Approaches to Improve Youth Psychotropic Services

描述（由申请人提供）：此修订后的K01指导研究科学家发展奖申请寻求五年的资金，以加强候选人的方法和临床培训，使她能够更好地评估与青少年精神药物治疗相关的临床实践。研究的目标是：a)更好地了解父母和青少年寻求ADHD心理健康治疗和医生提供护理的过程；b)确定这些人际过程如何影响护理的提供。这一知识将有助于未来旨在提高青少年精神药物治疗质量的研究。候选人的背景包括药学临床培训以及药物流行病学、调查研究、消费者态度和满意度、大型计算机数据库的二次分析和青年精神药理学研究方面的学术和研究经验。这为K01提供了坚实的基础。职业发展计划通过增强她在发展心理学、儿童精神病理学和精神病学评估、定性方法、纵向分析以及初级保健、心理健康和学校环境中青少年心理健康问题的临床管理方面的知识来补充这些技能。这种培训对于在社区环境中进行实证研究是必要的。将从初级保健、精神卫生和学校招募180名家长及其6-18岁的子女。父母和青少年将接受关于他们寻求治疗策略的访谈，医生将被问及他们的实践行为。他们的回答将用于确定共同的潜在“主题”，代表他们对精神药理学和非药物治疗的看法。纵向分析将用于确定这些“主题”是否影响精神药理学治疗和服务。这将阐明如何在临床环境中采用青少年心理健康治疗，并将探索改善青少年心理药物治疗的替代方法。

DESCRIPTION (provided by applicant): This revised K01 Mentored Research Scientist Development Award application seeks five years of funding to enhance the candidate's methodological and clinical training so that she may better evaluate clinical practice related to psychopharmacologic treatments for youths. The objectives are a) to gain a better understanding of the processes by which parents and adolescents seek mental health treatment for ADHD and physicians provide care, and b) to determine how these interpersonal processes impact the delivery of care. This knowledge should facilitate future research aimed at improving the quality of youth psychopharmacologic treatment. The candidate's background includes clinical training in pharmacy as well as academic and research experience in pharmacoepidemiology, survey research, consumer attitudes and satisfaction, secondary analyses of large computerized databases, and youth psychopharmacologic research. This provides a strong foundation for the K01. The career development plan complements these skills by enhancing her knowledge of developmental psychology, child psychopathology and psychiatric assessments, qualitative methods, longitudinal analyses, and clinical management of youth mental health problems in primary care, mental health, and school settings. This training is necessary to conduct empirical research in community settings. There will be 180 parents and their children aged 6-18 recruited from primary care, mental health, and school settings. Parents and adolescents will be interviewed regarding their treatment-seeking strategies and physicians will be asked about their practice behavior. Their responses will be used to identify common underlying "themes" that represent their views towards psychopharmacologic and non-pharmacologic treatment. Longitudinal analyses will be used to determine whether these "themes" influence psychopharmacologic treatment and services. This will clarify how youth mental health treatments are adopted in clinical settings, and will explore alternative methods for improving psychopharmacologic treatments for youths.