人员，为他们的专业发展提供指导和支持性的研究结构，建立跨学科团队以解决复杂和重要的服务问题，并将研究成果转化为政策制定者、从业人员、家庭和心理健康服务的消费者。核心资金用于试点和发展研究，这些研究有望导致主要的外部资助倡议。（服务创新）侧重于有助于提高治疗效果和生活质量的策略，例如提高药物依从性的计划。研究人员还追踪了在去机构化、日益私有化和管理式护理渗透下服务模式的变化。（系统互动）审查改善服务系统之间的沟通与合作的方法，努力避免将精神疾病患者、有合并症的客户定罪，以及改善对依赖多个护理部门的人的服务。（限制下的护理）研究了管理护理安排和健康保险福利设计如何影响获得护理、服务的利用、适当的治疗和结果。该核心特别关注医疗保险和医疗补助计划，这对患有严重精神疾病的人至关重要。（评估需求和成本）涉及对服务需求的评估和衡量，对不同文化和年龄群体提供适当和可获得的护理，以及改进成本效益分析的标准和做法。外展关怀促进与关键群体的合作和沟通，以确保中心研究的政策和实践适用性。发展核心包括完善的博士后、博士和心理健康服务研究的本科项目。技能培养讲习班和研究研讨会促进就正在进行的研究成果和使用最先进的研究方法进行对话。在每个核心领域工作的跨学科团队从中心专家那里获得五个关键领域的技术援助：客户成果的衡量；家庭负担;成本的结果;文化的多样性;以及政策意义。良好定义的过程已经被开发出来，用于指导、同行评审，以及将重要的知识翻译给那些能够使用它的人。该中心汇集了大量的心理健康服务研究人员，他们的工作旨在将扎实的社会科学与实际的政策相关性结合起来。

DESCRIPTION (Applicant's abstract): The Center for Research on the Organization and Financing of Care for the Severely Mentally Ill provides a well developed infrastructure for research and training in mental health services research and policy of direct relevance to improving systems of care, clinical practice, social policy decisions and the function and quality of life of persons with severe mental illnesses. It does so by recruiting talented researchers, providing mentorship and a supportive research structure for their professional development, building interdisciplinary teams to address complex and important services issues, and translating research findings to policymakers, practitioners, families and consumers of mental health services. Core funding is directed toward pilot and developmental studies that are expected to lead to major externally funded initiatives. (Service Innovations) focuses on strategies that can contribute improved treatment effectiveness and quality of life, such as programs to improve medication adherence. Researchers also track changing patterns of services under deinstitutionalization, increasing privatization, and managed care penetration. (Systems Interaction) examines ways of improving communication and cooperation among service systems, efforts to avoid criminalization of persons with mental illnesses, clients with comorbidities, and improvement of services for persons who depend on more than sector of care. (Care Under Constraints) examines how managed care arrangements and health insurance benefit designs affect access to care, utilization of services, appropriate treatment and outcomes. This core focuses particularly on Medicare and Medicaid programs that are of central importance to persons with severe mental illnesses. (Assessing Needs and Costs) addresses assessment and measurement of need for services, provision of care that is appropriate and accessible to different cultural and age groups, and improved standards and practices of cost effectiveness analysis. The Outreach Care fosters collaboration and communication with key groups to ensure the policy and practice applicability of the Center's research. The Development Core includes well-developed postdoctoral, doctoral, and undergraduate programs in mental health services research. Skill-building workshops and research seminars promote dialogue on ongoing research results and the use of state-of-the-art research methods. Interdisciplinary teams working in each core area receive technical assistance from Center experts in five key areas: measurement of client outcomes; family burden; cost outcomes; cultural diversity; and policy significance. Well-defined processes have been developed for mentorship, peer review, and the translation of important knowledge to those who can use it. The Center brings together a critical mass of mental health services researchers whose work aims to combine solid social science with practical policy relevance.