Center for Mental Health Services in Pediatric Primary Care

使命：该中心寻求可持续的方法来提高初级保健提供者的能力，以改善其功能。 减少痛苦，预防有心理健康问题的儿童的残疾。 背景：儿科初级保健治疗的心理健康问题具有高患病率的特点。 以及大多数有缺陷但没有诊断的儿童。父母经常感到苦恼 使儿童的心理健康问题复杂化，需要同时关注。参与的能力 围绕其需求的家庭促进了获得治疗的机会，并有助于缩小种族(差距)。 目标和具体目标：该中心将为初级保健中的精神健康开发一个循证模式 这1)适用于初级保健中看到的一系列问题，2)利用现有的技能和知识 家庭和儿科提供者，以及3)心理健康治疗能力的可持续增加 是初级保健的。其具体目的是：1)适应瓦格纳的初级精神护理慢性护理模式(CCM 保健服务包括基于“共同因素”和“共同治疗要素”的治疗；la)在 CCM的5个领域，解决了与共同因素及其影响相关的优先研究需求 在办公室实践中的实施；lb)围绕以下领域制定一揽子实际干预措施 调整后的CCM，用于在儿科初级保健中进行更大规模的试验；2)开发测量、研究设计 和分析方法，以有效地评估社区环境中的结果；以及3)在 通过多学科和社区-学术合作提供儿科精神卫生服务， 吸引新的和多样化的学者，并为科学家、政策制定者和倡导者提供资源。 方法：该中心的教职员工由儿科医生、心理学家、精神病学家和来自 六个机构，包括农村、郊区和城市环境。他们的工作是从与美国人的关系中获得灵感的 儿科学会精神卫生特别工作组和国家精神卫生政策的领导人。指导和 焦点来自一个社区咨询委员会和一个国家科学咨询委员会。研究方法 核心研究解决了关于共同因素、精神负担的证据基础的优先问题 医疗保健和可行的临床数据系统。主要研究核心研究测试相辅相成 有焦虑问题的儿童的因素方法。业务核心促进招聘人数偏低的人员 学员、有意义的社区互动、质量控制和创新的研究设计。

Mission: The center seeks sustainable ways to increase primary care providers' capacity to improve function. reduce distress, and prevent disability among children with mental health problems. Background: The mental health issues treated in pediatric primary care are characterized by high prevalence and a preponderance of children with impairment but without a diagnosis. Parent distress frequently complicates children's mental health problems and requires simultaneous attention. The ability to engage families around their needs promotes access to treatment and contributes to reducing ethnic (disparities. Goal and specific aims: The Center will develop an evidence-based model for mental health in primary care that 1) applies to the range of problems seen in primary care, 2) engages existing skills and knowledge of families and pediatric providers, and 3) results in sustainable increases in the mental health treatment capacity of primary care. Its specific aims are to: 1) adapt Wagner's Chronic Care Model (CCM) of primary care mental health service to include treatment based on "common factors" and "common treatment elements."; la) within the CCM's 5 domains, address priority research needs related to the impact of common factors and their implementation in office practice; lb) develop packages of practical interventions, built around domains of the adapted CCM, for larger scale trials in pediatric primary care; 2) develop measurements, study designs and analytic methods to efficiently assess outcomes in community settings; and 3) stimulate innovation in pediatric mental health services through multidisciplinary and community-academic collaboration, attracting new and diverse scholars and providing a resource for scientists, policy makers, and advocates. Methods: The Center's faculty is a team of pediatricians, psychologists, psychiatrists, and other scholars from six institutions that include rural, suburban, and urban settings. Their work is informed by ties to the American Academy of Pediatrics' Task Force on Mental Health and leaders in state mental health policy. Guidance and focus come from a community advisory committee and a national scientific advisory board. Research Methods Core studies address priority questions about the evidence base for common factors, the burden of mental health care, and feasible clinical data systems. Principal Research Core studies test complementary common factors approaches for children with anxiety problems. The Operations Core promotes recruiting underrepresented trainees, meaningful community interaction, quality control, and innovative study design.