Service Effectiveness in ADHD Children and Families

描述（由申请人提供）：本申请描述了一个密集的， 为期五年的心理健康服务研究指导培训， 儿童和青少年。它为职业研究计划奠定了基础 旨在开发有效治疗儿童精神障碍的方法。的 制定培训和研究计划，以获得深入的知识， 通过正式课程和三个培训模块获得经验：（1） 服务研究的流行病学和预防方法;（2）背景 影响，特别是照顾者的负担，对心理的有效性， （3）发展社区合作伙伴关系， 有效干预。三个研究项目调查背景因素 影响心理健康和教育的感知需求和使用 在真实的世界环境中，ADHD儿童和他们的家庭提供的服务。虽然 大量的研究已经证明了药理学和 ADHD的非药物治疗，很少有研究解决了原因 为什么这种治疗在社区环境中有效或失败。项目，每个 与一个培训模块相关联，由一个概念模型联系在一起， 问题的严重性、服务的使用和由此产生的 对多水平结果的影响是由一个研究不足的结构介导的， 对儿童的影响或负担？对家庭和老师的影响。 前两个项目旨在首先在临床试验中测试该模型。 第二个是流行病学样本。第三项研究开发了 并测试旨在减轻家庭负担的干预措施的可行性 通过增加父母的权力。该计划受益于强者 多学科的努力，在卫生服务研究，连接公共，学术 以及巴尔的摩地区的专业机构和社区合作伙伴。

DESCRIPTION (provided by applicant): This application describes an intensive, five-year period of mentored training in mental health services research with children and adolescents. It lays the groundwork for a career research program aimed at developing effective treatment for mental disorders of childhood. The training and research plans are devised to gain in-depth knowledge and experience through formal coursework and three training modules: (1) epidemiological and preventive approaches to services research; (2) contextual influences, particularly caretaker burden, on the effectiveness of mental health services; and (3) developing collaborative community partnerships for effective interventions. Three research projects investigate contextual factors that affect the perceived need and use of mental health and educational services by ADHD children and their families in real world settings. Although a wealth of studies has demonstrated the efficacy of pharmacological and non-pharmacological treatments for ADHD, few studies have addressed the reasons why such treatment works or fails in the community settings. The projects, each allied with one module of training, are linked by a conceptual model in which relationships between the severity of problems, service use and the resulting effect on multi-level outcomes are mediated by an understudied construct, the perceived burden or impact of the child?s disorder on families and teachers. The first two projects are designed to test the model first in a clinical population and second in an epidemiological sample. The third study develops and tests the feasibility of an intervention aimed at reducing family burden through increasing parent empowerment. The plan benefits from the strong multi-disciplinary effort in health services research, linking public, academic and professional institutions and community partners in the Baltimore area.