APPROPRIATENESS AND COMPLIANCE IN DEPRESSION TREATMENT

这是NIMH K01指导科学家开发的新应用程序 新少数民族教师奖(MSDA/NMF)，题为“适当性和 抑郁症治疗的依从性“。候选人的主要职业生涯 兴趣在于研究和提高心理健康的质量 服务。候选人在流行病学、精神病学和 精神药理学让他注意到了 存在关于精神病科最佳管理的知识 抑郁症等疾病，以及许多人所接受的实际护理 病人。然而，他认识到，他需要更多的技能来 严格定义决定因素、利用率、适当性和 提供精神卫生服务的结果，并最终改善其 质量和成本效益。因此，他现在寻求进一步的 心理健康服务研究、质量改进、心理健康培训 医疗政策和医疗保健经济学，使他能够在他的 从事精神卫生服务研究的流行病学背景 在这个重要的领域。候选人提出的研究项目 包含两种广泛定义的指导性研究类型。第一个是 将卫生服务研究与流行病学相结合的一系列研究 测量当前的模式和治疗不足的预测因素 几种不同患者的抑郁与治疗不依从性 人口。第二项研究将包括一项实验研究，其中 关于治疗不充分和不适当的决定因素的干预 在第一系列研究中发现的遵从性将被开发和 为了改善这些结果，进行了试点测试。通过他提出的 培训和指导研究，候选人将获得一套 协同能力，这将使他准备成为一个独立和 富有成效的心理健康服务研究员。

This is a new application for an NIMH K01 Mentored Scientist Development Award for New Minority Faculty (MSDA/NMF) entitled "Appropriateness and Compliance in Depression Treatment". The candidate's primary career interest is in studying and improving the quality of mental health services. The candidate's experience in epidemiology, psychiatry, and psychopharmacology have drawn his attention to the important gaps that exist between knowledge on the optimal management of psychiatric illnesses such as depression, and the actual care received by many patients. However, he recognizes that he needs additional skills to rigorously define the determinants, utilization, appropriateness, and outcomes of mental health service delivery and ultimately to improve its quality and cost-effectiveness. Therefore, he now seeks further training in mental health services research, quality improvement, mental health policy, and health care economics to equip him to build upon his background in epidemiology to conduct mental health services research in this important area. The candidate's proposed research project contains two broadly defined types of mentored research. The first are a series of studies combining health services research with epidemiology to measure current patterns and predictors of inadequate treatment for depression and treatment noncompliance in several different patient populations. The second will consist of an experimental study, in which interventions on the determinant of inadequate treatment and non- compliance found in the first series of studies will be developed and pilot-tested in order to improve these outcomes. Through his proposed training and mentored research, the candidate will acquire a set of synergistic skills which will prepare him to become an independent and productive mental health services researcher.