Center for Mental Health Services in Pediatric Primary Care

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，以改善功能。 减少有心理健康问题的儿童的痛苦和预防残疾。 背景：在儿科初级保健中治疗的心理健康问题的特点是患病率高 还有大量的儿童有损伤但没有得到诊断。家长经常苦恼 使儿童的心理健康问题复杂化，需要同时关注。参与的能力 家庭围绕其需要，促进获得治疗，并有助于减少种族差异。 目标和具体目标：该中心将为初级保健中的心理健康制定一个循证模式 1）适用于初级保健中出现的一系列问题，2）利用现有的技能和知识， 家庭和儿科提供者，3）导致心理健康治疗能力的可持续增长 初级保健。其具体目标是：1）适应瓦格纳的慢性护理模式（CCM）的初级保健精神 保健服务包括基于“共同因素”和“共同治疗要素”治疗。“; la）within CCM的5个领域，解决与共同因素及其影响相关的优先研究需求， b）围绕以下领域制定一揽子实际干预措施： 适应的CCM，用于儿科初级保健中的大规模试验; 2）开发测量，研究设计 和分析方法，以有效地评估社区环境中的成果;以及3）激励创新， 通过多学科和社区学术合作提供儿科心理健康服务， 吸引新的和不同的学者，并为科学家，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，精神病学家和其他学者组成的团队， 六个机构，包括农村，郊区和城市环境。他们的工作是通过与美国人的联系来了解的。 儿科学会心理健康工作组和州心理健康政策的领导者。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的优先问题，精神负担， 医疗保健和可行的临床数据系统。主要研究核心研究测试补充共同 有焦虑问题的儿童的因素方法。业务核心促进征聘代表性不足 学员，有意义的社区互动，质量控制和创新的研究设计。

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.