MENTAL HEALTH SERVICE DELIVERY TO TRAUMA VICTIMS

这个项目的目的是把候选人培养成一个独立的 研究人员，调查与心理健康服务提供相关的问题 不同种族的精神创伤受害者。该项目最初将专注于 患有创伤后应激障碍的男性退伍军人在医院内外接受服务 退伍军人制度，并计划在最后扩大研究重点的范围 这一阶段将包括平民创伤受害者。在这一点上我们几乎知道 没有关于为不同类型的退伍军人提供服务的内容 服务设置的一部分。目前的大多数治疗研究都是 在退伍军人事务部研究中心进行，因此，我们没有经验 关于一系列相关变量的数据(例如，护理的适当性， 治疗有效性)在应用的、真实的环境中，例如兽医 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进行设计和进行研究的培训： (1)退伍军人对服务的关注；(2)种族差异；(3) 服务成本和效率。该培训计划将由三个部分组成 构成部分；(A)来自 多学科专家小组；(B)正式课程工作和研讨会 进一步发展相关领域的知识体系；及(C) 完成相关研究项目。导师团队将由 作者阿尔伯特·O·桑托斯，医学博士，包括塞缪尔·M·特纳，博士，特伦斯 M.Keane博士、Dean Kilpatrick博士和Judith Cooke博士 研究发展计划包括三个阶段：(一)探索和 通过焦点小组，确定关注、需要、 以及对目前提供的精神健康服务的文化接受度，如 在与战斗相关的男性退伍军人中接受服务的人 创伤后应激障碍；(2)对非裔美国人战斗的假设进行调查 患有创伤后应激障碍的退伍军人表现出功能较差，生活质量较低，以及 与他们的临床相关的较高的精神症状发生率 比高加索人更具代表性；(3)制定一系列赠款 审查与治疗有关的成本和效果的建议 与战斗有关的创伤后应激障碍，纳入了在第一阶段和第二阶段中学到的知识； 和制定项目，以审查种族之间的服务需求 不同群体的平民创伤受害者。

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.