MANAGED CARE AND ALCOHOL TREATMENT INDEP SCIENTIST AWARD

候选人：这项设立独立科学家奖的提议代表着在精神卫生服务研究方面有相当经验的个人的关注点发生了变化。管理型行为卫生保健的兴起，加上人们对精神疾病和酒精使用障碍共病的日益认识，产生了对能够解决这些问题的调查人员的需求，因为这些问题与酒精问题患者的治疗有关。申请人是董事会认证的精神病学家，拥有流行病学和生物统计学学位，以及管理性行为卫生保健的临床背景。环境：方便的是，俄勒冈州在其Medicaid化学依赖治疗计划中采用了管理式医疗，并在俄勒冈州实施了几项大规模研究，为检验管理式医疗对化学依赖治疗计划的影响提供了理想的环境。此外，俄勒冈健康科学大学现在正在开展越来越多的研究项目，分别涉及美国印第安人酒精使用障碍的流行病学和酒精问题的遗传学。研究：独立科学家奖将用于：(A)促进申请者作为与酒精问题相关的健康服务研究的调查员的发展；(B)促进与以下方面有关的研究项目的实施：(1)管理保健财务安排和酒精治疗计划，(2)有酒精问题的人使用抗抑郁剂的药物流行病学，以及(3)为美国印第安人组织和资助酒精治疗服务。

Candidate: This proposal for an Independent Scientist Award represents a change in focus for an individual with considerable experience in mental health services research. The rise of managed behavioral health care coupled with the growing recognition of comorbid mental illness and alcohol use disorders have created a need for investigators who can address these issues as they pertain to the treatment of individuals with alcohol problems. The applicant is a board certified psychiatrist with degrees in epidemiology and biostatistics as well as a clinical background in managed behavioral health care. Environment: Conveniently, Oregon's adoption of managed care for its Medicaid chemical dependency treatment program plus the implementation in Oregon state of several large scale research studies provide an ideal environment in which to examine the impact of managed care on chemical dependency treatment programs. In addition, Oregon Health Sciences University is now the site of growing research programs pertaining to the epidemiology of alcohol use disorders among American Indians and the genetics of alcohol problems, respectively. Research: The Independent Scientist Award will be used (a) to further the applicant's development as an investigator in health services research pertinent to alcohol problems and (b) to facilitate the implementation of research projects pertaining to (1) managed care financial arrangements and alcohol treatment programs, (2) pharmacoepidemiology of antidepressant usage by people with alcohol problems, and (3) organization and financing of alcohol treatment services for American Indians.