Implementation Research Institute for Mental Health Services (IRI-MHS)

描述(由申请人提供)：基于证据的精神健康治疗没有提供给大多数将从中受益的患者，主要是因为我们不知道如何实施这些治疗。美国国立卫生研究院最近宣布的“健康传播和实施研究”(PAR-06-039,520,521)要求采用新的和创新的方法来识别、理解和克服采用循证干预措施的障碍。这份A-2申请提出了一项这样的创新：使用R25机制，我们在华盛顿大学NIMH资助的精神卫生服务研究中心提出了一个独特的实施研究(IR)培训计划。作为美国国立卫生研究院路线图中尚不完善的翻译二阶段的关键部分，IR研究了将经验性支持治疗(EST)转移到常规护理中的过程。该培训机构致力于五个目标：(1)每年6月中旬由来自全国各地具有IR专业知识的多学科教师领导的实施研究所(IRI)；(2)支持IRI研究员访问进行NIH资助的实施研究的研究中心，并促进他们在临床和机构环境中的试点研究；(3)开发和传播实施研究课程模块，供全国其他心理健康研究培训计划使用；(4)支持IRI核心学院发表年度学术论文，综合实施研究的概念、实质和方法方面的进展；(5)对这些教育培训工作进行系统评估。我们将采用“学习协作”的方法，将资深健康和精神卫生服务研究人员、治疗开发人员、专家方法学家和初级研究人员结合起来，共同致力于促进他们自己对实施研究方法(人力资本)和该领域本身(智力资本)的了解。我们将以教学和经验的方式授课，支持远程学习，培训研究员观察机构和研究实施的努力，并合作开发新材料，以推进实施研究领域。结果将包括：吸引许多学科的资深教员参与围绕国际关系的学术合作；为国际关系招聘和准备32名新的研究人员；向国家卫生研究院提交新的国际关系拨款建议；以及出版关于实施科学的学术论文。IRI响应NIMH战略计划，呼吁进行精神健康研究培训，以“激发创造力、创新和渴望改变精神障碍患者的生活。”受训人员将从事跨学科、团队合作和翻译工作，以推进NIMH的公共卫生使命，从而应对(1)国家咨询精神卫生委员会研究培训工作组报告中确定的培训未来研究队伍的挑战和(2)NIMH战略计划中的目标4。 公共卫生相关性：该培训计划将培养新的研究人员，他们能够通过真实世界的护理环境帮助提供循证精神卫生保健，从而扩大NIMH的公共卫生使命(战略计划对象。4)。这些新培训的研究人员的工作和培训教师产生的新知识可以改善精神卫生保健，从而扩大NIMH基础和临床研究的好处，并减少数百万患有精神障碍的美国人的痛苦。

DESCRIPTION (provided by applicant): Evidence-based mental health treatments are not delivered to most patients who would benefit from them, largely because we do not know how to implement them. Recent NIH Program Announcements on "Dissemination and Implementation Research in Health" (PAR-06-039,520,521) invite new and innovative approaches to identifying, understanding, and overcoming barriers to the adoption of evidence-based interventions. This A-2 application proposes one such innovation: Using an R25 mechanism, we propose a unique training program in implementation research (IR) based at Washington University's NIMH funded Center for Mental Health Services Research. A key part of the yet underdeveloped Translation Two stage of the NIH Roadmap, IR investigates the process of moving empirically supported treatments (ESTs) into routine care. The training institute addresses five aims: (1) to conduct an Implementation Research Institute (IRI) annually in mid-June led by multidisciplinary faculty from across the nation with specialized expertise for IR; (2) to support IRI fellows' visits to research centers conducting NIH-funded implementation research and to facilitate their pilot studies in clinic and agency settings; (3) to develop and disseminate an implementation research course module for use by other mental health research training programs nationally; (4) to support IRI Core Faculty in publishing an annual scholarly paper that synthesizes the conceptual, substantive, and methodological advances in implementation research; and (5) to systematically evaluate these educational training efforts. We will employ a "learning collaborative" approach that coalesces senior health and mental health services researchers, treatment developers, expert methodologists, and junior researchers around their shared commitment to advancing their own knowledge of implementation research methods (human capital) and the field itself (intellectual capital). We will teach didactically and experientially, support distance learning, train fellows to observe agency- and research- implementation efforts, and collaboratively develop new materials to advance the field of implementation research. Outcomes will include: drawing senior faculty from many disciplines into a scholarly collaborative around IR; recruiting and preparing 32 new researchers for IR; submission of new IR grant proposals to NIH; and publishing scholarly papers on implementation science. The IRI responds to the NIMH Strategic Plans call for mental health research training to "inspire creativity, innovation, and a thirst to make a difference in the lives of those with mental disorders." Trainees will be transdisciplinary, team players, and translators in work to advance the public health mission of NIMH, thus responding to (1) challenges for training the future research workforce as identified in the National Advisory Mental Health Council Workgroup on Research Training Report and (2) Objective 4 in NIMH's Strategic Plan. Public Health Relevance: This training program will prepare new researchers who can help make evidence-based mental health care available through real-world settings of care, thereby extending NIMH's public health mission (Strategic Plan Obj. 4). The work of these newly trained researchers and the new knowledge generated by the training faculty can improve mental health care, thus extending the benefits of NIMH basic and clinical research and reducing the suffering of millions of Americans who live with mental disorders.