Yuhua Bao, Ph.D. is an assistant professor in the Department of Public Health, Weill Cornell Medical College. This proposed NIMH Mentored Research Scientist Career Development (K01) award will provide the necessary support to facilitate Dr. Bao's successful transition to an independent mental health services investigator, with the career goal of providing much-needed evidence to inform policies aimed at integrating evidence-based mental health treatment in general medical settings. The proposed training plan includes a series of learning activities to enable the candidate to gain knowledge of mental health conditions and treatment in general medical settings, to develop skills and expertise in designing and evaluating performance measures as well as payment policies that incentivize evidence-based mental health care in medical settings, and to develop skills and experience in assessing stakeholder acceptance on incentive mechanism designs. Building on these learning activities, research projects will be conducted in two different medical settings: home health care and primary care. In each project, guided by a conceptual framework, data analysis based on previous and on-going research studies will be conducted to design alternative payment and performance evaluation systems that are consistent with the costs of providing evidence- based depression care management. Provider and payer acceptance of these incentive systems will be assessed by estimating provider-specific results, and by primary data collection through semi-structured group interviews (home health care) and a survey that will be designed using decision analytic methods (primary care). The proposed training and research activities are designed to provide Dr. Bao with the additional experience and resources necessary to support the submission of a successful R01 grant by the end of the award to design and evaluate incentives for integrated, evidence-based mental health care in the general medical payment systems that are undergoing continuous evolvement.

Public Health Relevance

Significant gaps exist in the quality of care for Americans with mental illness. A significant barrier to implementation of evidence-based, integrated mental health care in medical settings, where about 50% of all mental health care takes place, is a misaligned payment system. This K01 application proposes a series of training and research activities to enable Dr. Yuhua Bao's successful transition to an independent mental health services investigator whose work provides much-needed evidence to inform policies aimed at integrating evidence-based mental health treatment in medical care.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Research Scientist Development Award - Research & Training (K01)
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Mental Health Services in MH Specialty Settings (SRSP)
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Hill, Lauren D
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Weill Medical College of Cornell University
Public Health & Prev Medicine
Schools of Medicine
New York
United States
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Bao, Yuhua; Shao, Huibo; Bruce, Martha L et al. (2015) Antidepressant Medication Management Among Older Patients Receiving Home Health Care. Am J Geriatr Psychiatry 23:999-1006
Bao, Yuhua; Eggman, Ashley A; Richardson, Joshua E et al. (2014) Misalignment between medicare policies and depression care in home health care: home health provider perspectives. Psychiatr Serv 65:905-10
Ryan, Andrew M; Bao, Yuhua (2013) Profiling provider outcome quality for pay-for-performance in the presence of missing data: a simulation approach. Health Serv Res 48:810-25
Bao, Yuhua; Casalino, Lawrence P; Pincus, Harold Alan (2013) Behavioral health and health care reform models: patient-centered medical home, health home, and accountable care organization. J Behav Health Serv Res 40:121-32
Bao, Yuhua; Shao, Huibo; Bishop, Tara F et al. (2012) Inappropriate medication in a national sample of US elderly patients receiving home health care. J Gen Intern Med 27:304-10
Shao, Huibo; Peng, Timothy R; Bruce, Martha L et al. (2011) Diagnosed depression among Medicare home health patients: national prevalence estimates and key characteristics. Psychiatr Serv 62:538-40
Bao, Yuhua; Alexopoulos, George S; Casalino, Lawrence P et al. (2011) Collaborative depression care management and disparities in depression treatment and outcomes. Arch Gen Psychiatry 68:627-36
Bao, Yuhua; Casalino, Lawrence P; Ettner, Susan L et al. (2011) Designing payment for Collaborative Care for Depression in primary care. Health Serv Res 46:1436-51