MANAGED CARE AND ALCOHOL TREATMENT INDEP SCIENTIST AWARD

候选人：这项独立科学家奖的提议代表了一个在精神卫生服务研究方面具有丰富经验的个人的重点变化。 管理行为健康护理的兴起，再加上对共病精神疾病和酒精使用障碍的日益认识，创造了对调查人员的需求，他们可以解决这些问题，因为它们涉及到酒精问题个人的治疗。 申请人是一名委员会认证的精神病学家，拥有流行病学和生物统计学学位，以及管理行为健康护理的临床背景。工作环境：方便的是，俄勒冈州在其医疗补助化学依赖治疗计划中采用管理式护理，加上在俄勒冈州实施的几项大规模研究，为检查管理式护理对化学依赖治疗计划的影响提供了理想的环境。此外，俄勒冈州健康科学大学现在是越来越多的研究项目的网站，分别涉及美洲印第安人酒精使用障碍的流行病学和酒精问题的遗传学。调研：独立科学家奖将用于（a）促进申请人作为与酒精问题相关的卫生服务研究的调查者的发展，以及（B）促进与以下有关的研究项目的实施：（1）管理式医疗财务安排和酒精治疗计划，（2）酒精问题患者使用抗抑郁药的药物流行病学，以及（3）为美洲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.