Research Training in Mental Health Services and Systems

描述（申请人提供）：这种竞争性的延续申请要求资助第19至第23年（2008-2012）的机构博士后培训计划的精神卫生服务和系统研究共同主办的两个领先的公立和私立大学在美国东南部的北卡罗来纳州大学在查佩尔山和杜克大学-在北卡罗来纳州的三角区内相距10英里。训练发生在塞西尔G。UNC-CH的Sheps卫生服务研究中心（Sheps中心）和杜克大学医学中心（DUMC）的精神病学和行为科学系。培训计划的目标是扩大能够开展与政策相关的心理健康服务和系统研究的调查人员库。该培训计划为寻求心理健康服务研究高级培训的社会/行为科学家和临床医生提供两个组成部分：（1）核心活动和（2）个性化研究。核心部分包括每两周一次的研究研讨会，参加部门研讨会和合作机构的大型圆桌会议，以及在UNC-CH或杜克的其他研究研讨会/讲习班。个性化的学习内容是针对每个研究员的特殊兴趣和需求以及他们以前的经验而量身定制的。它基于学徒型模式，每个研究员都与一个或多个导师联系在一起，导师与研究员一起制定自己的研究和技能发展计划。培训方案的重点是精神卫生保健服务的组织、筹资、利用、质量和评估;确保获得此类服务的公共政策;以及精神障碍的社会流行病学。该方案仍然致力于多学科培训、公共部门指导，并特别关注患有严重和持续性精神疾病的人。这项跨学科的培训迄今为止非常成功：（1）共有39名研究员接受了培训;大多数人现在担任学术或其他研究职位，发表了许多出版物，并资助了研究项目;（2）共有25名核心教师参加了该计划;（3）两所大学核心教师现时获外间资助的研究赠款组合包括69项研究计划，直接成本预算总额为元。3170万美元，支持博士后培训的多样化和富有成效的研究环境;（4）支持关系存在于北卡罗来纳州和全国各地的州和地方精神卫生机构。鉴于这一培训计划的持续卓越，要求资金继续NRSA支持四个博士后研究员，每年在五年的更新期。

DESCRIPTION (provided by applicant): This competing continuation application requests funding for the 19th thru 23rd years (2008-2012) of an institutional post-doctoral training program in mental health services and systems research co-sponsored by the two leading public and private universities in the southeastern United States-the University of North Carolina at Chapel Hill and Duke University-that are located within ten miles of each other in the Triangle area of North Carolina. Training occurs at the Cecil G. Sheps Center for Health Services Research (Sheps Center) at UNC-CH and the Department of Psychiatry and Behavioral Sciences at the Duke University Medical Center (DUMC). The goals of the training program are to expand the pool of investigators capable of undertaking policy-relevant mental health services and systems research. This Training Program for social/behavioral scientists and clinicians seeking advanced training in mental health services research has two components: (1) core activities and (2) individualized study. The core component involves a bi-weekly research seminar, participation in departmental seminars and grand rounds at the collaborating institutions, and other research seminars/workshops at UNC-CH or Duke. The individualized study component is tailored to the special interests and needs of each fellow and their prior experience. It is based on an apprentice-type model whereby each fellow is linked to one or more mentor(s) who works with the fellow to develop his/her own research and skill development program. The emphases of the training program are the organization, financing, utilization, quality, and evaluation of mental health care services; public policies for ensuring access to such services; and the social epidemiology of mental disorders. The Program remains committed to multidisciplinary training, a public sector orientation, and a special focus on persons with a severe and persistent mental illness. This interdisciplinary training has been highly successful to date: (1) a total of thirty-nine fellows have received training; most now hold academic or other research positions, have numerous publications, and funded research projects; (2) a total of 25 core faculty participate in the program; (3) the current externally- funded research grants portfolio of core faculty at the two universities consists of 69 projects with an aggregate direct cost budget of $31.7 million that supports a diverse and productive research environment for postdoctoral training; and (4) supporting relationships exist with state and local mental health agencies in North Carolina and throughout the country. Given the sustained excellence of this training program, funds are requested to continue NRSA-support for four postdoctoral fellows each year during the five-year renewal period.