HSR&D Research Career Scientist Award

行为健康（BH）状况，包括精神健康和物质使用障碍，仍然很常见， 在退伍军人健康管理局（VHA）患者中持续存在。VHA的几个关键优先领域与 BH条件，包括残疾，过量，自杀和妇女的健康。VHA仍然是国家领导者， 提供高质量的BH治疗，并作为政策和计划的早期响应者， 改善经历这些条件的个人的健康和福祉。VHA必须开发和评估 新的战略，以管理和解决退伍军人面临的一系列复杂的问题与BH条件， 他们的供应商。 Kara Zivin，博士，硕士，硕士，专注于使用混合方法研究和改进VHA BH服务， 评价方法。她工作的三个主要主题目标包括：1）继续研究， 卫生政策和系统举措对患有BH疾病的退伍军人的影响， 干预措施的制定、实施、传播和有针对性的决策; 2）扩大研究 改善退伍军人的功能结果，包括BH患者的残疾和就业 提高VHA临床医生的福祉; 3）发展和领导妇女健康研究，以改善退伍军人的健康状况。 围产期BH。这三个主题领域直接关系到积极的治疗结果，包括总体 功能和福祉，并减少与BH条件退伍军人之间的不良事件的可能性。 博士Zivin通过她的外部资助的研究证明了她对这些领域的贡献， 来自VA卫生服务研究与发展（HSR&D），美国国立卫生研究院（NIH）的支持，以及 密歇根州卫生和人类服务部（MDHHS）等，除了160多个同行- 审查科学出版物。Zivin博士积极指导了10名早期职业调查员和/或学员 在退伍军人事务部，并曾在安阿伯退伍军人事务中心担任关键的领导和服务角色， 创新（COIN）和VHA内的国家。 鉴于她积极和富有成效的研究组合，并表现出致力于指导同事， 发展VHA研究事业，Zivin博士是卫生服务研究职业科学家的有力候选人 奖拟议的研究职业科学家奖将支持她继续研究，扩大作用， 下一代HSR&D研究人员的指导和培训，以及旨在 加强和扩大她的研究和指导的范围和影响。她的研究成果有可能 解决VHA中一些最关键和最令人烦恼的BH相关优先事项，并改善对一些 最具挑战性和最高风险的退伍军人在VHA系统内治疗。

Behavioral health (BH) conditions, including mental health and substance use disorders, remain common and persistent among Veterans Health Administration (VHA) patients. Several VHA key priority areas coincide with BH conditions, including disability, overdose, suicide, and women's health. VHA remains a national leader in providing high-quality BH treatment and serves as an early responder to policies and programs designed to improve health and wellbeing for individuals experiencing these conditions. VHA must develop and evaluate new strategies to manage and resolve the complicated array of problems facing Veterans with BH conditions and their providers. Kara Zivin, PhD, MS, MA has focused on improving VHA BH services using used mixed methods research and evaluation approaches. The three primary thematic aims of her work include: 1) to continue research to evaluate the impacts of health policies and system initiatives on outcomes among Veterans with BH conditions, leading to intervention development, implementation, dissemination, and targeted policymaking; 2) to extend research to improve Veteran functional outcomes including disability and employment among those with BH conditions and enhance VHA clinician wellbeing; and 3), to develop and lead women's health research to improve Veterans' perinatal BH. These three thematic areas directly relate to positive treatment outcomes, including overall function and wellbeing, and reducing the likelihood of adverse events among Veterans with BH conditions. Dr. Zivin's has demonstrated her contributions to these areas through her externally funded research with support from VA Health Services Research and Development (HSR&D), National Institutes of Health (NIH), and Michigan Department of Health and Human Services (MDHHS) among others in addition to over 160 peer- reviewed scientific publications. Dr. Zivin has actively mentored ten early career investigators and/or trainees within the VA and has served in key leadership and service roles locally within the Ann Arbor VA Center of Innovation (COIN) and nationally within the VHA. Given her active and productive research portfolio and demonstrated commitment to mentoring colleagues in developing VHA research careers, Dr. Zivin is a strong candidate for a Health Services Research Career Scientist Award. The proposed Research Career Scientist Award will support her continued research, an expanded role in mentorship and training of the next generation of HSR&D researchers, and targeted VHA service designed to enhance and extend the reach and impact of her research and mentoring. Her research portfolio has the potential to address some of the most critical and vexing BH-related priorities in VHA and improve care for some of the most challenging and highest-risk Veterans treated within the VHA system.