Creating a Collaborative Field Research Organization

描述（由申请人提供）： 该应用程序提出了一个最大的 孩子们？美国纽约的非营利社区精神健康服务机构 城市，犹太家庭和儿童委员会？的服务（JBFCS）， 西奈医学院（MSSM），以解决儿童创伤和创伤后 应激障碍（PTSD）是一个非常重要的公共卫生问题。的 合作伙伴寻求利用一个独特的机会， 在目前正在发生的重大组织变革中， JBFCS，包括定义最佳护理实践模式，以及 在电子病历（EMR）中表示它们。我们建议， 这一基础设施平台进行实地探索性研究， 创伤筛查和治疗，并评估建议的能力， 系统，以支持合作研究的开展。 本提案围绕三个主要方案目标组织： 发展基础设施，包括电子病历， 支持在现场环境中进行临床研究，（2） 实施三个试点项目，测试基础设施， 越来越复杂的设计，并提高我们对儿童的知识 创伤筛查和治疗，（3）开展综合培训 旨在促进合作临床研究和团队的计划 建立JBFCS和MSSM临床医生和研究者之间的联系。实现这些 目标将帮助我们建立一个合作的实地研究组织， 支持各种儿童心理健康临床和研究 在社区实践环境中的举措。 这三个具体项目将在供资期间实施。这些 评价EMR对EMR临床感知的影响， 系统性能指标，评估几个不同的影响 在一个大的儿童受害/创伤史的筛查方法， 临床服务提供系统，并比较一个 对患有PTSD的儿童和青少年进行特殊治疗， 一个大型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，以便发展一种生成性的合作， 为学员和初级教员制定卫星研究项目， 实地干预研究。

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.