Mentoring and Research in Mental Health Services

描述(由申请人提供)：本申请续期NIMH以患者为中心的研究生涯中期研究员奖(K24)寻求支持致力于以患者为中心的研究的家庭医生在社区环境和精神健康领域开展具有公共卫生意义的研究，并指导其他人。该申请基于我作为临床医生-调查员的优势和我作为临床医生-调查员早期导师的仔细考虑，并有以下目标：(1)继续吸引、鼓励和指导初级临床医生-调查员从事与初级卫生保健环境中的精神障碍相关的高质量实践研究；(2)建立基础设施支持，鼓励和促进初级临床医生-调查员在家庭医学和精神病学等学科的职业生涯；(3)促进开发混合方法(定量和定性方法)，以设计和评估以初级保健环境为重点的精神卫生干预措施；以及(4)领导一个跨学科小组，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。K24应用程序的概念框架和活动基于与初级保健和其他社区环境中的精神卫生干预措施有关的研究和职业发展的若干原则；即：(1)需要侧重于社区环境；(2)需要让利益攸关方参与制定社区参与式干预措施；(3)在社区干预措施的研究中使用混合方法；以及(4)需要一个能够支持社区研究的基础设施。这些目标与NIMH战略计划战略3.3和战略4.3是一致的，战略3.3呼吁发展“由传统精神卫生系统以外的人提供的干预措施，如教师和社区领导人”，以及战略4.3“加强伙伴关系，以更清楚地了解利益相关者的需求”。 公共卫生相关性：心理健康在与社区代表讨论社区面临的最严重问题时始终如一。将临床和社区方法结合起来，有望改善干预措施的覆盖范围。通过扩大干预范围和提供新的服务来改善抑郁症是以K24为代表的研究发展计划的关键要素。

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.