This application requests renewal funding for a multi-site postdoctoral two-year training program in geriatric mental health services research (T32 MH073553) consisting of a training collaboratory including Dartmouth College (Bartels, Pl), Cornell University (Bruce), University of Washington (Unutzer) and the University of Michigan (Blow). The goal of the program is to train postdoctoral fellows for academic careers in geriatric mental health services research through an innovative, transdisciplinary, multi-site, collaborative approach. We will achieve this goal by providing each participant a two-year program consisting of: mentored geriatric mental health services research training;cross-site seminars and co-mentoring linked by web-based communication and archived curricula;and formal coursework at each site, including the opportunity for a master's in public health or master's of science in health services research. We will further develop our program over the next 5 years by extending the breadth, depth, and reach of the initially funded program by adding a fourth site (University Of Michigan) with additional fellows and methodological/ content expertise;by including additional NIMH-funded trainees from other research centers;and by enhancing the cross-site seminar with sessions dedicated to NIMH's strategic priority areas, including translational and implementation research. The four-site structure provides the critical mass of expertise in geriatric mental health services research and breadth of mentored research opportunities that would not be available at any one site. We will train 16 postdoctoral fellows over the 5-year funding period. Applicants will have a doctoral degree in medicine, psychology, social work, sociology, epidemiology, public health, health economics, or a related social science. The proposed renewal builds on a proven track record of success over the first 3 Va years of funding. Accomplishments include: filling 100% of fellowship positions across each of the three initial sites (including participants from NIMH diversity categories of underrepresented minorities [33%], educationally disadvantaged backgrounds [8%], and disabled [25%]);100% retention over the 2-year fellowship;successful implementation of our web-based, biweekly, cross-site mentoring seminar;evaluation of the overall quality of the program by our fellows as "excellent to outstanding", and evidence of successful scholarship by our fellows. In the first 31/2 years of our program;the 12 fellows have published over 50 publications (abstracts, book chapters, and articles), including 31 peer-reviewed journal articles (18 as first author). Over 80% percent of our graduates have successfully obtained academic positions and 58% have obtained competitive research funding.

Public Health Relevance

This research training program links four centers of excellence to develop the next generation of researchers who will have the skills to develop, test, and evaluate effective models of care and services for the rapidly growing number of older persons with mental health needs. We will provide supervised two-year research training experiences for 16 post-doctoral fellows from a variety of fields and backgrounds.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Institutional National Research Service Award (T32)
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Special Emphasis Panel (ZMH1-ERB-I (01))
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Hill, Lauren D
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Dartmouth College
Schools of Medicine
United States
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Huang, Deborah L; Park, Mijung (2015) Socioeconomic and racial/ethnic oral health disparities among US older adults: oral health quality of life and dentition. J Public Health Dent 75:85-92
Pickett, Yolonda R; Kennedy, Gary J; Freeman, Katherine et al. (2014) The effect of telephone-facilitated depression care on older, medically ill patients. J Behav Health Serv Res 41:90-6
Ghesquiere, Angela R; Patel, Sapana R; Kaplan, Daniel B et al. (2014) Primary care providers' bereavement care practices: recommendations for research directions. Int J Geriatr Psychiatry 29:1221-9
Pickett, Yolonda R; Ghosh, Samiran; Rohs, Anne et al. (2014) Healthcare use among older primary care patients with minor depression. Am J Geriatr Psychiatry 22:207-10
Ghesquiere, Angela R; Park, Mijung; Bogner, Hillary R et al. (2014) The effect of recent bereavement on outcomes in a primary care depression intervention study. Am J Geriatr Psychiatry 22:1555-64
Raue, Patrick J; Ghesquiere, Angela R; Bruce, Martha L (2014) Suicide risk in primary care: identification and management in older adults. Curr Psychiatry Rep 16:466
Pickett, Yolonda R; Greenberg, Rebecca L; Bazelais, Kisha N et al. (2014) Depression treatment disparities among older minority home healthcare patients. Am J Geriatr Psychiatry 22:519-22
Wharton, Tracy C; Ford, Bryan K (2014) What is known about dementia care recipient violence and aggression against caregivers? J Gerontol Soc Work 57:460-77
Jayasinghe, Nimali; Rocha, Leila P; Sheeran, Thomas et al. (2013) Anxiety symptoms in older home health care recipients: prevalence and associates. Home Health Care Serv Q 32:163-77
Ratzliff, Anna D H; Ni, Karen; Chan, Ya-Fen et al. (2013) A collaborative care approach to depression treatment for Asian Americans. Psychiatr Serv 64:487-90

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