CENTER FOR RESEARCH ON SERVICE FOR SEVERE MENTAL ILLNESS

总体描述：(改编自申请者摘要)：中心 正在进行旨在识别和评估创新产品的研究 以筹资和组织方式照顾患有疾病的个人 严重精神疾病(SMI)。优先考虑这些选项 预计将对功能状态和质量产生重大影响 SMI患者的生活，以及那些有望改善的人 护理系统的效率。核心资金直接用于试点 以及有望导致重大研究的发展性研究 和示范计划，新的资金来源是 被追寻。该中心的研究目标针对四项政策 相关领域：评估严重精神疾病病程的影响 疾病及其相关问题对服务需求和 治疗模式；评估替代方案的有效性和成本 以治疗为基础的重度心肌梗死患者的治疗方法 具有既定效力或公认做法的模式，并开发和 测试治疗需求与服务匹配的护理质量标准 对于患有严重精神疾病的患者；检查资金的作用 将机制作为鼓励效率、确保获得 适当照顾SMI，并提供激励措施，以增强 患者结局，包括精神状态、身体状况 地位、生活安排是否足够和生活质量；以及 检查管理的其他组织和系统方法 资源，协调对SMI患者的服务，并评估他们的 对利用率、住房、一般医疗保健和资源的影响 包括收入支持和治疗及相关服务的付款。 该中心自1987年以来一直在追求这些目标。在接下来的5年里 几年来，将致力于两个核心研究领域：组织和 金融研究和临床服务研究。该中心代表着 卫生与公共卫生学院和 约翰·霍普金斯大学医学院和美国癌症研究中心 老年人精神科的心理健康服务研究 马里兰大学。

OVERALL DESCRIPTION: (Adapted from applicant's abstract): The Center under-takes research directed at identifying and evaluating innovative financing and organizational approaches to the care of individuals with severe mental illnesses (SMI). Priority is given to those options expected to have substantial impact on functional status and quality of life for persons with SMI, as well as those expected to improve efficiency of the care system. Core funding is directed toward pilot and developmental studies that are expected to lead to major research and demonstration initiatives for which new sources of funding are sought. Research objectives of the Center are directed at four policy relevant areas: Assess the impact of the course of severe mental illnesses, and their associated problems, on service needs and the patterns of treatment; assess the effectiveness and costs of alternative treatment approaches for persons with SMI which are based on treatment models with established efficacy or accepted practice, and develop and test quality of care criteria for matching treatment needs to services for patients with severe mental illnesses; examine the role of financing mechanisms as a means to encourage efficiency, assure access to appropriate care for the SMI, and provide incentives for enhancing patient outcomes, including dimensions of mental status, physical status, adequacy of living arrangements, and quality of life; and examine alternative organizational and system approaches for managing resources, coordinating services to persons with SMI, and evaluate their impact on utilization, housing general medical care, and resources including income support and payment for treatment and related services. The Center has pursued these objectives since 1987. During the next 5 years, two core research areas will be pursued: organization and finance research, and clinical services research. The Center represents a collaborative effort of the School of Hygiene and Public Health and School of Medicine of the Johns Hopkins University, and the Center for Mental Health Services Research of the Department of Psychiatry of the University of Maryland.