Center for Mental Health Services in Pediatric Primary Care

描述（由申请人提供）：使命：该中心寻求可持续的方法来提高初级保健提供者的能力，以改善有心理健康问题的儿童的功能，减少痛苦，并预防残疾。背景：在儿科初级保健治疗的心理健康问题的特点是高患病率和优势的儿童有损害，但没有诊断。父母的痛苦常常使孩子的心理健康问题复杂化，需要同时得到关注。使家庭参与其需求的能力可促进获得治疗，并有助于减少种族差异。目标和具体目的：本中心将为初级保健中的心理健康发展一种循证模式，该模式1)适用于初级保健中出现的一系列问题，2)利用家庭和儿科提供者的现有技能和知识，3)使初级保健的心理健康治疗能力得到可持续的提高。其具体目标是：1)调整初级保健心理卫生服务的瓦格纳慢性护理模式（CCM），纳入基于“共同因素”和“共同治疗要素”的治疗；la)在CCM的5个领域内，解决与共同因素影响相关的优先研究需求及其在办公室实践中的实施；(b)围绕改编CCM的领域开发一揽子实际干预措施，用于儿科初级保健的大规模试验；2)开发测量、研究设计和分析方法，以有效评估社区环境中的结果；3)通过多学科和社区学术合作，促进儿科精神卫生服务的创新，吸引新的和多样化的学者，为科学家、政策制定者和倡导者提供资源。方法：该中心的教师是一个由儿科医生、心理学家、精神科医生和其他学者组成的团队，他们来自六个机构，包括农村、郊区和城市。他们的工作是通过与美国儿科学会心理健康特别工作组和州心理健康政策领导人的联系获得的。指导和重点来自社区咨询委员会和国家科学咨询委员会。研究方法核心研究解决了关于共同因素的证据基础、精神卫生保健负担和可行的临床数据系统的优先问题。Principal Research Core研究测试了针对有焦虑问题的儿童的互补共同因素方法。运营核心促进招募代表性不足的学员、有意义的社区互动、质量控制和创新的学习设计。

DESCRIPTION (provided by applicant): Mission: The center seeks sustainable ways to increase primary care providers' capacity to improve function, reduce distress, and prevent disability among children with mental health problems. Background: The mental health issues treated in pediatric primary care are characterized by high prevalence and a preponderance of children with impairment but without a diagnosis. Parent distress frequently complicates children's mental health problems and requires simultaneous attention. The ability to engage families around their needs promotes access to treatment and contributes to reducing ethnic (disparities. Goal and specific aims: The Center will develop an evidence-based model for mental health in primary care that 1) applies to the range of problems seen in primary care, 2) engages existing skills and knowledge of families and pediatric providers, and 3) results in sustainable increases in the mental health treatment capacity of primary care. Its specific aims are to: 1) adapt Wagner's Chronic Care Model (CCM) of primary care mental health service to include treatment based on "common factors" and "common treatment elements."; la) within the CCM's 5 domains, address priority research needs related to the impact of common factors and their implementation in office practice; lb) develop packages of practical interventions, built around domains of the adapted CCM, for larger scale trials in pediatric primary care; 2) develop measurements, study designs and analytic methods to efficiently assess outcomes in community settings; and 3) stimulate innovation in pediatric mental health services through multidisciplinary and community-academic collaboration, attracting new and diverse scholars and providing a resource for scientists, policy makers, and advocates. Methods: The Center's faculty is a team of pediatricians, psychologists, psychiatrists, and other scholars from six institutions that include rural, suburban, and urban settings. Their work is informed by ties to the American Academy of Pediatrics' Task Force on Mental Health and leaders in state mental health policy. Guidance and focus come from a community advisory committee and a national scientific advisory board. Research Methods Core studies address priority questions about the evidence base for common factors, the burden of mental health care, and feasible clinical data systems. Principal Research Core studies test complementary common factors approaches for children with anxiety problems. The Operations Core promotes recruiting underrepresented trainees, meaningful community interaction, quality control, and innovative study design.