Quality of MH Care and Treatment Outcomes for Youth

青少年 MH 护理质量和治疗结果

• 批准号: 6909135
• 负责人: MICHAEL Scott HURLBURT
• 金额: $ 14.66万
• 依托单位: RADY CHILDREN'S HOSPITAL - SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-15 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6909135
• 关键词: child (0-11); clinical research; community mental health services; conduct disorder; data collection methodology /evaluation; depression; health care quality; health care service evaluation; health services research tag; health surveys; human subject; interview; mental health services; method development; outcomes research; psychotherapy; statistics /biometry; therapy compliance

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.

描述（由申请人提供）：本指导职业的最终目标 发展奖（KO1）旨在为申请人提供以下技能： 建立一个独立的研究计划，重点关注改善 从功效研究的角度翻译心理健康干预措施 惠及社区治疗环境中更广泛的儿童。该奖项将 允许申请人在组织方面以现有的强大培训为基础 公共精神卫生服务系统，在背景下测试干预措施 公共精神卫生服务体系，以及强大的背景 儿童发展以及方法和统计。拟议的培训目标 在 (1) 护理质量研究中提供额外的指导和指导 方法论，（2）心理治疗过程的评估和 坚持特定的心理治疗干预措施，（3）高级 统计主题是护理质量研究的核心，包括统计 抽样、倾向得分匹配和工具变量分析，以及 (4) 研究道德行为培训。 研究计划分为两个阶段。在第一阶段，将进行一项调查 加州公共心理健康服务系统的治疗师进行了 估计治疗师采用治疗实践的频率 符合心理治疗的抑郁症和/或品行障碍 在功效研究中具有坚实的实证支持基础的干预措施。 在第二阶段，接受治疗的儿童的结果与 经验支持的治疗（EST）将与匹配组进行比较 接受与 EST 不一致的治疗的儿童。结果 第一阶段将评估治疗师的治疗程度 在公共精神卫生服务体系中应用ESTs以及支持或支持的因素 抑制 EST 的应用。第二阶段将提供对 EST 在应用于更广泛的治疗人群时的有效性。研究 将开发一种方法来理解影响翻译的因素 从严格控制的功效试验环境到社区的 EST 治疗设置。

项目成果

Methodological challenges of characterizing usual care psychotherapeutic practice.

• DOI: 10.1007/s10488-009-0237-8
• 发表时间: 2010-05
• 期刊: ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
• 影响因子: 2.6
• 作者: Garland, Ann F.;Hurlburt, Michael S.;Brookman-Frazee, Lauren;Taylor, Robin M.;Accurso, Erin C.
• 通讯作者: Accurso, Erin C.

Child and family therapy process: concordance of therapist and observational perspectives.

• DOI: 10.1007/s10488-009-0251-x
• 发表时间: 2010-05
• 期刊: ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
• 影响因子: 2.6
• 作者: Hurlburt, Michael S.;Garland, Ann F.;Nguyen, Katherine;Brookman-Frazee, Lauren
• 通讯作者: Brookman-Frazee, Lauren