Improving Mental Health Care in Safety Net Medical Settings

描述（由申请人提供）：在安全网医疗设施服务的人群中，精神疾病和成瘾的负担是巨大的，专业精神卫生设施无法容纳。尽管迫切需要制定有效的办法，在这种情况下组织、资助和提供与医疗保健相结合的心理健康和成瘾服务，但缺乏受过训练的研究人员，他们具备必要的技能、培训和背景知识，既能进行相关的、高影响力的研究，同时又能了解行政、财政、政策、社区利益相关者的观点需要将这些发现转化为临床实践。这项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受过培训的早期职业调查员的数量，这些研究以安全网医疗环境为重点，采用跨学科的方法，嵌入已经存在了几十年的学术-公共部门伙伴关系。该奖学金计划每年将选出3名博士后研究员，接受为期2年的指导培训，共计15人，为期5年。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员。受指导的研究活动和安全网临床、行政和政策暴露构成了该计划的核心经验，并将被嵌入到旨在传授至关重要的知识和技能的个性化教学和指导教学中，并通过这些教学和指导教学得到促进。

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.