Examining Case Managers' Views of Recovery Among Dually Diagnosed Homeless Adults

检查案例管理者对双重诊断无家可归成年人康复的看法

• 批准号: 7486010
• 负责人: Benjamin Foster Henwood
• 金额: $ 3.02万
• 依托单位: NEW YORK UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-13 至 2010-05-12
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7486010
• 关键词: Accounting; Address; Adult; Affect; Belief; Caring; Case Manager; Case Study; Characteristics; Client; Clinical; Condition; Data; Data Collection; Data Set; Degenerative Disorder; Depth; Diagnosis; Diagnostic Services; Disease; Effectiveness; Fellowship; Focus Groups; Fostering; Foundations; Freedom; Funding; Goals; Health Policy; Homelessness; Housing; Individual; Influentials; Intake; Interview; Knowledge; Learning; Left; Measures; Mental Health; Mental Health Services; Mental disorders; Mentorship; Methods; Modeling; Movement; New York; Outcome; Participant; Persons; Phase; Philosophy; Policies; Population; Procedures; Process; Provider; Public Health; Qualitative Methods; Recovery; Research; Research Methodology; Research Personnel; Sampling; Schizophrenia; Services; Source; Substance Use Disorder; Substance abuse problem; System; Techniques; Thinking; Time; Training; United States Dept. of Health and Human Services; Vision; Vulnerable Populations; Work; base; comparative; coping; design; experience; falls; indexing; partial recovery; practical application; pre-doctoral; programs; research study; severe mental illness; skills; theories

DESCRIPTION (provided by applicant): The applicant requests two years of funding through a F31 Kirschstein-NRSA Predoctoral Individual Fellowship to pursue training in mixed methods research addressing front-line case managers' views of recovery among homeless adults with co-occurring psychiatric and substance use disorders. The applicant's clinical background with this population, along with his current involvement as a research assistant in a R01-funded study of services for this population, makes him ideally suited to pursue this topic. The broad objectives of this training proposal are to develop the skills and expertise necessary to complete an independently-proposed study, contribute to the analyses of the larger R01 study, and provide a foundation for continued research on effective mental health service delivery. The applicant will pursue training through formal coursework, mentorship tutorials, and practical application of qualitative and quantitative methods as part of the larger study. The independently-proposed research study will examine the views of 41 case managers who are almost evenly divided between a "housing first" approach and a "treatment first" approach. The data set will reflect "real time" consumer-provider relationships through case manager interviews as well as interviews from 83 of their clients. The majority of the analyses will be qualitative including both case study and grounded theory approaches. Quantitative analysis of measures collected from case managers and consumers will augment these findings. The specific aims of the study include: 1) delineating case managers' views of recovery principles, 2) formulating case managers' understanding of engagement and disengagement in services, and 3) developing an empirically-based model of recovery-oriented practices for homeless adults with co-occurring disorders. Overall, this research is intended to address front-line provider perspectives of treatment approaches with a population that is considered difficult to engage. In addition, this population has not been clearly implicated or fully included in the new-found vision of recovery from serious mental illness that is being vigorously promoted through local and national mental health policies. This research agenda's relevance to public health is clear when one considers that effective service delivery for such vulnerable populations is dependent on those who ultimately implement practice and policy - the front-line workers.

描述(由申请人提供)：申请人通过F31 Kirschstein-NRSA博士前个人奖学金申请两年的资金，以进行混合方法研究方面的培训，以解决一线病例经理对患有精神和药物使用障碍的无家可归成年人康复的看法。申请人对这一人群的临床背景，加上他目前作为研究助理参与了一项由R01资助的针对这一人群的服务研究，使他非常适合从事这一主题。这项培训方案的广泛目标是发展完成独立提出的研究所需的技能和专业知识，为更大规模的R01研究的分析做出贡献，并为继续研究有效的精神卫生服务提供提供基础。作为更广泛研究的一部分，申请者将通过正式的课程作业、指导教程以及定性和定量方法的实际应用来进行培训。这项独立提出的研究将调查41名个案经理的意见，他们几乎平均分为“房屋优先”和“治疗优先”两种方法。该数据集将通过对案件经理的采访以及对83名客户的采访，反映消费者与提供者的“实时”关系。大多数分析将是定性的，包括案例研究和扎根的理论方法。对从病例经理和消费者那里收集的措施进行量化分析将加强这些发现。研究的具体目的包括：1)描述个案经理对康复原则的看法；2)阐明个案经理对参与和脱离服务的理解；3)为患有共生障碍的无家可归成年人发展一个以经验为基础的康复实践模式。总体而言，这项研究旨在解决一线提供者对被认为难以参与的人群的治疗方法的观点。此外，通过地方和国家精神卫生政策大力推动的新的严重精神疾病康复愿景没有明确牵涉到这一群体或将其完全纳入这一愿景。这一研究议程与公共卫生的相关性是显而易见的，因为人们考虑到，为这些弱势群体提供有效的服务取决于那些最终实施实践和政策的人--第一线工作人员。