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Center for Mental Health Services in Pediatric Primary Care

儿科初级保健心理健康服务中心

基本信息

批准号：
8531436
负责人：
LAWRENCE S WISSOW
金额：
$ 2.03万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-04-09 至 2015-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8531436
关键词：
Academy Address Advisory Committees Advocate American Anxiety Attention Caring Child Child Mental Health Childhood Clinical Clinical Data Collaborations Communication Communities Diagnosis Distress Elements Faculty Family Goals Health Policy Health Services Accessibility Healthcare High Prevalence Impairment Information Systems Institution Instruction Intervention Knowledge Learning Measurement Measures Medical Mental Health Mental Health Services Methods Mission Modeling Outcome Parents Patients Pediatrics Policy Maker Population Prevention Primary Health Care Provider Psychiatrist Psychologist Psychotherapy Quality Control Recruitment Activity Research Research Design Research Methodology Research Personnel Research Priority Resources Role Rural Scientist Testing Therapeutic Training Work active method base chronic care model common treatment community setting design disability evidence base improved functioning innovation multidisciplinary operation pediatrician prevent skills suburb

项目摘要

DESCRIPTION (provided by applicant): Mission: The center seeks sustainable ways to increase primary care providers' capacity to improve function, reduce distress, and prevent disability among children with mental health problems. Background: The mental health issues treated in pediatric primary care are characterized by high prevalence and a preponderance of children with impairment but without a diagnosis. Parent distress frequently complicates children's mental health problems and requires simultaneous attention. The ability to engage families around their needs promotes access to treatment and contributes to reducing ethnic (disparities. Goal and specific aims: The Center will develop an evidence-based model for mental health in primary care that 1) applies to the range of problems seen in primary care, 2) engages existing skills and knowledge of families and pediatric providers, and 3) results in sustainable increases in the mental health treatment capacity of primary care. Its specific aims are to: 1) adapt Wagner's Chronic Care Model (CCM) of primary care mental health service to include treatment based on "common factors" and "common treatment elements."; la) within the CCM's 5 domains, address priority research needs related to the impact of common factors and their implementation in office practice; lb) develop packages of practical interventions, built around domains of the adapted CCM, for larger scale trials in pediatric primary care; 2) develop measurements, study designs and analytic methods to efficiently assess outcomes in community settings; and 3) stimulate innovation in pediatric mental health services through multidisciplinary and community-academic collaboration, attracting new and diverse scholars and providing a resource for scientists, policy makers, and advocates. Methods: The Center's faculty is a team of pediatricians, psychologists, psychiatrists, and other scholars from six institutions that include rural, suburban, and urban settings. Their work is informed by ties to the American Academy of Pediatrics' Task Force on Mental Health and leaders in state mental health policy. Guidance and focus come from a community advisory committee and a national scientific advisory board. Research Methods Core studies address priority questions about the evidence base for common factors, the burden of mental health care, and feasible clinical data systems. Principal Research Core studies test complementary common factors approaches for children with anxiety problems. The Operations Core promotes recruiting underrepresented trainees, meaningful community interaction, quality control, and innovative study design.

描述（由申请人提供）：使命：该中心寻求可持续的方法，以提高初级保健提供者的能力，以改善功能，减少痛苦，并防止残疾儿童的心理健康问题。背景资料：在儿科初级保健中治疗的心理健康问题的特点是患病率高，而且有障碍但没有诊断的儿童占优势。父母的痛苦往往使儿童的心理健康问题复杂化，需要同时关注。使家庭围绕其需要参与的能力促进了获得治疗的机会，并有助于减少种族差异。目标和具体目标：该中心将开发一个以证据为基础的模型，用于初级保健中的心理健康，1）适用于初级保健中出现的一系列问题，2）利用家庭和儿科提供者的现有技能和知识，3）导致初级保健的心理健康治疗能力的可持续增长。其具体目标是：1）将瓦格纳的基层精神健康服务慢性护理模式（CCM）纳入基于“共同因素”和“共同治疗要素”的治疗。";a）在CCM的5个领域内，解决与共同因素及其在办公室实践中的实施的影响相关的优先研究需求; b）围绕经调整的CCM的领域开发实用干预措施包，用于儿科初级保健的大规模试验; 2）开发测量，研究设计和分析方法，以有效评估社区环境中的结果; 3）通过多学科和社区学术合作，鼓励儿科心理健康服务的创新，吸引新的和不同的学者，并为科学家，政策制定者和倡导者提供资源。研究方法：该中心的教师是一个由儿科医生，心理学家，精神病学家和其他学者组成的团队，他们来自六个机构，包括农村，郊区和城市环境。他们的工作与美国儿科学会心理健康工作组和州心理健康政策的领导者有联系。指导和重点来自社区咨询委员会和国家科学咨询委员会。核心研究解决了关于常见因素的证据基础，精神卫生保健的负担和可行的临床数据系统的优先问题。主要研究核心研究测试补充共同因素的方法，为儿童焦虑问题。运营核心促进招募代表性不足的学员，有意义的社区互动，质量控制和创新的研究设计。