Evidence-based mental health treatments are not delivered to most patients who would benefit from them, largely because we do not know how to implement them. Recent NIH Program Announcements on "Dissemination and Implementation Research in Health" (PAR-06-039,520,521) invite new and innovative approaches to identifying, understanding, and overcoming barriers to the adoption of evidence-based interventions. This A-2 application proposes one such innovation: Using an R25 mechanism, we propose a unique training program in implementation research (IR) based at Washington University's NIMH funded Center for Mental Health Services Research. A key part of the yet underdeveloped Translation Two stage of the NIH Roadmap, IR investigates the process of moving empirically supported treatments (ESTs) into routine care. The training institute addresses five aims: (1) to conduct an Implementation Research Institute (IRI) annually in mid-June led by multidisciplinary faculty from across the nation with specialized expertise for IR;(2) to support IRI fellows'visits to research centers conducting NIH-funded implementation research and to facilitate their pilot studies in clinic and agency settings;(3) to develop and disseminate an implementation research course module for use by other mental health research training programs nationally;(4) to support IRI Core Faculty in publishing an annual scholarly paper that synthesizes the conceptual, substantive, and methodological advances in implementation research;and (5) to systematically evaluate these educational training efforts. We will employ a "learning collaborative" approach that coalesces senior health and mental health services researchers, treatment developers, expert methodologists, and junior researchers around their shared commitment to advancing their own knowledge of implementation research methods (human capital) and the field itself (intellectual capital). We will teach didactically and experientially, support distance learning, train fellows to observe agency- and research- implementation efforts, and collaboratively develop new materials to advance the field of implementation research. Outcomes will include: drawing senior faculty from many disciplines into a scholarly collaborative around IR;recruiting and preparing 32 new researchers for IR;submission of new IR grant proposals to NIH;and publishing scholarly papers on implementation science. The IRI responds to the NIMH Strategic Plans call for mental health research training to "inspire creativity, innovation, and a thirst to make a difference in the lives of those with mental disorders." Trainees will be transdisciplinary, team players, and translators in work to advance the public health mission of NIMH, thus responding to (1) challenges for training the future research workforce as identified in the National Advisory Mental Health Council Workgroup on Research Training Report and (2) Objective 4 in NIMH's Strategic Plan. Public Health Relevance: This training program will prepare new researchers who can help make evidence-based mental health care available through real-world settings of care, thereby extending NIMH's public health mission (Strategic Plan Obj. 4). The work of these newly trained researchers and the new knowledge generated by the training faculty can improve mental health care, thus extending the benefits of NIMH basic and clinical research and reducing the suffering of millions of Americans who live with mental disorders.

Public Health Relevance

This training program will prepare new researchers who can help make evidence-based mental health care available through real-world settings of care, thereby extending NIMH's public health mission (Strategic Plan Obj. 4). The work of these newly trained researchers and the new knowledge generated by the training faculty can improve mental health care, thus extending the benefits of NIMH basic and clinical research and reducing the suffering of millions of Americans who live with mental disorders.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Education Projects (R25)
Project #
3R25MH080916-04S1
Application #
8675491
Study Section
Special Emphasis Panel (ZMH1-ERB-Z (02))
Program Officer
Hill, Lauren D
Project Start
2009-09-23
Project End
2014-07-31
Budget Start
2013-06-01
Budget End
2013-07-31
Support Year
4
Fiscal Year
2013
Total Cost
$30,721
Indirect Cost
$2,276
Name
Washington University
Department
None
Type
Schools of Social Work
DUNS #
068552207
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
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Ornelas, India J; Allen, Claire; Vaughan, Catalina et al. (2015) Vida PURA: A Cultural Adaptation of Screening and Brief Intervention to Reduce Unhealthy Drinking Among Latino Day Laborers. Subst Abus 36:264-71
Ditty, Matthew S; Landes, Sara J; Doyle, Andrea et al. (2015) It Takes a Village: A Mixed Method Analysis of Inner Setting Variables and Dialectical Behavior Therapy Implementation. Adm Policy Ment Health 42:672-81
Lyon, Aaron R; Dorsey, Shannon; Pullmann, Michael et al. (2015) Clinician use of standardized assessments following a common elements psychotherapy training and consultation program. Adm Policy Ment Health 42:47-60
Cross, Wendi; West, Jennifer; Wyman, Peter A et al. (2015) Observational measures of implementer fidelity for a school-based preventive intervention: development, reliability, and validity. Prev Sci 16:122-32
James, Sigrid; Freeman, Kim R; Mayo, Danessa et al. (2015) Does Insurance Matter? Implementing Dialectical Behavior Therapy with Two Groups of Youth Engaged in Deliberate Self-harm. Adm Policy Ment Health 42:449-61
Finley, Erin P; Garcia, Hector A; Ketchum, Norma S et al. (2015) Utilization of evidence-based psychotherapies in Veterans Affairs posttraumatic stress disorder outpatient clinics. Psychol Serv 12:73-82
Pugh, Mary Jo; Leykum, Luci K; Lanham, Holly J et al. (2014) Implementation of the Epilepsy Center of Excellence to improve access to and quality of care--protocol for a mixed methods study. Implement Sci 9:44
Dorsey, Shannon; Conover, Kate L; Revillion Cox, Julia (2014) Improving foster parent engagement: using qualitative methods to guide tailoring of evidence-based engagement strategies. J Clin Child Adolesc Psychol 43:877-89
Aarons, Gregory A; Fettes, Danielle L; Hurlburt, Michael S et al. (2014) Collaboration, negotiation, and coalescence for interagency-collaborative teams to scale-up evidence-based practice. J Clin Child Adolesc Psychol 43:915-28

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