Center for Mental Health Services in Pediatric Primary Care

描述(由申请人提供)：任务：该中心寻求可持续的方法，以提高初级保健提供者的能力，以改善功能，减少痛苦，并防止有心理健康问题的儿童的残疾。背景：在儿科初级保健中治疗的心理健康问题的特点是患病率高，大多数儿童有损害但没有诊断。父母的痛苦往往会使儿童的心理健康问题复杂化，需要同时关注。让家庭围绕其需求开展工作的能力促进了获得治疗的机会，并有助于缩小种族(差距)。目标和具体目标：该中心将开发一种基于证据的初级保健精神健康模式，该模式1)适用于初级保健中出现的各种问题，2)利用家庭和儿科提供者现有的技能和知识，3)可持续地提高初级保健的精神健康治疗能力。其具体目标是：1)调整瓦格纳的初级保健精神卫生服务的慢性护理模式(CCM)，以包括基于“共同因素”和“共同治疗要素”的治疗；la)在CCM的5个领域内，解决与共同因素的影响相关的优先研究需求及其在办公室实践中的实施；lb)围绕调整后的CCM的领域开发一揽子实际干预措施，用于在儿科初级保健中进行更大规模的试验；2)开发测量、研究设计和分析方法，以有效地评估社区环境中的结果；3)通过多学科和社区-学术合作，刺激儿科精神卫生服务的创新，吸引新的和不同的学者，并为科学家、政策制定者和倡导者提供资源。方法：该中心的教职员工由来自六个机构的儿科医生、心理学家、精神病学家和其他学者组成，包括农村、郊区和城市环境。他们的工作是由与美国儿科学会精神健康特别工作组的联系和国家精神健康政策的领导人提供信息的。指导和重点来自社区咨询委员会和国家科学咨询委员会。研究方法核心研究解决共同因素的证据基础、精神卫生保健的负担和可行的临床数据系统等优先问题。主要研究核心研究测试了针对焦虑症儿童的互补共同因素方法。运营核心促进招聘代表性不足的受训人员、有意义的社区互动、质量控制和创新的研究设计。

DESCRIPTION (provided by applicant): Mission: The center seeks sustainable ways to increase primary care providers' capacity to improve function, reduce distress, and prevent disability among children with mental health problems. Background: The mental health issues treated in pediatric primary care are characterized by high prevalence and a preponderance of children with impairment but without a diagnosis. Parent distress frequently complicates children's mental health problems and requires simultaneous attention. The ability to engage families around their needs promotes access to treatment and contributes to reducing ethnic (disparities. Goal and specific aims: The Center will develop an evidence-based model for mental health in primary care that 1) applies to the range of problems seen in primary care, 2) engages existing skills and knowledge of families and pediatric providers, and 3) results in sustainable increases in the mental health treatment capacity of primary care. Its specific aims are to: 1) adapt Wagner's Chronic Care Model (CCM) of primary care mental health service to include treatment based on "common factors" and "common treatment elements."; la) within the CCM's 5 domains, address priority research needs related to the impact of common factors and their implementation in office practice; lb) develop packages of practical interventions, built around domains of the adapted CCM, for larger scale trials in pediatric primary care; 2) develop measurements, study designs and analytic methods to efficiently assess outcomes in community settings; and 3) stimulate innovation in pediatric mental health services through multidisciplinary and community-academic collaboration, attracting new and diverse scholars and providing a resource for scientists, policy makers, and advocates. Methods: The Center's faculty is a team of pediatricians, psychologists, psychiatrists, and other scholars from six institutions that include rural, suburban, and urban settings. Their work is informed by ties to the American Academy of Pediatrics' Task Force on Mental Health and leaders in state mental health policy. Guidance and focus come from a community advisory committee and a national scientific advisory board. Research Methods Core studies address priority questions about the evidence base for common factors, the burden of mental health care, and feasible clinical data systems. Principal Research Core studies test complementary common factors approaches for children with anxiety problems. The Operations Core promotes recruiting underrepresented trainees, meaningful community interaction, quality control, and innovative study design.