MENTAL HEALTH SERVICE DELIVERY TO TRAUMA VICTIMS

这个项目的目的是发展候选人作为一个独立的 研究员，调查与精神卫生服务提供有关的问题 不同种族的创伤受害者该项目最初将侧重于 患有创伤后应激障碍的男性退伍军人接受内外服务 VA系统，有计划地拓宽了研究范围，最后重点研究 包括平民创伤受害者。在这一点上我们几乎知道 没有任何关于为不同类型的退伍军人提供服务的信息 服务设置。目前的大多数治疗研究都是 在VA研究中心进行，因此，我们没有经验 关于大量相关变量的数据（例如，适当的护理， 治疗有效性）在实际应用中，如兽医 中心、社区或初级保健诊所。职业发展计划 包括在三个重要领域设计和开展研究的培训： (1)退伍军人对服务的关注;（2）种族差异;（3） 服务成本和效率。该培训计划将包括三个 （a）由一个独立的管理人员提供指导， 多学科专家小组;（B）正式课程和研讨会 进一步发展相关领域的知识体系;以及（c） 完成相关研究项目。导师团队将由 阿尔伯特O。医学博士桑托斯包括Samuel M.特纳博士， 特伦斯 M.基恩博士，迪恩·基尔帕特里克博士朱迪思·库克博士的 研究发展计划包括三个阶段：（一）探索和 通过重点小组，确定关注的突出方面、需要， 和文化接受目前提供的精神卫生服务， 男性退伍军人中与战斗有关的服务接受者的感知 创伤后应激障碍;（二）调查的假设，非洲裔美国人的战斗 患有PTSD的退伍军人表现出更差的功能，更低的生活质量， 与他们的临床症状相关的精神病症状的发生率更高 介绍比高加索人;（三）一系列赠款的发展 审查与治疗有关的费用和效果的建议 与战斗有关的创伤后应激障碍，包括在第一阶段和第二阶段学到的东西; 制定项目，审查各种族群体的服务需求， 不同的平民创伤受害者群体。

The purpose of this project is to develop the candidate as an independent researcher, investigating issues related to mental health service delivery to racially diverse trauma victims. The project will focus initially on male combat veterans with PTSD receiving services within and outside the VA system, with a plan to broaden the scope of research focus in the last phase to include civilian trauma victims. At this point we know almost nothing about service delivery to combat veterans across different types of service settings. Most of the current treatment research has been conducted at VA research centers, and therefore, we do not have empirical data on a host of relevant variables (e.g., appropriateness of care, treatment effectiveness) in applied, real-world settings such as Vet Centers, community, or primary care clinics. The Career Development Plan includes training to design and conduct research in three important areas: (1) veterans' concerns about services; (2) racial differences; and (3) service costs and effectiveness. This training plan will consist of three components; (a) individually administered mentoring from a multidisciplinary team of specialists; (b) formal course work and seminars to further develop a body of knowledge in relevant areas; and (c) completion of relevant research projects. The mentorship team will be led by Albert O. Santos, M.D., and includes Samuel M. Turner, Ph.D., Terence M. Keane, Ph.D., Dean Kilpatrick, Ph.D., and Judith Cooke, Ph.D. The Research Development Plan consists of three phases: (I) exploration and identification, via focus groups, of salient dimensions of concern, need, and cultural acceptance of mental health services currently delivered, as perceived by service recipients among male veterans with combat-related PTSD; (II) investigation of the hypothesis that African-American combat veterans with PTSD manifest poorer functioning, lower quality of life, and a higher rate of psychiatric symptoms associated with their clinical presentation than Caucasians; (III) development of a series of grant proposals to examine costs and effectiveness associated with treatment for combat-related PTSD, incorporating what was learned in phases I and II; and development of projects to examine service needs among racially diverse groups of civilian trauma victims.