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

描述（由申请人提供）：基于证据的心理健康治疗并没有提供给大多数可以从中受益的患者，很大程度上是因为我们不知道如何实施它们。最近美国国立卫生研究院关于“健康传播和实施研究”的项目公告（PAR-06-039,520,521）邀请采用新的创新方法来识别，理解和克服采用循证干预措施的障碍。这个a -2申请提出了一个这样的创新：使用R25机制，我们在华盛顿大学NIMH资助的精神健康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NIH路线图尚未开发的翻译第二阶段的关键部分，IR调查了将经验支持治疗（ESTs）转移到常规护理的过程。该培训机构有五个目标：(1)每年6月中旬举办一个实施研究所（IRI），由来自全国各地具有实施研究所专业知识的多学科教师领导；(2)支持IRI研究员访问进行美国国立卫生研究院资助的实施研究的研究中心，并促进他们在诊所和机构环境中的试点研究；(3)制定并推广实施性研究课程模块，供全国其他精神卫生研究培训项目使用；(4)支持IRI核心教师发表年度学术论文，综合实施研究的概念、实质和方法进展；(5)系统评价这些教育培训工作。我们将采用一种“学习协作”的方法，将高级卫生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联合起来，共同致力于提高他们自己对实施研究方法（人力资本）和领域本身（智力资本）的知识。我们将以教学和经验的方式进行教学，支持远程学习，培训研究员观察机构和研究机构的实施工作，并合作开发新材料，推动实施研究领域的发展。结果将包括：吸引来自许多学科的高级教师参与围绕IR的学术合作；招募和准备32名新的IR研究人员；向NIH提交新的IR拨款提案；发表关于实施科学的学术论文。IRI回应了NIMH战略计划对精神健康研究培训的呼吁，以“激发创造力、创新精神和改变精神障碍患者生活的渴望”。受训者将是跨学科的、团队成员和翻译，致力于推进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人员的挑战；(2)NIMH战略计划中的目标4。

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.