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Evaluating the Role of School in Adolescent Mental Health Service Provision

评估学校在青少年心理健康服务提供中的作用

基本信息

批准号：
8601549
负责人：
JENNIFER GREIF GREEN
金额：
$ 15.15万
依托单位：
BOSTON UNIVERSITY (CHARLES RIVER CAMPUS)
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：
2010-01-15 至 2015-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8601549
关键词：
Address Adolescent Area Behavior Disorders Characteristics Child Climate Communities Comorbidity Competence Consultations Continuity of Patient Care Data Data Analyses Data Set Detection Diagnosis Diagnostic and Statistical Manual of Mental Disorders Disease Early Intervention Early identification Economics Effectiveness Emotional disorder Enabling Factors Epidemiology Evaluation Evaluation Research Family Feedback Foundations Funding Goals Health Services Research Health system Healthcare Impairment Improve Access Individual Intervention Interview K-Series Research Career Programs Knowledge Link Mainstreaming Measures Mental Health Mental Health Services Mental disorders Mentors Neighborhoods Outcome Pattern Phase Play Policies Predisposing Factor Preparation Preventive Intervention Process Professional counselor Program Evaluation Property Provider Psychologist Psychometrics Public Health Public Policy Reading Research Research Project Grants Resource Allocation Resources Role Sampling School Health Services School Nursing Schools Services Social Workers Source Students Surveys System Techniques Testing Time Training Training Activity Variant Youth base care systems career child mental health service community based service design experience health care delivery high school improved junior high school programs public health relevance skills therapy design therapy development

项目摘要

DESCRIPTION (provided by applicant): This Career Development Award (K01) will provide the candidate with skills to establish an independent program of research focused on evaluating the role of schools in mental health service provision for adolescents. Schools are identified as a primary provider of mental health services and a gateway to other service sectors. However, there is a great deal of variability in school service provision and relatively little is known about the mechanisms by which schools are involved in identifying adolescents with psychiatric disorders and providing referrals for mental health services. While the candidate has experience providing services in schools and assessing indicators of school climate, this training plan is designed to provide her with skills in psychiatric epidemiology and services evaluation research to address gaps in her training. Specifically, the candidate will (a) develop proficiency in statistical techniques for analyzing large multilevel and longitudinal datasets and (b) gain in-depth knowledge of mental health services research, through study and direct experience with the evaluation of mental health services in schools. A combination of didactic training, guided readings, a research apprenticeship, and the completion of a mentored research project will address these gaps in knowledge. The first phase of the mentored research project will involve studying variability in adolescent service system contact as a function of modifiable school characteristics and identifying the influence of referrals for treatment from the school sector on subsequent treatment trajectories and mental health outcomes. Aims will involve analysis of data from the National Co-morbidity Survey Replication Adolescent Supplement (NCS-A) and Center for Mental Health Services' system of care evaluation, providing the candidate will skills in mental health services research and multilevel and longitudinal data analysis. These skills will be applied to the second phase of the project, which will involve conducting interviews and developing of a new survey to measure identification and referral strategies used by school psychologists and school counselors. Training activities and study results will be used to develop an R01 proposal to test mechanisms for improving access to mental health services by enhancing detection and referral provision by schools. PUBLIC HEALTH RELEVANCE: This study aims to clarify the role of schools in identifying psychiatric disorders and providing referrals for mental health services. Delineating these roles is critical to informing the development of interventions that can increase access to mental health services. A substantial proportion of adolescent mental health services are provided by schools or at their behest, interventions to improve effective service provision have important public health implications.

描述(由申请人提供)：这一职业发展奖(K01)将为候选人提供技能，以建立一个独立的研究计划，重点评估学校在青少年心理健康服务提供中的作用。学校被确定为心理健康服务的主要提供者和通往其他服务部门的门户。然而，学校提供的服务千差万别，对学校参与识别患有精神障碍的青少年和为心理健康服务提供转介的机制知之甚少。虽然应聘者有在学校提供服务和评估学校氛围指标的经验，但本培训计划旨在为她提供精神流行病学和服务评估研究方面的技能，以弥补培训中的差距。具体地说，候选人将(A)熟练掌握分析大型多层次和纵向数据集的统计技术，以及(B)通过对学校精神健康服务评估的研究和直接经验，获得关于精神健康服务研究的深入知识。教学培训、指导性阅读、研究学徒和完成有指导的研究项目相结合，将弥补这些知识上的差距。指导研究项目的第一阶段将涉及研究青少年服务系统接触的可变性，作为可改变的学校特征的函数，并确定学校部门转介接受治疗对随后的治疗轨迹和心理健康结果的影响。AIMS将涉及分析来自国家共同发病率调查复制青少年增刊(NCS-A)和精神卫生服务中心的护理评估系统的数据，为候选人提供精神卫生服务研究的意志技能以及多层次和纵向的数据分析。这些技能将应用于该项目的第二阶段，包括进行访谈和开发一项新的调查，以衡量学校心理学家和学校辅导员使用的识别和转介策略。培训活动和研究结果将被用来制定一项R01提案，以测试通过加强学校提供的检测和转介来改善获得精神卫生服务的机制。公共卫生相关性：这项研究旨在阐明学校在识别精神障碍和为精神卫生服务提供转介方面的作用。界定这些角色对于制定能够增加获得心理健康服务的干预措施至关重要。相当大比例的青少年心理健康服务是由学校或在学校的要求下提供的，因此，改善有效服务提供的干预措施具有重要的公共卫生影响。

项目成果

期刊论文数量（12）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Adjustment among children with relatives who participated in the manhunt following the Boston Marathon attack.

DOI：
10.1002/da.22281
发表时间：
2014-07
期刊：
DEPRESSION AND ANXIETY
影响因子：
7.4
作者：
Comer, Jonathan S.;Kerns, Caroline E.;Elkins, R. Meredith;Edson, Aubrey L.;Chou, Tommy;Dantowitz, Annie;Miguel, Elizabeth;Brown, Bonnie;Coxe, Stefany;Green, Jennifer Greif
通讯作者：
Green, Jennifer Greif

Disqualified qualifiers: evaluating the utility of the revised DSM-5 definition of potentially traumatic events among area youth following the Boston marathon bombing.

取消资格：评估修订的DSM-5定义对波士顿马拉松轰炸后地区青年中潜在创伤事件的定义。