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)
Program Officer
Hill, Lauren D
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Dartmouth College
Schools of Medicine
United States
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Whiteman, Karen L; Naslund, John A; DiNapoli, Elizabeth A et al. (2016) Systematic Review of Integrated General Medical and Psychiatric Self-Management Interventions for Adults With Serious Mental Illness. Psychiatr Serv 67:1213-1225
Leggett, Amanda N; Liu, Yin; Klein, Laura Cousino et al. (2016) Sleep duration and the cortisol awakening response in dementia caregivers utilizing adult day services. Health Psychol 35:465-73
Bruce, Martha L; Lohman, Matthew C; Greenberg, Rebecca L et al. (2016) Integrating Depression Care Management into Medicare Home Health Reduces Risk of 30- and 60-Day Hospitalization: The Depression Care for Patients at Home Cluster-Randomized Trial. J Am Geriatr Soc 64:2196-2203
Mezuk, Briana; Lohman, Matthew C; Rock, Andrew K et al. (2016) Trajectories of body mass indices and development of frailty: Evidence from the health and retirement study. Obesity (Silver Spring) 24:1643-7
Lohman, Matthew C; Raue, Patrick J; Greenberg, Rebecca L et al. (2016) Reducing suicidal ideation in home health care: results from the CAREPATH depression care management trial. Int J Geriatr Psychiatry 31:708-15
DiNapoli, Elizabeth A; Bramoweth, Adam D; Whiteman, Karen L et al. (2016) Mood Disorders in Middle-Aged and Older Veterans With Multimorbidity. J Aging Health :
DiNapoli, Elizabeth A; Cinna, Christopher; Whiteman, Karen L et al. (2016) Mental health treatment preferences and challenges of living with multimorbidity from the veteran perspective. Int J Geriatr Psychiatry 31:1097-104
Hoeft, Theresa J; Hinton, Ladson; Liu, Jessica et al. (2016) Directions for Effectiveness Research to Improve Health Services for Late-Life Depression in the United States. Am J Geriatr Psychiatry 24:18-30
Ghesquiere, Angela; Thomas, Julie; Bruce, Martha L (2016) Utilization of Hospice Bereavement Support by At-Risk Family Members. Am J Hosp Palliat Care 33:124-9
Leggett, Amanda; Burgard, Sarah; Zivin, Kara (2016) The Impact of Sleep Disturbance on the Association Between Stressful Life Events and Depressive Symptoms. J Gerontol B Psychol Sci Soc Sci 71:118-28

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