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筹资研究中心为研究和培训精神卫生服务研究和政策提供了完善的基础设施，这些研究和培训与改善护理系统、临床实践、社会决策以及严重精神病患者的功能和生活质量直接相关。为此，它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，并将研究结果翻译给政策制定者、从业者、家庭和精神健康服务的消费者。核心资金用于试验性和发展性研究，预计这些研究将导致重大的外部资助倡议。(服务创新)专注于有助于提高治疗有效性和生活质量的战略，例如改善用药依从性的计划。研究人员还跟踪了非制度化、日益私有化和管理式医疗渗透下服务模式的变化。(系统互动)审查如何改进服务系统之间的沟通和合作，努力避免将患有精神疾病的人、患有合并症的客户定为犯罪，以及改善对依赖不止护理部门的人的服务。(约束下的护理)审查管理保健安排和健康保险福利设计如何影响护理的获得、服务的利用、适当的治疗和结果。这一核心特别侧重于对患有严重精神疾病的人至关重要的医疗保险和医疗补助计划。(评估需求和成本)涉及对服务需求的评估和衡量，提供不同文化和年龄段的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。外联关怀促进了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。发展核心包括在心理健康服务研究方面发展良好的博士后、博士和本科生课程。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：客户结果的衡量；家庭负担；成本结果；文化多样性；以及政策意义。已经为指导、同行评审和将重要知识转化给那些能够使用它的人开发了定义良好的过程。该中心汇集了一大批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.