Training Geriatric Mental Health Services Researchers

 描述：2012年医学研究所的一项研究得出结论，老年人心理健康和药物滥用劳动力严重不足，未来需要心理健康服务的老年人数量几乎翻一番，如果在服务的开发、传播、实施和提供方面没有重大创新，将完全超过现有的能力和服务。本申请申请续签老年精神健康服务研究博士后培训计划，旨在通过一个新颖的多地点培训计划，使下一代研究人员具备应对这一挑战的技能，该计划包括达特茅斯学院(Stephen Bartels)、康奈尔大学(Martha Bruce)、华盛顿大学(Jürgen Unützer)和密歇根大学(Frederic Blow)。我们将通过为20名博士后研究员提供两到三年的计划来实现这一目标，该计划包括：指导老年精神健康服务研究培训；通过基于网络的交流和档案课程链接的跨站点研讨会和共同指导；以及每个站点的正式课程工作。申请者将拥有医学、心理学、社会工作、社会学、流行病学、公共卫生、卫生经济学或相关社会科学的博士学位。拟议的续签建立在经过验证的成功记录的基础上，包括从代表性不足的少数族裔(32%)和具有不同背景(包括医学博士和博士、心理学家、社会工作者、护士和营养师)的残疾人(12%)中招募参与者；在2-3年奖学金期间100%保留(成功获得教员职位并提前离开项目的4名研究员除外)；成功的基于网络的、每两周一次的跨站点指导研讨会；以及卓有成效的奖学金和职业发展的证据。在我们计划的9年中，25名研究员撰写了560多篇摘要、海报、演示文稿、书籍章节和文章，其中包括210篇同行评议的期刊文章(97篇为第一作者)，以及 书中有34章。在该计划前七年毕业的19名研究员中，四分之三(74%)获得了助学金，其中一半(47%)获得了NIH支持的助学金，四分之一(24%)获得了NIMH K奖项。我们95%的毕业生都获得了学术或研究职位。在这次更新中，我们将通过以下方式进一步加强这一新计划：通过举办一系列全国性网络研讨会，包括四个研究金地点以外的早期职业老年精神健康研究人员，扩大其覆盖范围和影响；通过增加四名助理培训主任，加强计划的基础设施；通过跨站点协作项目，以及与NIMH新优先事项相关的技能发展，支持团队科学技能，包括通过传播和实施研究，最大限度地提高人口健康影响；衡量干预行动机制(主持人、调解人、保真度)；减少服务使用和结果的差距；通过电子健康和mHealth技术改善覆盖范围和获得机会；利用现有数据库和电子医疗记录；以及在负责任的研究工作中进行深入培训。

 DESCRIPTION: A 2012 Institute of Medicine study concludes that the older adult mental health and substance abuse workforce is woefully inadequate, and the future near doubling of the number of older adults in need of mental health services will entirely overwhelm existing capacity and services without major innovations in the development, dissemination, implementation, and delivery of services. This application requests renewal funding for a postdoctoral training program in geriatric mental health services research designed to equip the next generation of researchers with the skills to address this challenge through a novel, multi-site training program including Dartmouth College (Stephen Bartels), Cornell University (Martha Bruce), University of Washington (Jürgen Unützer) and the University of Michigan (Frederic Blow). We will achieve this goal by providing 20 post-doctoral fellows a two to three year program consisting of: mentored geriatric mental health services research training; cross-site seminars and co-mentoring linked by web-based communication and archived curricula; and formal coursework at each site. Applicants will have a doctoral degree in medicine, psychology, social work, sociology, epidemiology, public health, health economics, or a related social science. The proposed renewal builds on a proven track record of success, including recruitment of participants from underrepresented minorities (32%) and disabled (12%) with diverse backgrounds (including MDs and PhDs, psychologists, social workers, nurses and dieticians); 100% retention over the 2-3 year fellowship (except for 4 fellows who successfully obtained faculty positions and left the program early); a successful web-based, biweekly, cross-site mentoring seminar; and evidence of productive scholarship and career advancement. In the 9 years of our program, 25 fellows have produced over 560 abstracts, posters, presentations, book chapters, and articles, including 210 peer-reviewed journal articles (97 as first author), and 34 book chapters. Among the 19 fellows graduating in the first seven years of the program three-quarters (74%) have obtained grant funding, including half (47%) obtaining NIH-supported grants, with a quarter (24%) consisting of NIMH K awards. Ninety-five percent of all of our graduates have obtained academic or research positions. In this renewal we will further enhance this novel program by: extending its reach and impact through a national webinar series including early career geriatric mental health researchers outside of the four fellowship sites; enhancing the infrastructure of the program by adding four associate training directors; supporting skills in team science through cross-site collaborative projects, and by skill development related to new NIMH priorities including maximizing population health impact through dissemination and implementation research; measuring intervention mechanisms of action (moderators, mediators, fidelity); reducing disparities in service use and outcomes; improving reach and access through eHealth and mHealth technology; leveraging existing data bases and electronic medical records; and in depth training in the responsible conduct of research.