Center for Education and Research on Mental Health Ther*

描述(由申请人提供)：精神卫生CERT将建立在强大的现有合作的基础上，创建一个连贯的、多学科的计划，旨在改善精神药物使用的结果。它为CERTS网络带来了强大的能力、杰出的调查人员以及大量的数据和方法资源。它将明确的长期战略愿景与可实现的短期目标相结合，以解决具体的紧急问题，并将稀缺的CERT资源用于独立可持续的项目。它将把杰出的跨学科专业知识与基础设施结合在一起，使团队能够有效地利用大型、复杂的医疗数据集，并与各种受众进行有效的沟通，将研究转化为实践。它的目标是成为心理健康治疗方面的国家资源，因其专业知识和独立、严格和客观的工作而受到信任。它将汇集优秀的研究团队，制定和实施战略，以改善被选为对人口产生影响的问题领域的治疗模式和结果，强调通过联邦医疗保险和医疗补助等重大公共计划接受护理的大量人口。核心和项目的工作将围绕规划阶段制定的七项举措安排，这些举措对CERT的工作有很大潜在影响：实现更安全、更有效的儿童抑郁症治疗；平衡儿童抗精神病药物的使用风险和效益；为更好的儿童精神健康治疗和结果制定准则和讲师培训：两国倡议；减少持续时间差距以改善成人精神分裂症的结果；改善体弱老年人和患有医疗疾病的成人的精神药物使用；促进社区成人和老年人口抗抑郁药物治疗的指导方针一致管理；以及评估和处理联邦医疗保险现代化法案对患有精神病的受益人的影响。每个领域的工作都将系统地从研究转向实践，强调具有广泛影响的政策层面的干预。在分析行政医疗数据集方面的强大经验基础上，该中心将开发和管理支持多项相关研究的广泛的多州公共支付者研究数据集，并将这些研究与教育和干预相结合，以改进目标领域的实践和成果。

DESCRIPTION (Provided by the Applicant): The Mental Health CERTs will build on strong existing collaborations to create a coherent, multidisciplinary program targeting improvement of outcomes of psychotropic medication use. It brings strong capacity, distinguished investigators, and substantial data and methodological resources to the CERTs network. It combines a clear, long-term strategic vision with achievable short-term aims that will address specific urgent issues and leverage scarce CERTs resources into independently sustainable projects. It will bring together outstanding interdisciplinary expertise with infrastructure to enable teams to effectively utilize large, complex healthcare datasets and communicate effectively with a variety of constituencies to translate research into practice. It aims to become a national resource on mental health therapeutics, trusted for its expertise and its independent, rigorous, and objective work. It will bring together outstanding research teams to develop and implement strategies for improving treatment patterns and outcomes in problem areas selected for impact on a population basis, emphasizing the large populations receiving care through major public programs such as Medicare and Medicaid. Work of the cores and projects will be organized around seven initiatives developed in the planning stage as areas of high potential impact for CERTs work: Toward Safer, More-Effective Treatment of Childhood Depression; Balancing Risks and Benefits in Childhood Antipsychotic Use; Guideline Development and Prescriber Training for Better Childhood Mental Health Treatment and Outcomes: A Two-State Initiative; Reducing the Duration Gap to Improve Adult Schizophrenia Outcomes; Improving Psychotropic Use Among Frail Elderly and Adults with Medical Illnesses; Furthering Guideline-Consistent Management of Antidepressant Treatment in Community Adult and Elderly Populations; and Assessing and Addressing Medicare Modernization Act Impacts for Beneficiaries with Mental Illness. Work in each area will move systematically from research to practice, emphasizing policy-level interventions of broad impact. Building on a strong experience base in analyzing administrative healthcare datasets, the Center will develop and manage extensive multistate public-payer research datasets supporting multiple related studies, and integrate these studies with education and interventions to improve practice and outcomes in targeted areas.