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

描述(由申请人提供)：对老年人精神疾病的循证评估和治疗很少适用于贫穷的有色人种老年人。社区机构和学术中心很少合作向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)项目是加州大学旧金山分校(UCSF)60岁以上研究计划和旧金山家庭服务机构(FSA)的合作伙伴关系，旨在寻求资金以发展社区-学术研究伙伴关系，以开发共同设计的研究基础设施，以评估FSA在为不同的低收入老年人群体提供循证心理健康方面的成功和使命。我们建议的活动旨在同时加强FSA的临床和研究基础设施，以便可以实施和评估循证干预措施，并制定可推广到其他FSASF项目和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，一直在努力促进组织和提供商为在FSA采用EBPS和研究做好准备。活动包括在FSA内创建IRB；两名FSA临床医生参与CARTA计划；Bennett先生让受人尊敬的关键临床医生参与EBP培训和将评估整合到实践中的战略；创建用于传播EBPS的Felton研究所；以及Arean博士继续担任FSA董事会成员。我们的目标是(1)测试和完善实用和可移植的英语和粤语老年精神病患者评估工具包(2)实施基于网络的电子临床和研究病例识别和结果监测系统，(3)为患有抑郁症和轻度认知障碍的老年人实施和评估问题解决疗法，以及(4)发展以社区为基础的临床结果研究的研究培训计划。莱文集团的凯伦·林金斯博士将对伙伴关系进程和活动进行评估。成功的社区和学术合作必须对双方都有利，双方都必须为这一进程作出贡献。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，并将其推向下一阶段，创造可仿效的工具和方法，便于其他此类伙伴关系使用。我们的伙伴关系还涉及县和州一级的倡议，以推动EBPS并将评估纳入精神健康服务。这一伙伴关系不仅将在老年精神卫生领域产生重大影响，而且将在与社区-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.