Intervention for Multisector Provider Enhancement

描述（由申请人提供）：虽然预计将作为网关提供者在转介或帮助青少年及其父母获得心理健康服务，儿童福利提供者往往缺乏这样做的资源和知识。未能查明高危青年的心理健康或成瘾问题，并将青年转介给所需的服务，是一个紧迫的公共卫生问题，公共社会服务机构处于独特的地位来解决这个问题。本IMPROVE（多部门提供者增强干预）研究响应了R34提案的PAR-03-078，并符合R34第三阶段干预发展研究项目的标准。它将完善一项决策支持干预措施，以增加社会服务提供者提供的精神保健，审查干预措施对保健过程的影响的可行性，为R 01国家研究准备一套关于干预措施影响的初步数据，并探讨通过州医疗补助和精神卫生部关于年轻客户及其父母的账单数据访问服务使用信息的能力。这项干预措施是一个安装在手持设备上的计算机化程序，将帮助工作人员通过转诊为客户提供适当的心理健康和社会服务。它基于网关提供商模型（Stiffman，Pescosolido和Cabassa，出版中），该模型解决了可能有助于或阻碍服务提供的决策和组织因素。本研究得到华盛顿大学NIMH资助的心理健康服务研究中心和NIDA资助的科摩罗和成瘾中心的支持。调查小组具有提供多部门服务的专门知识（Stiffman），分析医疗补助，精神卫生部和儿童福利数据集（德雷克），儿童福利干预措施（Auslander）、基于计算机的决策系统（Carise）、决策理论和人的因素研究（古斯塔夫森），网络情节理论（Pescoso]ido），定性方法（Ware）和儿童福利组织评估（Glisson）。IMPROVE还代表了家庭服务部（汤普森）和华盛顿大学（斯蒂夫曼）之间的一个财团。

DESCRIPTION (provided by applicant): Although expected to serve as gateway providers in referring or helping access mental health services for youth and their parents, child welfare providers often lack the resources and knowledge to do so. Failure to identify the mental health or addiction problems of high-risk youth and refer youths for needed service is a pressing public health concern, one that public social service agencies are uniquely positioned to address. This IMPROVE (Intervention for Multisector Provider Enhancement) study responds to PAR-03-078 for R34 proposals, and fits the criteria for an R34 stage-three intervention development research project. It will refine a decision support intervention to increase social service providers' provision of mental health care, examine the feasibility of the intervention in terms of its impact on the process of care, develop an initial body of data concerning the impact of the intervention preparatory to an R01 national study, and explore the ability to access service use information through state Medicaid and Department of Mental Health billing data on the youthful clients and their parents. The intervention, a computerized program housed in a handheld, will aid workers in providing clients access to appropriate mental health and social services through referral. It is based on the Gateway Provider Model (Stiffman, Pescosolido, & Cabassa, in press), which addresses decision-making and organizational factors that may assist or obstruct service provision. This research benefits from the support of Washington University's NIMH funded Center for Mental Health Service Research, and NIDA funded Comorbidity and Addictions Center. The investigative team has expertise in multisector service provision (Stiffman), analysis of Medicaid, Department of Mental Health, and child welfare data sets (Drake), interventions with Child Welfare (Auslander), computer-based decision-making systems (Carise), decision theory and human factor research (Gustafson), network episode theory (Pescoso]ido), qualitative methods (Ware), and organization assessment in Child Welfare (Glisson). IMPROVE also represents a consortium between the Division of Family Services (Thompson), and Washington University (Stiffman).