COMMUNITY BASED CARE, SOCIAL NETWORKS AND MENTAL ILLNESS

描述：本提案是对NIMH独立科学家的请求 获奖(K02)，开发临床服务研究的综合方法 重点关注个人如何在服务系统中移动并将这些 体验回到他们在社区的生活中。长期目标 这项拟议的研究的一部分是了解社会关系如何在 社区(外部社交网络)和治疗方案(内部 社交网络)影响护理的获取、依从性、连续性和 结果。治疗服务于研究人员，重点关注严重疾病患者 精神障碍，为什么类型的治疗工作提供了确凿的证据。 之前关于社交网络的心理健康研究为我们提供了 外部或社区联系的性质和影响。未来的研究将 通过将之前的研究与在 临床干预以及MH对情绪表达的研究， 治疗联盟、胁迫和临床文化。ISA建立在 由候选人开发的Network-Episde Model，详细介绍了一种社交网络 影响将消费者与家人、朋友、临床医生和 临床和社区环境中的社会服务提供者。支持性 初步结果记录了护理的模式和途径以及 社交网络对服务使用的影响。进一步的发展需要 开发标准化的、经过测试的仪器和可行的经验 方法分析变化的网络和路径。内审局将释放 应聘者来自行政和教学职责，并提供四个 增加临床问题和过程知识的机会， 特别自信的社区治疗：(1)每年3次的临床治疗 在国家创新型社区护理和护理中心实习 卓越的研究；2)正在进行的本地临床实习；3) 与国家专家就不同心理角度进行磋商 健康利益相关者；以及4)精选的统计和伦理学课程。这个 研究项目，按消费者的职业阶段组织，由 州、联邦和基金会的基金。职业提升计划的好处 来自各种机构的支持，但取决于重组 候选人的时间和责任。

DESCRIPTION: This proposal is a request for an NIMH Independent Scientist Award (K02) to develop an integrated approach to clinical services research focused on how individuals move through the service system and connect these experiences back to their lives in the community. The long term objective of the proposed research is understanding how social relationships in the community (external social networks) and in treatment programs (internal social networks) influence access to care, adherence, continuity, and outcomes. Treatment services researchers, focusing on persons with serious mental disorders, provide solid evidence of what types of treatment work. Previous mental health research on social networks offers building blocks on the nature and effects of external or community ties. Future research would be strengthened by tying previous research to social networks formed during clinical interventions as well as MH research on expressed emotion, therapeutic alliance, coercion and clinical cultures. The ISA builds on the Network-Episode Model, developed by the Candidate, which details a social influence process linking consumers to families, friends, clinicians and social service providers in clinical and community settings. Supportive preliminary results document the patterns and pathways to care and the influence of social networks on service use. Further advancement requires the development standardized, tested instrumentation and viable empirical methods to analyze changing networks and pathways. The ISA will free the Candidate from administrative and teaching responsibilities and provide four opportunities to increase knowledge of clinical issues and processes, particularly Assertive Community Treatment: (1) 3 yearly clinical internships in national centers of innovative community-based care and research excellence; 2) an ongoing local clinical internship; 3) consultation with national experts on the perspective of different mental health stakeholders; and 4) selected statistical and ethics coursework. The research program, organized by "career" stage of consumers, is supported by state, federal, and foundation funds. The career enhancement plan benefits from a variety of institutional supports but depends on reorganization of Candidate's time and responsibilities.