IP-RISP: The Senior Health and Research Alliance

描述（由申请人提供）：医药和老年人护理管理服务公司。（Eldersource）. Eldersource是门罗县两个最大的非医疗老龄化服务提供商的合资企业，成立于1995年，为老年人及其护理人员提供获取信息、指导和护理管理（CM）服务的单一接入点。这一合作伙伴关系将被称为高级健康与研究（SHARE）联盟。 社会因素是晚年精神障碍的发病机制、病程和结局的组成部分。我们的前提是，社会和精神卫生服务网络的伙伴关系将使新的和有效的方法来检测，治疗和预防老年人的精神疾病的发展。SHARE联盟将构成一个研究基础设施，以满足社区老年人中这一服务不足群体的社会和健康需求。根据社区和老年资源的需求评估，我们的初步重点将是情感障碍的it客户。SHARE联盟将使老龄服务成为研究和向社区居住的患有精神疾病的老年人提供护理的核心组成部分和主要合作伙伴。 SHARE联盟的目标涉及伙伴关系的发展和研究。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，并进行三项初步研究。研究1的目的是建立流行病和人口，身体，社会和临床相关的情感障碍的老年客户谁寻求Eldersource服务。研究2将纵向跟踪具有临床意义的情绪障碍的受试者，以确定CM“常规护理”（CM-CAU）的性质和反应性。这些初步数据将用于告知研究3中综合抑郁症护理管理（Dep-CM）方案的开发和测试，该方案以麦克阿瑟初级保健抑郁症倡议为模型，并适用于协作老龄化服务和心理健康团队。SHARE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校外资金（R34，R 01，基金会赠款和示范项目），以进一步开发和传播该模型。

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.