Creating a Collaborative Field Research Organization

描述(由申请人提供)： 该应用程序建议在最大的 儿童？S纽约非营利性社区心理健康服务机构 城市，犹太家庭和儿童委员会？S服务，和山 西奈医学院(MSSM)，解决儿童创伤和创伤后问题 应激障碍(PTSD)是一个极其重要的公共卫生问题。这个 合作伙伴寻求利用独特的机会将其 在目前正在发生的重大组织变化中对RISPRFA的响应 JBFCS，其中包括定义护理的最佳实践模式，以及 在电子病历(EMR)中代表他们。我们建议在此基础上 这一基础设施平台用于进行基于现场的探索性研究 创伤筛查和治疗，并评估拟议的 支持开展协作研究的系统。 这项建议围绕三个主要的纲领目标组织：(1) 发展基础设施，包括电子病历， 支持在现场进行临床研究，(2) 实施三个试点项目以测试基础设施使用 越来越复杂的设计，并促进我们对儿童的了解 创伤筛查和治疗；(3)发展综合训练 旨在促进协作临床研究和团队的计划 在JBFCS和MSSM临床医生和研究人员之间建立联系。实现这些目标 AIMS将帮助我们创建一个有能力的协作性实地研究组织 支持广泛的儿童心理健康临床和研究 社区实践环境中的倡议。 这三个具体项目将在供资期间执行。这些 是：评估电子病历对临床感知电子病历和 系统性能指标，评估几种不同的影响 大范围筛查儿童受害/创伤史的方法 临床服务提供系统，并比较 对患有创伤后应激障碍的儿童和青少年进行针对障碍的治疗，使其得到常规护理 一个庞大而复杂的临床服务提供系统。同时，我们将 建立有效的治理结构，包括内部同行审查 能力，以便开发一种生成性协作，从而允许 年学员和初级教员卫星研究项目的发展 基于现场的干预研究。

DESCRIPTION (provided by applicant): The application proposes collaboration between one of the largest children?s non-profit community mental health service agencies in New York City, the Jewish Board of Family and Children?s services (JBFCS), and the Mount Sinai School of Medicine (MSSM), to address child trauma and posttraumatic stress disorder (PTSD), an extremely important public health problem. The partners seek to take advantage of a unique opportunity to integrate their response to the RISP RFA within a major organizational change now occurring in the JBFCS, that includes defining best practice models of care, and representing them in an electronic medical record (EMR). We propose to build on this infrastructure platform to conduct field-based exploratory studies of trauma screening and treatment, and to evaluate the ability of the proposed system to support the conduct of collaborative research. This proposal is organized around three major programmatic aims: (1) the development of an infrastructure, including an electronic medical record, that supports the conduct of clinical research in a field setting, (2) implementation of three pilot projects to test the infrastructure using increasingly sophisticated designs and to advance our knowledge regarding child trauma screening and treatment, (3) development of an integrated training program designed to facilitate collaborative clinical research and team building between JBFCS and MSSM clinicians and investigators. Achieving these aims will help us to create a collaborative field research organization capable of supporting a broad variety of child mental health clinical and research initiatives within community practice settings. The three specific projects will be carried out during the funded period. These are: an evaluation of the impact of the EMR on clinical perception of EMR and system performance indicators, evaluating the impact of several different methods of screening for childhood victimization/trauma history in a large clinical service delivery system, and comparing the efficacy of a disorder-specific treatment for children and youths with PTSD to usual care in a large complex clinical service delivery system. Concurrently, we will establish an effective governance structure, including an internal peer review capacity, so to develop a generative collaboration that allows for the development of satellite research projects of mentees and junior faculty in field based intervention research.