Intervention for Multisector Provider Enhancement

加强多部门提供者干预

• 批准号: 6859069
• 负责人: Arlene Rubin Stiffman
• 金额: $ 16.11万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-04-01 至 2008-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6859069
• 关键词: child mental health service; child welfare; clinical research; computer program /software; decision making; human subject; social service

DESCRIPTION (provided by applicant): Although expected to serve as gateway providers in referring or helping access mental health services for youth and their parents, child welfare providers often lack the resources and knowledge to do so. Failure to identify the mental health or addiction problems of high-risk youth and refer youths for needed service is a pressing public health concern, one that public social service agencies are uniquely positioned to address. This IMPROVE (Intervention for Multisector Provider Enhancement) study responds to PAR-03-078 for R34 proposals, and fits the criteria for an R34 stage-three intervention development research project. It will refine a decision support intervention to increase social service providers' provision of mental health care, examine the feasibility of the intervention in terms of its impact on the process of care, develop an initial body of data concerning the impact of the intervention preparatory to an R01 national study, and explore the ability to access service use information through state Medicaid and Department of Mental Health billing data on the youthful clients and their parents. The intervention, a computerized program housed in a handheld, will aid workers in providing clients access to appropriate mental health and social services through referral. It is based on the Gateway Provider Model (Stiffman, Pescosolido, & Cabassa, in press), which addresses decision-making and organizational factors that may assist or obstruct service provision. This research benefits from the support of Washington University's NIMH funded Center for Mental Health Service Research, and NIDA funded Comorbidity and Addictions Center. The investigative team has expertise in multisector service provision (Stiffman), analysis of Medicaid, Department of Mental Health, and child welfare data sets (Drake), interventions with Child Welfare (Auslander), computer-based decision-making systems (Carise), decision theory and human factor research (Gustafson), network episode theory (Pescoso]ido), qualitative methods (Ware), and organization assessment in Child Welfare (Glisson). IMPROVE also represents a consortium between the Division of Family Services (Thompson), and Washington University (Stiffman).

描述（由申请人提供）：虽然儿童福利提供者有望成为为青少年及其父母转介或帮助获得心理健康服务的门户提供者，但儿童福利提供者往往缺乏这样做的资源和知识。未能识别高危青少年的心理健康或成瘾问题并为青少年推荐所需的服务是一个紧迫的公共卫生问题，而公共社会服务机构在解决这一问题方面具有独特的优势。这项 IMPROVE（多部门提供者增强干预）研究响应了 R34 提案的 PAR-03-078，并符合 R34 第三阶段干预开发研究项目的标准。它将完善决策支持干预措施，以增加社会服务提供者提供的精神卫生保健服务，审查干预措施对护理过程影响的可行性，开发有关干预措施影响的初步数据，为 R01 全国研究做准备，并探索通过州医疗补助和心理健康部关于年轻客户及其父母的计费数据获取服务使用信息的能力。该干预措施是一个安装在手持设备中的计算机化程序，将帮助工作人员通过转介为客户提供适当的心理健康和社会服务。它基于网关提供商模型（Stiffman、Pescosolido 和 Cabassa，正在出版），该模型解决了可能有助于或阻碍服务提供的决策和组织因素。这项研究得益于华盛顿大学 NIMH 资助的心理健康服务研究中心和 NIDA 资助的合并症和成瘾中心的支持。调查团队拥有多部门服务提供 (Stiffman)、医疗补助、心理健康部和儿童福利数据集分析 (Drake)、儿童福利干预措施 (Auslander)、基于计算机的决策系统 (Carise)、决策理论和人为因素研究 (Gustafson)、网络事件理论 (Pescoso]ido)、定性方法 (Ware) 和儿童福利组织评估方面的专业知识 （格里森）。 IMPROVE 还代表家庭服务部 (Thompson) 和华盛顿大学 (Stiffman) 之间的联盟。