Improving Mental Health Care in Safety Net Medical Settings

描述(申请人提供)：安全网医疗机构服务的人群中精神疾病和成瘾的负担是巨大的，专门的精神卫生机构无法容纳。尽管迫切需要开发有效的方法来组织、资助和提供与医疗护理相结合的精神健康和成瘾服务，但缺乏训练有素的研究人员，他们拥有必要的技能、培训和背景知识，既能进行相关的、高影响力的研究，同时又了解将这些发现转化为临床实践所需的行政、财政、政策和社区利益相关者的视角。这一博士后培训计划旨在增加在心理健康和成瘾服务研究方面接受培训的早期职业调查人员的数量，重点是安全网医疗环境，使用已存在数十年的学术-公共部门伙伴关系中嵌入的跨学科方法。拟议的研究金方案将每年挑选3名博士后研究人员，在5年内接受为期2年的指导培训，总共15名研究员。跨学科培训将涉及医学院精神病学和医学系以及社会工作、护理和公共卫生学院的教职员工。指导研究活动和安全网临床、管理和政策暴露构成了该计划的核心体验，并将嵌入并促进个人定制的教学和指导教学，旨在传授至关重要的知识和技能。 公共卫生相关性：通过解决调查人员的严重短缺问题，拟议的计划将增加旨在将循证研究结果带给安全网服务提供者社区的转化性研究，并有望在改善这些环境中精神健康和成瘾护理的交付方面产生长期影响。

DESCRIPTION (provided by applicant): The burden of mental illness and addictions in the population served by safety net medical facilities is substantial, and cannot be accommodated by specialty mental health facilities. Despite the urgent need to develop effective approaches to organizing, financing, and delivering mental health and addiction services integrated with medical care in this setting, there is a paucity of trained researchers with the necessary skills, training, and background knowledge to both conduct relevant, high impact research, while at the same time understanding the administrative, fiscal, policy, and community stakeholder perspectives needed to translate these findings into clinical practice. This post-doctoral training program aims to increase the number of early career investigators trained in mental health and addictions services research with a safety net medical setting focus, using an interdisciplinary approach embedded in an academic-public sector partnership that has existed for several decades. The proposed fellowship program will select 3 postdoctoral investigators each year to receive 2 years of mentored training for a total of 15 fellows over the 5 year period. The interdisciplinary training would involve faculty from the Departments of Psychiatry and Medicine in the School of Medicine, and from the Schools of Social Work, Nursing, and Public Health. Mentored research activities and safety-net clinical, administrative and policy exposures form the core experience of the program, and will be embedded in, and facilitated by, individually tailored didactics and mentored instruction designed to impart crucially important knowledge and skills. PUBLIC HEALTH RELEVANCE: By addressing a critical shortfall in investigators, the proposed program will increase translational research designed to bring evidence-based findings to the community of safety net service providers and, hopefully, have a long range impact in improving the delivery of mental health and addictions care in these settings.