Intervention for Multisector Provider Enhancement

说明(由申请人提供)：尽管儿童福利提供者被期望在转介或帮助获得青少年及其父母的精神健康服务方面充当门户提供者，但儿童福利提供者往往缺乏这样做的资源和知识。未能发现高危青年的心理健康或成瘾问题，并转介青年接受必要的服务，这是一个紧迫的公共卫生问题，公共社会服务机构有独特的能力来解决这一问题。这项改善(多部门提供商加强干预)研究响应了R34提案的PAR-03-078，并符合R34阶段三干预开发研究项目的标准。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卫生保健，审查干预措施对护理过程的影响的可行性，制定关于干预措施影响的初始数据，为R01全国研究做准备，并探索通过国家医疗补助和精神卫生部门关于年轻客户及其父母的账单数据获取服务使用信息的能力。这项干预是一个安装在手持设备中的计算机化程序，将帮助工作人员通过转介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，正在出版中)，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。这项研究得益于华盛顿大学NIMH资助的精神卫生服务研究中心和NIDA资助的共病和成瘾中心的支持。调查团队在多部门服务提供(Stiffman)、医疗补助分析、心理健康部门和儿童福利数据集(Drake)、儿童福利干预(Auslander)、基于计算机的决策系统(CARISE)、决策理论和人为因素研究(Gustafson)、网络事件理论(Pescoso]Ido)、定性方法(WARE)和儿童福利组织评估(Glisson)方面拥有专业知识。Improve还代表家庭服务部(Thompson)和华盛顿大学(Stiffman)之间的财团。

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).