CORE--ASSESSING NEEDS AND COSTS

核心——评估需求和成本

• 批准号: 6650641
• 负责人: SUSAN BROWNLEE
• 金额: $ 17.24万
• 依托单位: RUTGERS, THE STATE UNIV OF N.J.
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-01 至 2003-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6650641
• 关键词: Puerto Rican; adolescence (12-20); behavioral /social science research tag; biomedical facility; clinical research; culture; decision making; disease /disorder proneness /risk; health care cost /financing; health care model; health care policy; health care service evaluation; health services research tag; human data; human old age (65+); human subject; information dissemination; longitudinal human study; major depression; mental disorder diagnosis; mental health epidemiology; mental health services; middle childhood (6-11); outcomes research; psychometrics

Description: The aims of this Core are to improve diagnostic criteria and measurement of need for mental health services particularly among special populations, in this case the elderly and ethnic and racial minorities; to determine how treatment and care can be made more cost effective and culturally appropriate; and to increase the relevance of mental health services measurement for clinical and policy making decision making. The Core seeks to achieve these aims by proposing three multi-year studies relating to diagnostic criteria and needs assessment, and a fourth that addresses the cost of effective care. The first study reconceptualizes mental disorders in terms of harmful dysfunction. Initial examination of existing data sources reveal that this is a useful concept in that assignment of patients to symptomatic or diagnostic categories it is not over-inclusive, better meets assessment needs of special populations and community-based populations, and is more useful for planning. The investigators will further examine its utility by reanalyzing ECA and National Comorbidity Survey data. The second proposes to develop an instrument to measure depression among the elderly, and then to test interventions using the instrument. The third study expands to children in Puerto Rico work done with adults on the determination of how cultural -psychiatric syndromes are assessed and which pathways lead to provision of services. The fourth study proposes to use the cost methodologies developed for current studies and expand their development and dissemination in mental health research.

说明：本核心文件的目的是改进诊断标准， 对心理健康服务需求的衡量，特别是在特殊人群中， 人口，在这种情况下是老年人以及少数民族和种族; 确定如何使治疗和护理更具成本效益， 适当;并增加精神卫生服务的相关性 用于临床和政策制定决策的测量。核心寻求 为实现这些目标，提出了三项与诊断有关的多年期研究， 标准和需求评估，第四个是解决 有效护理。 第一项研究从有害的角度重新定义了精神障碍， 功能障碍对现有数据来源的初步审查表明，这是一个 在将患者分配到症状性或诊断性 类别，它不是过度包容，更好地满足特殊的评估需求 人口和社区人口，更有利于规划。 调查人员将通过重新分析ECA来进一步研究其效用， 科摩罗全国调查数据。第二项建议是制定一项文书， 来测量老年人的抑郁症，然后用 工具。第三项研究扩大到波多黎各的儿童， 与成年人一起确定文化精神综合症是如何 评估和哪些途径导致提供服务。第四项研究 建议使用为当前研究制定的成本方法， 在心理健康研究中的发展和传播。