Improving Care for Comorbid Physical and Mental Illness

描述（由申请人提供）：本修订后的K24中期职业研究和指导计划申请描述了一系列指导、培训和研究活动，这些活动将：(1)准备初级临床研究人员在与NIMH利益相关的领域成为成功的以患者为导向的研究者；(2)提高项目负责人的指导能力；(3)建立在目前nimh资助的工作中建立的理论和实践基础上，以加强在一般医疗环境中对抑郁症和主要医疗合并症的同步护理。申请人是一名经验丰富的以患者为导向的研究人员，对患有共病身体和心理状况的患者的护理质量和结果感兴趣，并有大量成功的指导记录。指导将提供三个层次的承诺：非正式的、具体项目的和密集的。该项目每年将通过既定的招聘机制确定两名初级学者。PI将为学者提供职业指导，帮助他们确定合适的教学课程和特殊经历，促进他们的研究项目，开发新的教学课程，并在手稿准备，拨款写作和演讲技巧方面提供帮助。个人培训经验的设计是为了增强Pi的能力，以指导对解决医学和精神病学边缘地区的健康差异感兴趣的年轻学者，使用信息技术提高抑郁症的护理质量，并在初级保健机构中进行心理健康状况治疗的研究。该研究计划将以正在进行的“消费者对抑郁症的影响”项目的理论和实践基础为基础，收集有关使用标准化患者以提高共病抑郁症和慢性医学疾病护理质量的试点数据。

DESCRIPTION (provided by applicant): This revised K24 Mid-Career Research and Mentoring Program application describes a succession of mentoring, training, and research activities that will: (1) prepare beginning clinical researchers to become successful patient-oriented investigators in areas relevant to the interests of NIMH; (2) enhance the mentoring capabilities of the Principal Investigator; and (3) build on the theoretical and practical foundations established in current NIMH-funded work to enhance simultaneous care of depression and major medical co-morbidities in general medical settings. The applicant is an experienced patient-oriented researcher with interests in quality of care and outcomes for patients with comorbid physical and psychological conditions and a substantial record of mentoring success. Mentorship will be provided at three levels of commitment: informal, project-specific, and intensive. The intensive program will identify two junior scholars per year through established recruitment mechanisms. The PI will provide scholars with career guidance, help them identify appropriate didactic courses and special experiences, facilitate their research projects, develop new didactic courses, and provide assistance with manuscript preparation, grant writing, and presentational skills. Personal training experiences are designed to enhance the Pi's ability to mentor junior scholars interested in addressing health disparities at the border-zone of medicine and psychiatry, using information technologies to improve quality of care for depression, and conducting research on the treatment of mental health conditions in primary care settings. The Research Plan will build on the theoretical and practical foundations of the ongoing Consumer Influences on Depression Project to collect pilot data on the use of standardized patients to improve quality of care for comorbid depression and chronic medical illness.