ORGANIZATION & FINANCING OF CARE FOR THE SERIOUSLY MI

描述（申请人摘要）：中心为研究和严重精神疾病的护理组织和融资提供了一个良好的基础设施，在精神卫生服务研究和政策的直接相关的研究和培训，以改善护理系统，临床实践，社会政策决策和功能和严重精神疾病患者的生活质量。它通过招募有才华的研究人员，为他们的专业发展提供指导和支持性研究结构，建立跨学科团队以解决复杂和重要的服务问题，并将研究结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，这些研究预计将导致重大的外部供资举措。 （服务创新）专注于可以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、私有化增加和管理式医疗渗透下不断变化的服务模式。 （系统互动）审查了改善服务系统之间沟通与合作的方式，避免将精神病患者和患有合并症的客户刑事定罪的努力，以及改善对依赖护理部门以外的人的服务。 (Care在限制下）审查管理式护理安排和健康保险福利设计如何影响获得护理、服务利用、适当治疗和结果。该核心特别关注对严重精神疾病患者至关重要的医疗保险和医疗补助计划。 （评估需求和费用）涉及对服务需求的评估和衡量，提供适合不同文化和年龄群体的护理，并改进成本效益分析的标准和做法。外展护理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。发展核心包括精神卫生服务研究方面的完善的博士后，博士和本科课程。技能建设讲习班和研究研讨会促进就正在进行的研究成果和最新研究方法的使用进行对话。在每个核心领域工作的跨学科小组在五个关键领域得到中心专家的技术援助：客户成果的衡量;家庭负担;成本成果;文化多样性;和政策意义。该中心汇集了大量心理健康服务研究人员，他们的工作旨在将联合收割机坚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.