MENTAL HEALTH SERVICES FOR WOMEN IN PUBLIC MEDICAL CARE

作为对研究基础设施支持计划公告的回应， 精神病学的研究人员，临床经济学研究单位 内科和乔治敦大学的其他人已经发展出 研究和培训基础设施计划，以增加我们的专业知识 在公共资助的女性心理健康服务研究中 医疗环境。教职员工的研究专长包括创伤后应激障碍、创伤、 女性的抑郁，以及健康经济学和一般健康 服务研究。乔治敦大学也有广泛的临床参与 在公共部门(特别是在医学、家庭)环境中与妇女合作 医学和儿科学)。最近，我们已经开始整合 将这些领域转化为联合精神卫生服务研究项目。这 将进一步发展和加强跨学科合作 由RISP提供。 以前的研究已经证明，未经治疗的精神障碍 初级保健环境是一个严重的公共卫生问题。 然而，这些研究没有包括年轻的贫穷妇女(一组在 这些精神障碍的高风险但精神健康水平低)，世卫组织 经常在公共部门的妇产科接受护理 诊所。我们的计划是发展精神健康服务方面的专业知识 研究的重点是公共部门的女性，有教育经验和 从以患者为中心的框架设计的研究 调查患者特征，包括感知到的 护理和护理障碍，2)系统特征，包括提供者 前景和3)结果，包括临床结果、质量 生命和成本。这一RISP将使乔治敦大学成为全国 妇女心理健康服务研究和培训中心 从公共部门医疗机构到：1)开展研究 来自多个系的初级教员通过教学获得的专业知识 培训机会、密切指导、提供买断时间 开发和实施研究，并为开发R01提供试点资金 这一领域的建议，2)再培训三名高级教员以 跨学科协作，以开发针对Mind的R01应用程序 公共部门为妇女提供的保健服务，以及3)抽签 来自国家专家的援助，以发展所需的研究专门知识。

In response to the Research Infrastructure Support Program Announcement, researchers from Psychiatry, the Clinical Economics Research Unit of Internal Medicine, and others at Georgetown University have developed a research and training infrastructure program to increase our expertise in mental health services research for women seen in publicly-funded medical settings. Faculty research expertise encompasses PTSD, trauma, and depression in women, as well as health economics and general health services research. Georgetown also has extensive clinical involvement with women in public sector settings (particularly in Medicine, Family Medicine, and Pediatrics). Recently, we have begun to integrate the areas into joint mental health services research projects. This interdisciplinary collaboration will be further developed and enhanced by the RISP. Previous studies have documented that untreated mental disorders in primary care settings represent a serious public health problem. However, these studies have not included young poor women (a group at high risk for these mental disorders yet low mental health users), who often receive their care in public sector obstetrics and gynecology clinics. Our plan is to develop expertise in mental health services research focused on public sector women, with didactic experiences and research studies designed from a patient-centered framework that investigate 1) patient characteristics, including perceived need for care and barriers to care, 2) system characteristics, including provider perspectives, and 3) outcomes, including clinical outcomes, quality of life, and costs. This RISP would enable Georgetown to become a national center for research and training in mental health services for women from public sector medical settings through: 1) developing research expertise of junior faculty from several departments via didactic training opportunities, close mentoring, provision of buy out time to develop and implement research, and pilot monies to develop R01 proposals in this area, 2) retraining three senior faculty to collaborate interdisciplinarily to develop R01 applications on mental health services for women in the public sector, and 3) drawing assistance from national experts to develop needed research expertise.