Research Training in Mental Health Services and Systems

描述(由申请人提供)：这项竞争性的续展申请要求为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--共同赞助的机构博士后心理健康服务和系统研究培训计划的第19至第23年(2008-2012年)提供资金，这两所大学位于北卡罗来纳州的三角地区，彼此相距不到10英里。培训在北卡罗来纳大学的塞西尔·G·谢普斯卫生服务研究中心(谢普斯中心)和杜克大学医学中心的精神病学和行为科学系进行。该培训计划的目标是扩大能够承担与政策相关的心理健康服务和系统研究的调查员队伍。该培训计划面向寻求心理健康服务研究方面高级培训的社会/行为科学家和临床医生，包括两个部分：(1)核心活动和(2)个性化学习。核心部分包括每两周一次的研究研讨会，参加部门研讨会和在合作机构举行的大型研讨会，以及在北卡罗来纳大学或杜克大学举办的其他研究研讨会/讲习班。个性化学习部分是根据每个研究员的特殊兴趣和需要及其先前的经验而量身定做的。它基于学徒式的模式，每个研究员都与一个或多个导师(S)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。培训方案的重点是精神卫生保健服务的组织、资金、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。该方案仍然致力于多学科培训、面向公共部门，并特别关注患有严重和持续性精神疾病的人。到目前为止，这种跨学科培训非常成功：(1)共有39名研究员接受了培训；大多数人现在担任学术或其他研究职位，发表了大量出版物，并资助了研究项目；(2)共有25名核心教员参加了该计划；(3)两所大学目前由外部资助的核心教员研究补助金组合由69个项目组成，总直接成本预算为3170万美元，支持博士后培训的多样化和富有成效的研究环境；以及(4)与北卡罗来纳州和全国各地的州和地方心理健康机构建立了支持关系。鉴于这一培训计划的持续出色表现，要求在五年续展期内每年继续为四名博士后研究员提供NRSA--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.