MARYLAND MENTAL HEALTH UNO-CAP STUDY

联合国马里兰州办事处联合呼吁程序项目是一个公共-学术联络机构， 包括约翰霍普金斯大学（JHU）儿童中心， 青少年心理健康服务研究; 儿童，青年和家庭其他国家和城市机构服务 孩子们;耶鲁大学。该项目采用了加速队列 设计收集数据，并从发展和生态的角度， 描述（1）提供的精神卫生服务的类型和模式， 4至17岁的儿童和青少年，（2）未得到满足的程度和类型 （3）影响获得、使用和 心理健康服务的成果。为了更清楚地了解 使用不同类型的服务，一个主要的重点将是方法 定义最能反映护理模式和结果的需求， 不同的群体，使用这样的定义作为DSM-IV诊断标准， 心理健康服务中心对“严重情绪化”的定义 干扰”，以及基于潜在结构的需求定义， 儿童、家庭和环境的症状和特征。在 监测与精神卫生服务相关的结果，我们还 有兴趣的替代措施的结果，如稳定的 生活状况和症状，以及服务使用对 儿童情绪和行为障碍的过程。 本研究包含五个部分：（1）社区住户 调查4-17岁儿童生活在四个七心理健康 服务集水区在巴尔的摩，（2）儿童的调查， 不包括在住户抽样框架内的居住环境，（3）a 对卫生和人类服务机构新入院者的调查， （4）对精神卫生服务提供者的调查 和政策制定者，和（5）三个月和六个月的电话随访 基线后1年和2年的访谈和面对面访谈 参加第1和第3部分的儿童。我们会评估需求， 采访孩子，父母（或父母代理人），和老师，我们 将从学校和服务提供者那里获得记录。这项研究将 提供按年龄和性别划分的心理健康服务需求估计数 并会监察服务需求的变化。此外还将 检验关于需求、服务使用、自然资源 以及治疗过程和结果。

The Maryland UNO-CAP project is a public-academic liaison (PAL) that includes the Johns Hopkins University (JHU) Center for Child and Adolescent Mental Health Services Research; the Governor's Office of Children, Youth, and Families other State and City agencies serving children; and Yale University. The project employs an accelerated cohort design to collect data, and a developmental and ecological perspective to describe (1) the types and patterns of mental health services delivered to children and adolescents ages 4 to 17, (2) the extent and types of unmet need for services; and,(3) the factors affecting access to, use of, and outcomes of mental health services. In order to more clearly understand the use of different types of services, a major focus will be on methods for defining need that best reflect the patterns of care and outcomes of various groups, using such definitions as DSM-IV diagnostic criteria, the Center for Mental Health Services' definition of "serious emotional disturbance," and definitions of need based on the latent structure of symptoms and characteristics of the child, family, and environment. In monitoring the outcomes associated with mental health services, we also are interested in alternative measures of outcome such as stability of living situation and symptoms, and the effects of service use on the course of emotional and behavioral disorders in children. The proposed study contains five components: (1) a community household survey of children ages 4-17 living in four of the seven mental health service catchment areas in Baltimore, (2) a survey of children in residential settings not included in the household sampling frame, (3) a survey of new admissions to health and human service agencies and residential settings, (4) a survey of providers of mental health services and policy makers, and (5) three and six month telephone follow-up interviews and in person interviews at one and two years after baseline for children enrolled in components 1&3. We will assess need by interviewing children, parents (or parent surrogate), and teachers, and we will obtain records from schools and service providers. The study will yield age and gender specific estimates of need for mental health services and will monitor changes in the need for services. In addition, it will test specific hypotheses about variations in need, services use, natural and treated course of disorders and outcomes.