Quality of MH Care and Treatment Outcomes for Youth

描述（由申请人提供）：这个指导职业的最终目标 发展奖（KO 1）是为申请人提供的技能， 建立一个独立的研究计划，重点是改善 从功效研究的角度翻译心理健康干预措施 社区治疗环境中更广泛的儿童。该奖项将 允许申请人建立在强大的组织现有的培训， 公共精神卫生服务系统，在测试背景下的干预措施， 公共精神卫生服务系统，以及强大的背景， 儿童发展和方法与统计。拟议的培训目标 在（1）护理质量研究方面提供额外的指导和辅导 方法学，（2）心理治疗过程的评估， 坚持特定的心理治疗干预，（3）先进的 护理质量研究的统计主题，包括统计 抽样、倾向评分匹配和工具变量分析，以及 (4)研究道德行为的培训。 研究计划分为两个阶段。在第一阶段，将进行一项调查， 在加州的公共精神卫生服务系统进行的治疗师， 估计治疗师采用治疗实践的频率， 抑郁症和/或行为障碍符合心理治疗 干预措施在疗效研究中具有强大的经验支持基础。 在第二阶段，接受治疗的儿童的结果与 经验支持的治疗（EST）将与一组匹配的 接受不符合ESTs治疗的儿童。的结果 第一阶段将提供治疗师在多大程度上 在公共精神卫生服务体系中应用ESTs，以及支持或 抑制EST应用。第二阶段将提供 在更广泛的治疗人群中应用无害环境技术的有效性。研究 将开发一种方法来理解影响翻译的因素， 从严格控制的疗效试验到社区的EST 治疗设置。

DESCRIPTION (provided by applicant): The ultimate goal of this Mentored Career Development Award (KO1) is to provide the applicant with the skills to establish an independent program of research focused on improving the translation of mental health interventions from the context of efficacy studies to a broader range of children in community treatment settings. The award will allow the applicant to build on strong existing training in the organization of public mental health service systems, in testing interventions in the context of public mental health service systems, as well as a strong background in child development and methods and statistics. The proposed training goals provide additional instruction and mentoring in (1) quality of care research methodology, (2) assessment of psychotherapeutic treatment process and adherence to specific psychotherapeutic treatment interventions, (3) advanced statistical topics central to quality of care research, including statistical sampling, propensity score matching, and instrumental variables analysis, and (4) training in the ethical conduct of research. The research plan is divided into two phases. During Phase I, a survey will be conducted of therapists in California's public mental health service system to estimate the frequency with which therapists employ treatment practices for depression and/or conduct disorders consistent with psychotherapeutic interventions that have a strong base of empirical support in efficacy studies. In Phase II, the outcomes of children receiving treatment consistent with empirically supported treatments (ESTs) will be compared to a matched group of children receiving treatments that are not consistent with ESTs. The results of the first phase will provide an estimate of the degree to which therapists apply ESTs in a public mental health service system and factors that support or inhibit application of ESTs. The second phase will provide an estimate of the effectiveness of ESTs when applied in broader treatment populations. The study will develop a method for understanding factors that affect the translation of ESTs from the tightly controlled settings of efficacy trials to community treatment settings.