YOUTHS' ACCESS TO MENTAL HEALTH SERVICES: A CAREER AWARD

描述（申请人的摘要）： 对青少年获得心理健康服务的了解尚不充分，但 全国重要的问题，将影响青年服务的方式 资助和提供。该研究职业提案旨在解决年轻人进入 以及通过专业和专业机构提供的心理健康服务的途径 非专业部门（心理健康、公共卫生、儿童福利、青少年 司法、教育、毒品和酒精）。迄今为止，服务研究已 忽视了社会工作者和非专业心理健康的作用 提供心理健康服务的专业人员。 K02 奖将 让斯蒂夫曼博士有时间在她之前的工作基础上继续发展，增加研究的广度 其在该领域的重大贡献。该研究将检验假设 利用正在进行的研究的数据并解决提供更好的服务所需的知识 获得多个服务部门的精神卫生服务。 这些假设与服务访问有关；网关提供商的角色，以及 医疗补助/管理式医疗： 1. 青少年对心理健康问题服务的使用取决于： 他们的需求、倾向特征和服务支持 特点； 2. 确定青少年获得心理健康问题服务的机会 通过：网关提供商认为他们的需求；以及那些网关提供商的 资源、服务联系和服务知识； 3. 专业心理健康服务的使用与 医疗补助和管理式医疗报销的可用性和可及性 服务。 这项研究还将探讨服务获取问题，即哪些服务太少 已知可以构建特定的假设，但这些假设对于改进很重要 服务的获取和提供。在 K02 期间，探索性分析将有助于 将这些作为新研究的假设：1.)什么是多部门 服务的配置及其补充或补充 关系？ 2.) 问题持续性与服务有什么关系 配置随时间变化？和; 3.) 障碍物之间的关系是什么 （会随着时间的推移而改变）服务配置的变化？

DESCRIPTION (Applicant's abstract): Knowledge of youths' access to mental health services is an underdeveloped, but nationally important, issue that will impact the way youths' services are funded and provided. This research career proposal addresses youths' entry into and pathways through mental health services provided by both specialty and nonspecialty sectors (mental health, public health, child welfare, juvenile justice, education, and drug and alcohol). To date, services research has neglected the role of social workers and nonspecialty mental health professionals in the provision of mental health services. A K02 Award will allow Dr. Stiffman the time to build upon her previous work, adding breadth to its significant contributions in this area. The research will test hypotheses with data from ongoing studies and address knowledge needed to provide better access to mental health services in multiple service sectors. The hypotheses relate to service access; the role of the gateway provider, and Medicaid/managed care: 1. Youths' use of services for their mental heath problems is determined by: their need, their predisposing characteristics, and service enabling characteristics; 2. Youths' access to services for their mental health problems is determined by: their need as perceived by gateway providers; and those gateway providers' resources, service connections, and service knowledge; 3. The use of specialty mental health services is positively associated with the availability and accessibility of Medicaid and managed care reimbursed services. This study will also explore service access questions about which too little is yet known to frame specific hypotheses, but which are important to improving access and delivery of services. During the K02, exploratory analyses will help frame these as hypotheses for new studies: 1.) What are the multisector configurations of services and their complementary or supplementary relationships?; 2.) What is the relationship of problem persistence to service configuration change over time? and; 3.) What is the relationship of barriers (which will change over time) to changes in service configurations?