Center for Education and Research on Mental Health Ther*

描述（由申请人提供）：精神卫生CERT将建立在现有的强有力的合作基础上，以创建一个连贯的、多学科的项目，旨在改善精神药物使用的结果。它为应急小组网络带来了强大的能力、杰出的调查人员以及大量的数据和方法资源。它将明确的长期战略愿景与可实现的短期目标相结合，这些目标将解决具体的紧迫问题，并将稀缺的CERT资源用于独立的可持续项目。它将汇集优秀的跨学科专业知识与基础设施，使团队能够有效地利用大型，复杂的医疗保健数据集，并与各种支持者有效沟通，将研究转化为实践。它的目标是成为一个全国性的心理健康治疗资源，以其专业知识和独立，严谨和客观的工作而受到信任。它将汇集优秀的研究团队，制定和实施改善治疗模式和结果的战略，在选定的问题领域对人口的影响，强调通过医疗保险和医疗补助等主要公共计划接受护理的大量人口。核心和项目的工作将围绕在规划阶段制定的七项倡议进行组织，这些倡议是对CERT工作具有高潜在影响的领域：儿童抑郁症的更安全，更有效的治疗;儿童抗精神病药物使用的风险和益处的平衡;更好的儿童心理健康治疗和结果的指南制定和处方者培训：两国倡议;减少持续时间差距，以改善成人精神分裂症的结果;改善精神药物的使用在体弱的老年人和患有医学疾病的成年人;进一步指导一致的管理社区成人和老年人口的抗抑郁治疗;和评估和解决医疗保险现代化法案的影响受益人与精神疾病。每个领域的工作将有系统地从研究走向实践，强调具有广泛影响的政策一级的干预措施。在分析行政医疗数据集的强大经验基础上，该中心将开发和管理广泛的多州公共支付研究数据集，支持多项相关研究，并将这些研究与教育和干预措施相结合，以改善目标领域的实践和成果。

DESCRIPTION (Provided by the Applicant): The Mental Health CERTs will build on strong existing collaborations to create a coherent, multidisciplinary program targeting improvement of outcomes of psychotropic medication use. It brings strong capacity, distinguished investigators, and substantial data and methodological resources to the CERTs network. It combines a clear, long-term strategic vision with achievable short-term aims that will address specific urgent issues and leverage scarce CERTs resources into independently sustainable projects. It will bring together outstanding interdisciplinary expertise with infrastructure to enable teams to effectively utilize large, complex healthcare datasets and communicate effectively with a variety of constituencies to translate research into practice. It aims to become a national resource on mental health therapeutics, trusted for its expertise and its independent, rigorous, and objective work. It will bring together outstanding research teams to develop and implement strategies for improving treatment patterns and outcomes in problem areas selected for impact on a population basis, emphasizing the large populations receiving care through major public programs such as Medicare and Medicaid. Work of the cores and projects will be organized around seven initiatives developed in the planning stage as areas of high potential impact for CERTs work: Toward Safer, More-Effective Treatment of Childhood Depression; Balancing Risks and Benefits in Childhood Antipsychotic Use; Guideline Development and Prescriber Training for Better Childhood Mental Health Treatment and Outcomes: A Two-State Initiative; Reducing the Duration Gap to Improve Adult Schizophrenia Outcomes; Improving Psychotropic Use Among Frail Elderly and Adults with Medical Illnesses; Furthering Guideline-Consistent Management of Antidepressant Treatment in Community Adult and Elderly Populations; and Assessing and Addressing Medicare Modernization Act Impacts for Beneficiaries with Mental Illness. Work in each area will move systematically from research to practice, emphasizing policy-level interventions of broad impact. Building on a strong experience base in analyzing administrative healthcare datasets, the Center will develop and manage extensive multistate public-payer research datasets supporting multiple related studies, and integrate these studies with education and interventions to improve practice and outcomes in targeted areas.