Mentoring and Research in Mental Health Services

描述（由申请人提供）：NIMH中期职业研究者奖在以患者为导向的研究（K24）的续期申请寻求支持致力于以患者为导向的研究职业生涯的家庭医生进行公共卫生意义的研究在社区环境和心理健康的竞技场，并指导他人。该申请是基于对我作为临床研究者的优势以及我在临床研究者职业生涯早期作为导师的角色的仔细考虑，并具有以下目标：（1）继续吸引，鼓励和指导初级临床研究者在初级卫生保健环境中从事与精神障碍相关的高质量实践研究;（2）建立基本的支援，以鼓励和促进初级临床医生-例如家庭医学和精神病学等学科的研究人员的职业发展;（3）促进混合方法的发展（定量和定性方法），用于设计和评价侧重于初级卫生保健环境的心理健康干预措施;（4）领导一个跨学科团队，设计、实施、评估和传播针对初级保健患者的抑郁症和其他精神障碍的创新干预措施。这一K24应用的概念框架和活动基于与初级卫生保健和其他社区环境中的心理健康干预措施有关的研究和职业发展的几项原则，即：（1）需要关注社区环境;（2）需要让利益攸关方以社区参与的方式参与干预措施的制定;（3）需要让社区参与干预措施的制定。（3）在研究以社区为基础的干预措施时使用混合方法;（4）需要一个能够维持社区研究的基础设施。这些目标与国家精神卫生战略计划战略3.3相一致，战略3.3要求制定“由教师和社区领袖等传统精神卫生系统以外的人提供”的干预措施，战略4.3“加强伙伴关系，更清楚地了解利益攸关方的需求。" 公共卫生相关性：在与社区代表讨论社区面临的最严重问题时，经常会提到心理健康问题。将临床和社区方法结合起来，有望改善干预措施的覆盖面。通过增加干预措施的覆盖范围和提供新的服务来改善抑郁症是K24所代表的研究开发计划的关键要素。

DESCRIPTION (provided by applicant): This application for the renewal of an NIMH Mid-Career Investigator Award in Patient-Oriented Research (K24) seeks support for a family physician devoted to a career in patient-oriented research to carry out research of public health significance in the arena of community settings and mental health, and to mentor others. The application is based on careful consideration of my strengths as a clinician-investigator and the role I play as a mentor to clinician-investigators early in their career, and has the following goals: (1) to continue to attract, encourage, and mentor junior clinician-investigators to pursue high quality practice-based research related to mental disturbances in the primary health care setting; (2) to build infrastructure support that will encourage and facilitate the careers of junior clinician- investigators in disciplines such as Family Medicine and Psychiatry; (3) to contribute to the development of mixed methodology (quantitative and qualitative methods) for the design and evaluation of mental health interventions focused on primary health care settings; and, (4) to lead an interdisciplinary team that designs, implements, evaluates, and disseminates innovative interventions for depression and other psychiatric disturbances among primary care patients. The conceptual framework and activities of this K24 application rest on several principles for research and career development related to mental health interventions in primary health care and other community settings; namely: (1) the need to focus on community settings; (2) the need to involve stakeholders in development of interventions with a community-based participatory approach; (3) the use of mixed methods in research on community-based interventions; and (4) the need for an infrastructure that can sustain research in the community. The goals are consistent with NIMH Strategic Plan Strategy 3.3 which called for development of interventions "delivered by people outside of the traditional mental health systems, such as teachers and community leaders" and Strategy 4.3 "to strengthen partnerships to provide a clearer understanding of stakeholders' needs." PUBLIC HEALTH RELEVANCE: Relevance Mental health consistently arises in discussions with community representatives about the most serious problems facing the community. Blending clinical and community approaches holds promise for improving the reach of interventions. Improvement of depression through increased reach of interventions and novel services delivery are key elements of the research development program represented by the K24.