Improving Care for Comorbid Physical and Mental Illness

描述（由申请人提供）：此修订后的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）准备开始临床研究人员成为与NIMH利益相关的领域中成功的以患者为导向的研究者;（2）提高主要研究者的指导能力;（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共病的同时护理。申请人是一位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疾病的患者的护理质量和结果感兴趣，并有大量的指导成功记录。将在三个承诺层次提供指导：非正式、针对具体项目和强化。强化计划将通过既定的招聘机制，每年确定两名初级学者。PI将为学者提供职业指导，帮助他们确定适当的教学课程和特殊经验，促进他们的研究项目，开发新的教学课程，并提供手稿准备，赠款写作和演讲技巧方面的帮助。个人培训经验的目的是提高Pi的能力，指导有兴趣在医学和精神病学的边界区域解决健康差距的初级学者，利用信息技术来提高抑郁症护理的质量，并在初级保健环境中进行心理健康状况治疗的研究。该研究计划将建立在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上，收集关于使用标准化患者的试点数据，以提高共病抑郁症和慢性疾病的护理质量。

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.