YOUTHS' ACCESS TO MENTAL HEALTH SERVICES: A CAREER AWARD

描述(申请人摘要)： 关于青少年获得心理健康服务的知识还不发达，但 全国重要的问题，将影响青年服务的方式 提供资金并提供资金。这份研究职业建议针对的是青年进入 以及通过专科和专科提供的心理健康服务 非专科部门(精神卫生、公共卫生、儿童福利、青少年 司法、教育、毒品和酒精)。到目前为止，服务研究已经 忽视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。一个K02奖将 让斯蒂夫曼博士有时间在她之前的工作基础上再接再厉，增加 它在这一领域的重大贡献。这项研究将检验假设 使用来自正在进行的研究的数据和解决所需的知识来提供更好的 在多个服务部门获得精神卫生服务。 这些假设涉及服务访问；网关提供商的角色；以及 医疗补助/管理型医疗： 1.青少年对其心理健康问题使用服务的情况取决于： 他们的需求，他们的易感特征，以及服务支持 特点； 2.确定青少年获得心理健康服务的机会 由：网关提供商感知的他们的需求；以及这些网关提供商的 资源、服务联系和服务知识； 3.专科精神卫生服务的使用与 报销的医疗补助和管理式医疗服务的可得性和可及性 服务。 这项研究还将探讨哪些服务访问问题太少 但已知的是构建特定的假设，但这些假设对改进很重要 服务的获取和交付。在K02期间，探索性分析将有所帮助 将这些作为新研究的假设：1)什么是多部门 服务配置及其互补或补充 恋爱？；2.)问题持久性与服务之间的关系是什么 随着时间的推移配置会发生变化吗？以及；3)壁垒的关系是什么？ (随着时间的推移会发生变化)到服务配置的变化？

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?