CATALAC: Community-Academic Treatment & Assessment for Low-Income Aged Consumers

描述（由申请人提供）：老年人精神疾病的循证评估和治疗很少适用于贫困的老年人。社区机构和学术中心很少合作为服务不足的人群提供这些服务，也很少合作进行研究。低收入老龄消费者治疗和评估合作联盟（CATALAC）项目是加州大学弗朗西斯科分校（UCSF）60岁以上研究项目和弗朗西斯科家庭服务机构（FSA）之间的合作伙伴关系，寻求资金来发展一个社区-学术研究伙伴关系，以开发一个共享的共同设计的研究基础设施，以评估FSA的成功和使命，在提供证据-为不同人群的低收入老年人提供心理健康服务。我们提出的活动旨在同时加强FSA的临床和研究基础设施，以便实施和评估循证干预措施，并制定可推广到其他FSASF计划以及其他社区机构的程序和实践。在过去的四年里，FSA和UCSF作为CATALAC团队，一直致力于促进组织和提供商为采用EBP和FSA的研究做好准备。活动包括在FSA内部创建IRB;两名FSA临床医生参与CARTA计划;班尼特先生的战略是让受人尊敬的关键临床医生参与EBP培训的发展和评估实践的整合;创建Felton研究所以传播EBP;以及Arean博士继续担任FSA董事会成员。我们的目的是（1）测试和改善一套适用于精神病长者的评估工具，该工具既实用又方便携带，备有英文和广东话版本。（2）推行一套网上电子临床和研究个案识别及成效监察系统，（3）实施和评估老年抑郁症和轻度认知障碍的问题解决疗法，（4）在社区开展研究培训计划-基于临床结果的研究。伙伴关系进程和活动将由Lewin集团的Karen Linkins博士进行评估。一个成功的社区和学术合作必须对双方都有利，双方都必须为这个过程做出贡献。FSASF和UCSF-OS已经开始了这种伙伴关系，到目前为止，这被证明是一项富有成效的事业。双方现在都希望加强这一伙伴关系，并将其提升到一个新的水平，创造可供其他这类伙伴关系效仿和容易获得的工具和方法。我们的伙伴关系还涉及县和州一级的倡议，以移动电子商务和整合评估到精神卫生服务。这一伙伴关系将不仅在老年心理健康领域，而且在与社区-学术伙伴关系有关的政策方面产生重大影响。

DESCRIPTION (provided by applicant): Evidence-based assessment and treatment of mental illness in older adults are rarely available to poor older adults of color. Community agencies and academic centers rarely partner to provide these services to underserved populations and very rarely work collaboratively on research. The Collaborative Alliance for Treatment and Assessment of Low-income Aging Consumers (CATALAC) project, a partnership between the Over-60 Research Program at the University of California, San Francisco (UCSF) and the Family Service Agency of San Francisco (FSA), seeks funding to develop a community-academic research partnership to develop a shared an mutually designed research infrastructure to assess FSA's success and mission in providing evidence-based mental health for diverse populations of low-income older adults. The activities we propose are designed to simultaneously enhance the clinical and research infrastructure at FSA, so that evidence-based interventions can be both implemented and evaluated, and to develop procedures and practices that can be generalized to other FSASF programs as well as to other community agencies. Over the past four years, FSA and UCSF, as the CATALAC team, have worked to facilitate organizational and provider readiness for adopting both EBPs and research at FSA. Activities include the creation of an IRB within FSA; participation of two FSA clinicians in the CARTA program; Mr. Bennett's strategy of involving respected, key clinicians in the development of EBP training and integration of assessment into practice; the creation of the Felton Institute for transmitting EBPs; and Dr. Arean's continued membership on FSA's board of directors. Our aims are to (1) Test and refine an assessment toolkit for mentally ill older adults that is practical and portable in English and Cantonese (2) Implement a web-based electronic clinical and research case identification and outcome monitoring system, (3) Implement and evaluate Problem Solving Therapy for older adults with depression and mild cognitive impairment and (4) Develop a research-training program in community-based clinical outcomes research. The partnership process and activities will be evaluated by Dr. Karen Linkins of the Lewin Group. A successful community and academic collaboration must be beneficial to both partners and both partners must contribute to the process. FSASF and UCSF-OS have already begun such a partnership, which thus far is proving to be a fruitful enterprise. Both parties now wish to enhance this partnership and move it to the next level, by creating tools and methods that can be emulated and easily available to other partnerships of this nature. Our partnership also addresses county and state- level initiatives to move EBPs and integrate evaluation into mental health services. This partnership will have substantial impact not only in the field of geriatric mental health, but in policy related to community- academic partnerships.