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Connecting FEP Research and Practice through a Learning Health System

通过学习健康系统将 FEP 研究与实践联系起来

基本信息

批准号：
10121052
负责人：
MELANIE E. BENNETT
金额：
$ 148.94万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-07 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10121052
关键词：
Address Administrator Adolescent Adopted Baltimore Biological Response Modifier Therapy Caring Characteristics Client Clinical Clinical Research Common Data Element Communication Complex Consultations Data Data Collection Data Coordinating Center Data Element Data Management Resources Development Drops Early Intervention Electronic Mail Evaluation Studies Evidence based practice Family Family member Feedback Focus Groups Funding Opportunities Glean Harm Reduction Health system Infrastructure Institutes Intervention Leadership Learning Link Maryland Measures Mental Health Modeling Monitor National Institute of Mental Health Outcome Patient-Focused Outcomes Patients Pennsylvania Practice based research Problem Solving Procedures Process Psychotic Disorders Qualitative Methods Quality of Care Recovery Reporting Research Research Personnel Research Project Grants Risk Risk Reduction Schizophrenia Services Structure Symptoms System Tablets Testing Time To specify Training Visit Work base behavioral health care delivery care systems clinical decision-making community setting design effective therapy evidence base experience first episode psychosis high risk improved infrastructure development insight learning network marijuana use marijuana user medical specialties medication compliance motivational enhancement therapy programs psychologic resilience response rural setting service delivery severe mental illness standard measure suburb translational research program treatment program young adult

项目摘要

Project Summary The National Institute of Mental Health has developed the Early Psychosis Intervention Network (EPINET) to learn from the national implementation of coordinated specialty care (CSC) for first episode psychosis (FEP). We propose an EPINET node [Connection Learning Health System (LHS)] that will support uniform data collection, analysis, feedback, and infrastructure development to promote a cultural of continuous quality improvement across 14 well- established CSC programs in Maryland and Pennsylvania serving over 500 young adult clients per year in urban, suburban, and rural settings. We will implement a core assessment battery and develop a system to manage and analyze data across programs and to provide feedback to programs on patient outcomes and fidelity to the CSC model. Building on our experience in cross-state clinician training and consultation, we will expand our existing learning collaborative for CSC implementation in Maryland into a cross-state an LHS that will identify clinical questions, analyze data, and apply findings to optimize practice across all of our CSC programs. We propose a practice-based research project to adapt a motivational interviewing intervention for nontreatment-seeking heavy cannabis-using adolescents to target CSC engagement, medication adherence, and risk reduction to improve use, functioning, and recovery outcomes in FEP patients who are persistent cannabis users. We will work with the EPINET National Data Coordinating Center to implement standard measures and share common data elements to answer clinical questions to improve CSC for young adults experiencing FEP.

项目摘要国家精神卫生研究所开发了早期精神病干预网络（EPINET），从国家实施的协调专科护理（CSC）首次发作精神病（FEP）。我们提出 EPINET节点[连接学习健康系统（LHS）]，将支持统一的数据收集，分析，反馈和基础设施建设，以促进14个良好的持续质量改进文化- 在马里兰州和宾夕法尼亚州建立了CSC项目，每年在城市为500多名年轻的成年客户提供服务，郊区和农村的环境。我们将实施一个核心评估组，并开发一个管理和分析跨项目的数据，并向项目提供有关患者结局和CSC忠诚度的反馈模型根据我们在跨州临床医生培训和咨询方面的经验，我们将扩大现有的学习协作CSC实施在马里兰州到一个跨州的LHS，将确定临床问题，分析数据，并应用调查结果来优化我们所有CSC计划的实践。我们提出了一个基于实践的研究项目，以适应非寻求治疗的重度使用大麻的青少年以CSC参与为目标，药物依从性，降低风险以改善使用，功能和恢复结果的FEP患者谁是持久的大麻用户。我们将与EPINET合作国家数据协调中心实施标准措施，共享共同数据元素，临床问题，以改善CSC的年轻人经历FEP。