Evaluating the Role of School in Adolescent Mental Health Service Provision

职业发展奖（K 01）将为候选人提供技能，以建立一个独立的研究计划，重点是评估学校在为青少年提供心理健康服务方面的作用。学校被确定为精神卫生服务的主要提供者和通往其他服务部门的门户。然而，学校提供的服务有很大的差异，学校参与识别患有精神疾病的青少年和提供精神卫生服务转诊的机制相对鲜为人知。虽然候选人有在学校提供服务和评估学校气氛指标的经验，但该培训计划旨在为她提供精神病学流行病学和服务评估研究方面的技能，以解决她培训中的差距。具体而言，候选人将（a）熟练掌握用于分析大型多层次和纵向数据集的统计技术，（B）通过学习和直接经验获得对精神卫生服务研究的深入了解，评估学校的精神卫生服务。教学培训，指导阅读，研究学徒和指导研究项目的完成相结合，将解决知识的这些差距。指导研究项目的第一阶段将涉及研究青少年服务系统接触的可变性，作为可修改的学校特征的函数，并确定学校部门转诊治疗对随后治疗轨迹和心理健康结果的影响。目标将涉及从国家共病调查复制青少年补充（NCS-A）和中心的护理评估系统的数据分析，提供候选人将在心理健康服务研究和多层次和纵向数据分析的技能。这些技能将应用于该项目的第二阶段，这将涉及进行访谈和制定一项新的调查，以衡量学校心理学家和学校辅导员使用的识别和转介策略。培训活动和研究结果将用于制定R 01提案，以测试通过加强学校的检测和转诊服务来改善获得精神卫生服务的机制。 公共卫生相关性：本研究旨在阐明学校在识别精神疾病和提供精神卫生服务转介方面的作用。界定这些角色对于为制定干预措施提供信息至关重要，这些干预措施可以增加获得精神卫生服务的机会。很大一部分青少年心理健康服务是由学校提供或应其要求提供的，改善有效服务提供的干预措施具有重要的公共卫生意义。

DESCRIPTION (provided by applicant): This Career Development Award (K01) will provide the candidate with skills to establish an independent program of research focused on evaluating the role of schools in mental health service provision for adolescents. Schools are identified as a primary provider of mental health services and a gateway to other service sectors. However, there is a great deal of variability in school service provision and relatively little is known about the mechanisms by which schools are involved in identifying adolescents with psychiatric disorders and providing referrals for mental health services. While the candidate has experience providing services in schools and assessing indicators of school climate, this training plan is designed to provide her with skills in psychiatric epidemiology and services evaluation research to address gaps in her training. Specifically, the candidate will (a) develop proficiency in statistical techniques for analyzing large multilevel and longitudinal datasets and (b) gain in-depth knowledge of mental health services research, through study and direct experience with the evaluation of mental health services in schools. A combination of didactic training, guided readings, a research apprenticeship, and the completion of a mentored research project will address these gaps in knowledge. The first phase of the mentored research project will involve studying variability in adolescent service system contact as a function of modifiable school characteristics and identifying the influence of referrals for treatment from the school sector on subsequent treatment trajectories and mental health outcomes. Aims will involve analysis of data from the National Co-morbidity Survey Replication Adolescent Supplement (NCS-A) and Center for Mental Health Services' system of care evaluation, providing the candidate will skills in mental health services research and multilevel and longitudinal data analysis. These skills will be applied to the second phase of the project, which will involve conducting interviews and developing of a new survey to measure identification and referral strategies used by school psychologists and school counselors. Training activities and study results will be used to develop an R01 proposal to test mechanisms for improving access to mental health services by enhancing detection and referral provision by schools. PUBLIC HEALTH RELEVANCE: This study aims to clarify the role of schools in identifying psychiatric disorders and providing referrals for mental health services. Delineating these roles is critical to informing the development of interventions that can increase access to mental health services. A substantial proportion of adolescent mental health services are provided by schools or at their behest, interventions to improve effective service provision have important public health implications.