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.

项目摘要美国国家心理健康研究所已开发出早期的精神病干预网络（Episet）来学习从全国实施协调专业护理（CSC）进行第一集精神病（FEP）。我们建议一个epinet节点[连接学习健康系统（LHS）]，该节点将支持统一的数据收集，分析，反馈和基础设施的发展，以促进14个良好的持续质量改进的文化在马里兰州和宾夕法尼亚州建立的CSC计划，每年在Urban中为500多名年轻客户提供服务郊区和农村环境。我们将实施核心评估电池，并开发一个系统来管理和分析跨程序的数据，并提供有关患者结果的计划的反馈，并忠于CSC 模型。在我们在跨州临床医生培训和咨询方面的经验的基础上，我们将扩大现有的学习在马里兰州实施CSC的合作培训，以识别临床的LHS 问题，分析数据并应用发现以优化我们所有CSC计划的实践。我们提出了一个基于实践的研究项目，以适应激励性访谈干预措施，以使寻求无与伦比的繁重使用大麻的青少年针对CSC参与，药物依从性和降低风险以改善使用，持续的大麻使用者的FEP患者的功能和恢复结果。我们将与Epinet合作国家数据协调中心，以实施标准措施并共享共同的数据元素以回答临床问题可以改善经历FEP的年轻人的CSC。