Research Training in Mental Health Services and Systems

描述（由申请人提供）：这一竞争性的延续申请为第19至23年（2008-2012）的精神卫生服务和系统研究机构博士后培训计划提供资金，该计划由美国东南部两所领先的公立和私立大学——北卡罗来纳大学教堂山分校和杜克大学共同赞助，这两所大学位于北卡罗来纳三角地区，彼此相距不到10英里。培训在UNC-CH的塞西尔·g·谢普斯健康服务研究中心（谢普斯中心）和杜克大学医学中心（DUMC）的精神病学和行为科学系进行。培训计划的目标是扩大有能力从事与政策相关的精神卫生服务和系统研究的调查人员的数量。该培训计划为寻求心理健康服务研究高级培训的社会/行为科学家和临床医生提供培训，包括两个部分：(1)核心活动和(2)个性化学习。核心内容包括每两周一次的研究研讨会，参与合作机构的部门研讨会和大型会议，以及北卡罗来纳大学- ch或杜克大学的其他研究研讨会/讲习班。个性化的研究组成部分是量身定制的特殊利益和需要，每个研究员和他们以前的经验。它基于学徒式模式，每个研究员与一个或多个导师联系在一起，导师与研究员一起开发他/她自己的研究和技能发展计划。培训计划的重点是精神卫生保健服务的组织、融资、利用、质量和评估；确保获得这类服务的公共政策；以及精神疾病的社会流行病学。该方案继续致力于多学科培训，以公共部门为导向，并特别关注患有严重和持续性精神疾病的人。迄今为止，这种跨学科培训非常成功：(1)共有39名研究员接受了培训；大多数人现在拥有学术或其他研究职位，有大量出版物，并资助研究项目；(2) 25名核心教师参与项目；(3)现时两所大学的核心教员获外部资助的研究补助金包括69个项目，直接成本预算总额为3,170万元，为培养博士后提供多元化和富有成效的研究环境；(4)与北卡罗来纳州和全国各地的州和地方精神卫生机构存在支持关系。鉴于该培训计划的持续卓越，在五年的续期期间，nrsa每年将继续为四名博士后提供资金支持。

DESCRIPTION (provided by applicant): This competing continuation application requests funding for the 19th thru 23rd years (2008-2012) of an institutional post-doctoral training program in mental health services and systems research co-sponsored by the two leading public and private universities in the southeastern United States-the University of North Carolina at Chapel Hill and Duke University-that are located within ten miles of each other in the Triangle area of North Carolina. Training occurs at the Cecil G. Sheps Center for Health Services Research (Sheps Center) at UNC-CH and the Department of Psychiatry and Behavioral Sciences at the Duke University Medical Center (DUMC). The goals of the training program are to expand the pool of investigators capable of undertaking policy-relevant mental health services and systems research. This Training Program for social/behavioral scientists and clinicians seeking advanced training in mental health services research has two components: (1) core activities and (2) individualized study. The core component involves a bi-weekly research seminar, participation in departmental seminars and grand rounds at the collaborating institutions, and other research seminars/workshops at UNC-CH or Duke. The individualized study component is tailored to the special interests and needs of each fellow and their prior experience. It is based on an apprentice-type model whereby each fellow is linked to one or more mentor(s) who works with the fellow to develop his/her own research and skill development program. The emphases of the training program are the organization, financing, utilization, quality, and evaluation of mental health care services; public policies for ensuring access to such services; and the social epidemiology of mental disorders. The Program remains committed to multidisciplinary training, a public sector orientation, and a special focus on persons with a severe and persistent mental illness. This interdisciplinary training has been highly successful to date: (1) a total of thirty-nine fellows have received training; most now hold academic or other research positions, have numerous publications, and funded research projects; (2) a total of 25 core faculty participate in the program; (3) the current externally- funded research grants portfolio of core faculty at the two universities consists of 69 projects with an aggregate direct cost budget of $31.7 million that supports a diverse and productive research environment for postdoctoral training; and (4) supporting relationships exist with state and local mental health agencies in North Carolina and throughout the country. Given the sustained excellence of this training program, funds are requested to continue NRSA-support for four postdoctoral fellows each year during the five-year renewal period.