IP-RISP: The Senior Health and Research Alliance

描述(由申请人提供)：药物和老年护理管理服务公司(ElderSource)。ElderSource是门罗县两家最大的非医疗老龄化服务提供商的合资企业，成立于1995年，旨在为老年人及其照顾者提供获取信息、指导和护理管理(CM)服务的单一接入点。该伙伴关系将被称为高级健康和研究(SHARE)联盟。 社会因素对老年精神障碍的发病机制、病程和结局是不可或缺的。我们的前提是，社会和精神健康服务网络的伙伴关系将使开发新的和有效的方法来检测、治疗和预防老年人的精神疾病。共享联盟将构成一个研究基础设施，以满足社区老年人这一服务不足的部分的社会和健康需求。根据社区和老人资源的需求评估，我们的初步重点将是IT客户的情感障碍。共享联盟将使老龄服务成为研究和提供社区居住的患有精神疾病的老年人护理的主要组成部分和主要合作伙伴。 共享联盟的目标与伙伴关系的发展和研究有关。这种伙伴关系必须是可复制的。因此，我们将使用医疗保健和非营利组织的组织发展和管理的既定框架来开发、评估和记录其活动和流程。研究目标包括修改数据库和相关程序，以便能够收集研究数据并将其与老龄服务网络保存的个人电子客户记录联系起来；培训工作人员可靠地使用这些数据；进行三项初步研究研究。研究1旨在确定寻求老年源服务的老年客户中情感障碍的患病率以及人口统计学、生理、社会和临床相关因素。研究2将纵向跟踪有临床意义的情绪障碍的受试者，以确定CM“照常护理”(CM-CAU)的性质和反应。这些初步数据将被用来为研究3中抑郁症综合护理管理(Dep-CM)方案的开发和测试提供信息，该方案以初级保健中的抑郁症麦克阿瑟倡议为蓝本，并经调整以供协作的老龄服务和心理健康团队使用。共享联盟的基础设施和这些研究的初步数据将导致申请额外的外部资金(R34、R01、基金会赠款和一个示范项目)，以进一步发展和传播该模式。

DESCRIPTION (provided by applicant): Medicine and Eldersource Care Management Services, Inc. (Eldersource). Eldersource is a joint venture of Monroe County's two largest non-medical aging service providers established in 1995 to provide a single access point for obtaining information, guidance, and care management (CM) services for older adults and their caregivers. The partnership will be known as the Senior Health and Research (SHARE) Alliance. Social factors are integral to the pathogenesis, course, and outcome of late life mental disorders. Our premise is that a partnership of the social and mental health services networks will enable development of novel and effective approaches to the detection, treatment, and prevention of mental illness in seniors. The SHARE Alliance will constitute an infrastructure for research that is responsive to both social and health needs of this underserved segment of the community's seniors. Based on community and Eldersource needs assessments, our preliminary focus will be on affective disorders in it clients. The SHARE Alliance will make aging services a central component and principal partner in the study and delivery of care to community dwelling older adults with mental illness. SHARE Alliance objectives relate to partnership development and research. The partnership must be replicable. Therefore, we will develop, evaluate, and document its activities and processes using an established framework for organizational development and management of healthcare and non-profit organizations. Research objectives include modification of data bases and associated procedures to enable the collection and linkage of research data with the individual, electronic client records maintained by the aging services network; training of staff in their reliable use, and the conduct of three preliminary research studies. Study 1 aims to establish the prevalence and the demographic, physical, social, and clinical correlates of affective disorders in elderly clients who seek Eldersource services. Study 2 will follow subjects with clinically significant mood disorders longitudinally to determine the nature of and responsiveness to CM "care as usual" (CM-CAU). These preliminary data will be used to inform the development and testing in Study 3 of an integrated depression care management (Dep-CM) protocol modeled on the MacArthur Initiative on Depression in Primary Care and adapted for use by a collaborative aging services and mental health team. The SHARE Alliance infrastructure and preliminary data from these studies will result in applications for additional extramural funding (R34, R01, foundation grants and a demonstration project) to further develop and disseminate the model.