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Using Technology to Optimize Child Mental Health Care In Real World Settings

在现实世界中利用技术优化儿童心理保健

基本信息

批准号：
9409241
负责人：
Stephen Whiteside
金额：
$ 22.47万
依托单位：
MINNESOTA HEALTHSOLUTIONS CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-08-10 至 2019-08-09
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9409241
关键词：
Accountability Address Administrator Anxiety Anxiety Disorders Award Behavior Behavior Control Caring Child Child Mental Health Childhood Clinic Clinical Collaborations Communities Computer software Data Development Diagnosis Disease Documentation Engineering Evidence based practice Evidence based treatment Exercise Family Feedback Generations Goals Health Personnel Healthcare Impairment Internet Interview Literature Logic Manuals Measurement Medical Technology Mental Depression Mental Health Mental disorders Minnesota Monitor National Institute of Mental Health Online Systems Organizational Decision Making Outcome Patient-Focused Outcomes Patients Performance Phase Primary Health Care Problem behavior Process Provider Psychiatric Diagnosis Psychologist Recording of previous events Reporting Research Self Efficacy Severities Small Business Innovation Research Grant Structure Supervision Symptoms System Techniques Technology Testing Therapeutic Therapeutic Effect Time Training Training Support Treatment Protocols Work base childhood anxiety commercialization community based treatment cost design disability effective therapy evidence base flexibility handheld mobile device health care delivery improved interactive tool interest medical specialties novel prototype self help tool treatment as usual

项目摘要

Minnesota HealthSolutions (MHS) in conjunction with Mayo Clinic of Rochester proposes the current project to address the NIMH DSIR priority to develop novel tools for the dissemination and implementation of evidence-based treatment (EBT). We propose to develop a web- and mobile-based platform, eChildPsych, which integrates assessment, treatment tools, progress monitoring, and reporting. This sustainable and novel technological solution will improve the quality of mental health assessment and treatment for children through interactive tools to a) support initial and ongoing assessment and documentation, b) facilitate selection of key, diagnosis-relevant EBT components, c) implement progress monitoring by automatically collecting real-time patient-level data on fidelity, engagement, therapeutic progress and outcome, and d) facilitate organizational decision-making by providing aggregate fidelity and assessment data. Mental disorders are a leading cause of disability and often begin in childhood. At any given time approximately one in eight children suffers from a psychiatric disorder of sufficient severity to be impairing, the majority of which go untreated. Although effective assessment and treatment protocols exist for the majority of psychiatric conditions, the vast majority of treatment offered in real-world (non-research) settings is not consistent with best practices. This project aims to expand child access to evidence-based mental health care for the most common psychiatric diagnoses by building a system that addresses barriers to clinician use of evidence-based practices and broadens the potential base of users to other health providers (e.g., primary care) and families for self-help.

明尼苏达州健康解决方案（MHS）与罗切斯特的马约诊所合作，提出了当前的项目，以解决NIMH DSIR优先开发新的工具，传播和实施循证治疗（EBT）。我们建议开发一个基于网络和移动平台，eChildPsych，它集成了评估，治疗工具，进度监测和报告。这种可持续的新型技术解决方案将通过交互式工具提高儿童心理健康评估和治疗的质量，以a）支持初始和持续的评估和记录，B）促进关键的诊断相关EBT组件的选择，c）通过自动收集关于忠诚度，参与度，治疗进展和结果的实时患者水平数据来实施进展监测，以及d）通过提供聚合保真度和评估数据来促进组织决策。精神障碍是残疾的主要原因，而且往往开始于童年。在任何时候，大约每八个儿童中就有一个患有严重到足以造成损害的精神疾病，其中大多数得不到治疗。虽然大多数精神疾病都有有效的评估和治疗方案，但在现实世界（非研究）环境中提供的绝大多数治疗与最佳做法并不一致。该项目旨在通过建立一个系统，解决临床医生使用循证实践的障碍，并将潜在的用户基础扩大到其他医疗服务提供者（例如，家庭自助（家庭自助）。