Interventions and Services for Older Adults with SMI

描述（由申请人提供）： 本提案的目的是设立“面向患者的研究中的职业生涯中期研究者奖”，以支持发展以患有严重精神疾病的老年人为重点的干预和服务研究方面的先进专门知识。这些努力是为了满足发展康复干预措施和服务的需要，以加强独立运作和保健管理，并评估服务的使用和成本。这一职业中期发展建议的四个目标是：（1）开发和评估老年重度精神障碍患者的康复和医疗保健管理模式;（2）评估老年重度精神障碍患者服务的使用、成本和结果;（3）扩大目前的研究工作，以包括更多的文化多样性环境;及（4）增加早期职业研究人员在老年精神健康服务研究中的导师研究机会。该奖项将通过综合职业发展计划，研究计划和指导计划来实现这些目标。 该奖项的职业发展计划通过与老龄化和SMI，康复，功能评估，初级保健和精神卫生保健的整合以及成本分析方面的专家合作，为候选人开发先进的研究技能。该研究计划包括几项研究的详细描述，重点是老年人与SMI，包括5年，康复和健康管理干预的随机试验;职业康复干预的试点研究;和与SMI，老龄化和医疗合并症相关的医疗保健费用的研究。此外，还简要介绍了一系列试点研究，这些研究将在该奖项的5年任期内进行，以告知未来的随机试验。该奖项的指导计划描述了这些研究将如何为早期职业调查人员提供指导研究机会。最后，监督和培训计划概述，以支持未来的研究人员在老年干预和服务研究领域的发展。

DESCRIPTION (provided by applicant): The purpose of this proposal for a "Mid-career Investigator Award in Patient-Oriented Research" is to support development of advanced expertise in interventions and services research focusing on older persons with severe mental illness (SMI). These efforts respond to the need to develop rehabilitative interventions and services that enhance independent functioning and health care management, and to evaluate use and costs of services. The four goals of this mid-career development proposal are: (1) to develop and evaluate models of rehabilitation and health care management for older adults with SMI; (2) to evaluate use, costs, and outcomes of services for older adults with SMI; (3) to expand current research efforts to include more culturally diverse settings; and (4) to enhance mentored research opportunities in geriatric mental health services research for early career investigators. This award will address these goals through an integrated career development plan, research plan, and mentoring plan. The Career Development Plan for this award develops advanced research skills for the candidate through collaborations with experts in aging and SMI, rehabilitation, functional assessment, integration of primary care and mental health care, and cost analysis. The Research Plan includes detailed descriptions of several studies focusing on older adults with SMI including a 5-year, randomized trial of a rehabilitation and health management intervention; a pilot study of a vocational rehabilitation intervention; and a study of the health care costs associated with SMI, aging, and medical comorbidity. In addition, a series of pilot studies are briefly described that will be conducted over the 5-year term of the award to inform future randomized trials. The Mentoring Plan for this award describes how these studies will provide mentored research opportunities for early career investigators. Finally, a program of supervision and training is outlined to support the development of future researchers in the field of geriatric intervention and services research.