Persons with serious mental illness (SMI) are one of the most vulnerable populations in the US, experiencing significant premature mortality, high rates of co-morbid chronic conditions, and negative social outcomes such as unemployment and homelessness. This population costs society an estimated $317 billion per year, and persons with SMI are the largest and fastest growing subgroup of social security disability beneficiaries. NIMH's Strategic Plan, the Institute of Medicine and SAMHSA all emphasize decreasing mortality for persons with SMI as priorities. Despite the high need for healthcare and social services in this group, most persons with SMI do not receive guideline-concordant somatic or behavioral healthcare or evidence-based social services, such as supported employment. This resubmission application for a NIMH K01 mentored research scientist development award seeks support for a new Assistant Professor at the Johns Hopkins Bloomberg School of Public Health who aspires to a career focused on improving health and social outcomes for persons with SMI by increasing uptake and sustained delivery of evidence-based healthcare and social services for this group in diverse settings. Dr. McGinty's doctoral work and prior research has focused on quality of care and criminal justice issues in persons with SMI. Her immediate career objectives are to: 1) Gain the knowledge and skills needed to assess organization and provider-level factors that facilitate and impede delivery of evidence-based healthcare and social services for SMI; and 2) Gain the knowledge and skills needed to evaluate strategies to coordinate delivery of somatic, behavioral, and social services for persons with SMI. Through this K01, Dr. McGinty will gain enhanced understanding of healthcare delivery systems and new knowledge and skills in implementation research, specifically new skills in qualitative research and multilevel modeling. The proposed research will employ mixed methods to study implementation of evidence- based healthcare and social services for persons with SMI in the context of the Medicaid health homes program in Maryland. Health home implementation requires delivery organizations and providers to fundamentally shift their missions away from solely providing care within their specialty areas to providing integrated healthcare for the whole person with SMI. Coordinating these fragmented services presents a host of implementation challenges, making it critically important to study uptake and sustained delivery of evidence-based services for persons with SMI in this context. By providing salary support, training, freedom from administrative responsibilities, and a formal mentorship structure, this award will facilitate Dr. McGinty's transition to an independent research career focused on improving health and social outcomes among persons with SMI.

Public Health Relevance

Persons with serious mental illness are one of the most vulnerable populations in the United States, and in spite of the premature mortality, high rates of co-morbid chronic conditions, and poor social outcomes (e.g. unemployment, homelessness, and criminal justice involvement) experienced by this group, most persons with serious mental illness do not receive guideline- concordant medical care or evidence-based social services such as supported employment. This resubmitted application will support a new investigator who aspires to a research career focused on improving health and social outcomes among persons with serious mental illness by increasing uptake and sustained delivery of evidence-based services for this group in diverse settings. The award will enable her to develop the new knowledge and skills necessary to conduct independent research evaluating innovative strategies to improve delivery of evidence- based healthcare and social services to persons with serious mental illness.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01MH106631-02
Application #
9144866
Study Section
Mental Health Services Research Committee (SERV)
Program Officer
Hill, Lauren D
Project Start
2015-09-15
Project End
2019-08-31
Budget Start
2016-09-01
Budget End
2017-08-31
Support Year
2
Fiscal Year
2016
Total Cost
$177,933
Indirect Cost
$13,054
Name
Johns Hopkins University
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21205
McGinty, Emma E; Goldman, Howard H; Pescosolido, Bernice A et al. (2018) Communicating about Mental Illness and Violence: Balancing Stigma and Increased Support for Services. J Health Polit Policy Law 43:185-228
McGinty, Emma E; Gudzune, Kimberly A; Dalcin, Arlene et al. (2018) Bringing an Effective Behavioral Weight Loss Intervention for People With Serious Mental Illness to Scale. Front Psychiatry 9:604
Kennedy-Hendricks, Alene; Daumit, Gail L; Choksy, Seema et al. (2018) Measuring Variation Across Dimensions of Integrated Care: The Maryland Medicaid Health Home Model. Adm Policy Ment Health 45:888-899
McGinty, Emma E; Kennedy-Hendricks, Alene; Linden, Sarah et al. (2018) An innovative model to coordinate healthcare and social services for people with serious mental illness: A mixed-methods case study of Maryland's Medicaid health home program. Gen Hosp Psychiatry 51:54-62
Bandara, Sachini N; Daumit, Gail L; Kennedy-Hendricks, Alene et al. (2018) Mental Health Providers' Attitudes About Criminal Justice-Involved Clients With Serious Mental Illness. Psychiatr Serv 69:472-475
McGinty, Emma; Pescosolido, Bernice; Kennedy-Hendricks, Alene et al. (2018) Communication Strategies to Counter Stigma and Improve Mental Illness and Substance Use Disorder Policy. Psychiatr Serv 69:136-146
McGinty, Emma E; Thompson, David A; Pronovost, Peter J et al. (2017) Patient, Provider, and System Factors Contributing to Patient Safety Events During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness. J Nerv Ment Dis 205:495-501
Vazin, Roza; McGinty, Emma E; Dickerson, Faith et al. (2016) Perceptions of strategies for successful weight loss in persons with serious mental illness participating in a behavioral weight loss intervention: A qualitative study. Psychiatr Rehabil J 39:137-46
Riedel, Lauren E; Barry, Colleen L; McGinty, Emma E et al. (2016) Improving Health Care Linkages for Persons: The Cook County Jail Medicaid Enrollment Initiative. J Correct Health Care 22:189-99
McGinty, Emma E; Kennedy-Hendricks, Alene; Choksy, Seema et al. (2016) Trends In News Media Coverage Of Mental Illness In The United States: 1995-2014. Health Aff (Millwood) 35:1121-9

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