Improving Mental Health Care in Safety Net Medical Settings

描述（由申请人提供）：安全网医疗设施服务人群的精神疾病和成瘾负担很大，专业精神卫生设施无法满足。尽管在这种情况下迫切需要制定有效的方法来组织、资助和提供与医疗保健相结合的心理健康和成瘾服务，但缺乏训练有素的研究人员，他们拥有必要的技能、培训和背景知识来开展相关的、高影响力的研究，同时了解将这些发现转化为临床实践所需的行政、财政、政策和社区利益相关者的观点。该博士后培训计划旨在增加接受心理健康和成瘾服务研究培训的早期职业调查员的数量，以安全网医疗环境为重点，采用嵌入存在了几十年的学术-公共部门伙伴关系的跨学科方法。拟议的奖学金计划将每年选拔 3 名博士后研究员，在 5 年期间为总共 15 名研究员接受 2 年的指导培训。跨学科培训将包括来自医学院精神病学系和医学系以及社会工作、护理和公共卫生学院的教师。指导性研究活动和安全网临床、行政和政策暴露构成了该计划的核心经验，并将嵌入并促进个性化定制的教学法和指导性教学，旨在传授极其重要的知识和技能。 公共卫生相关性：通过解决研究人员的严重短缺问题，拟议的计划将增加转化研究，旨在为安全网服务提供者社区带来基于证据的研究结果，并希望对改善这些环境中心理健康和成瘾护理的提供产生长期影响。

DESCRIPTION (provided by applicant): The burden of mental illness and addictions in the population served by safety net medical facilities is substantial, and cannot be accommodated by specialty mental health facilities. Despite the urgent need to develop effective approaches to organizing, financing, and delivering mental health and addiction services integrated with medical care in this setting, there is a paucity of trained researchers with the necessary skills, training, and background knowledge to both conduct relevant, high impact research, while at the same time understanding the administrative, fiscal, policy, and community stakeholder perspectives needed to translate these findings into clinical practice. This post-doctoral training program aims to increase the number of early career investigators trained in mental health and addictions services research with a safety net medical setting focus, using an interdisciplinary approach embedded in an academic-public sector partnership that has existed for several decades. The proposed fellowship program will select 3 postdoctoral investigators each year to receive 2 years of mentored training for a total of 15 fellows over the 5 year period. The interdisciplinary training would involve faculty from the Departments of Psychiatry and Medicine in the School of Medicine, and from the Schools of Social Work, Nursing, and Public Health. Mentored research activities and safety-net clinical, administrative and policy exposures form the core experience of the program, and will be embedded in, and facilitated by, individually tailored didactics and mentored instruction designed to impart crucially important knowledge and skills. PUBLIC HEALTH RELEVANCE: By addressing a critical shortfall in investigators, the proposed program will increase translational research designed to bring evidence-based findings to the community of safety net service providers and, hopefully, have a long range impact in improving the delivery of mental health and addictions care in these settings.