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状况，包括残疾、服药过量、自杀和妇女健康。VHA仍然是全国领先的 提供高质量的BH治疗，并及早响应旨在 改善经历这些情况的个人的健康和福祉。VHA必须开发和评估 管理和解决退伍军人面临的一系列复杂问题的新战略 他们的提供者。 Kara Zivin，博士，硕士，专注于使用混合方法研究和改进VHA BH服务 评估方法。她工作的三个主要主题目标包括：1)继续研究评估 卫生政策和系统倡议对患有BH条件的退伍军人结局的影响 干预措施的制定、实施、传播和有针对性的政策制定；2)扩大研究 改善退伍军人的功能结果，包括残疾和就业 并提高VHA临床医生的幸福感；以及3)发展和领导妇女健康研究，以改善退伍军人的 围产期BH。这三个主题领域与积极的治疗结果直接相关，包括总体 功能和幸福感，并降低患有BH疾病的退伍军人发生不良事件的可能性。 Zivin博士通过她的外部资助的研究展示了她对这些领域的贡献 来自退伍军人健康服务研究和开发(HSR&D)、美国国立卫生研究院(NIH)和 密歇根州卫生与公众服务部(MDHHS)等，以及160多名同行- 审阅科学出版物。齐文博士积极指导了10名职业生涯早期的研究人员和/或实习生 曾在退伍军人事务部安娜堡退伍军人中心担任过重要领导和服务职务 创新(COIN)和全国范围内的VHA。 鉴于她积极而富有成效的研究组合，以及对指导同事的承诺 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 奖品。拟议的研究职业科学家奖将支持她继续研究，扩大在 指导和培训下一代HSR&D研究人员，以及旨在实现以下目标的VHA服务 加强和扩大她的研究和指导的影响范围和影响。她的研究组合有潜力 解决VHA中与BH相关的一些最关键和最棘手的优先事项，并改善对一些 在VHA系统内接受治疗的最具挑战性和最高风险的退伍军人。

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.