CORE--PRINCIPAL RESEARCH

研究中心的主要研究核心（PRC），以改善社会服务中的精神卫生保健（C-RIMMS）将支持研究议程的生成，实施和成熟，该议程解决了当前卫生政策中最紧迫的问题：精神卫生保健的质量，弱势群体的质量，以及通过最有可能减少种族和民族差异的设置来提高质量。我们的实践和系统研究将与社会服务机构合作进行，其中精神障碍的患病率很高，最脆弱的客户占主导地位。五个试点项目 研究将针对三个目标：（1）从关键利益相关者的角度理解社会服务中精神障碍护理质量的构成;（2）在竞争需求的背景下，评估护理质量的实践差异，并确定提供者、客户和系统生态结构的影响（包括融资）的变化;（3）工作“战壕到板凳和回战壕，”开发和测试的菜单质量改善精神卫生保健的社会服务机构。在多学科小组的领导下， 将使用运营核心的资源，采用顺序或同时混合的方法，从研究网络开发核心中开发的机构伙伴关系和利益相关者网络中受益，并由研究方法核心中的方法团队提供信息。所有试点将导致NIMH R 01，R 03，R21和R34赠款提案。纳入来自特定环境的客户和背景的“当地知识”（即，付款人、管理人员、一线提供者、消费者、家庭成员、精神健康倡导者）将指导我们努力制定可接受和持久的质量改进措施。利用社会服务机构， 治疗精神障碍患者具有很大的潜力，可以确保目前未被发现患有精神障碍的人得到治疗，改善对目前得不到充分服务的人的护理，并减少护理方面的差距。这一议程高度响应了总统新自由委员会关于精神健康的报告、移徙组织护理质量报告、卫生局局长报告和桥接科学与服务报告中反映的优先事项。

The Principal Research Core (PRC) of the Center for Research to Improve Mental Health Care in the Social Services (C-RIMMS) will support the generation, implementation, and maturation of a research agenda that addresses the most pressing issues in current health policy: quality of mental health care, quality for vulnerable populations, and quality improvement through settings with the highest potential to reduce racial and ethnic disparities. Our practice and systems research will be conducted in partnership with social service agencies, where prevalence of mental disorder is high and the most vulnerable of clients predominate. Five proposed pilot studies will address three aims: (1) understand what constitutes quality of care for mental disorders in the social services from the perspective of key stakeholders; (2) within the context of competing demands, assess practice variation in quality of care and identify provider, client, and system ecostructure influences (including financing) on that variation; and (3) working "trench to bench and back to trench," develop and test a menu of quality improvements for mental health care in social service agencies. Led by muttidisciplinary teams, each pilot study will use resources of the Operations Core, employ mixed methods in sequence or concurrently, benefit from agency partnerships and stakeholder networks developed in the Research Network Development Core, and be informed by methods teams in the Research Methods Core. All pilots will lead to NIMH R01, R03, R21, and R34 grant proposals. The incorporation of"local knowledge" from setting-specific clients and contexts (i.e., payers, administrators, front-line providers, consumers, family members, mental health advocates) will guide our efforts to develop acceptable and durable quality improvements. Leveraging social service settings to reach and treat persons with mental disorder has high potential to ensure treatment to persons whose disorder currently goes undetected, to improve care for those now poorly served, and to reduce disparities in care. This agenda is highly responsive to priorities reflected in the President's New Freedom Commission Report on Mental Health, IOM Quality of Care, Surgeon General's and Bridging Science and Services reports.