The goal of this Mentored Clinician Scientist Development Award is to allow the applicant to develop the skills necessary to conduct clinical effectiveness trails of high quality, patient-centered treatments for victims of urban trauma. The five year award will allow the applicant to consolidate previous research experiences in clinical psychiatry, anthropology, and health services research in the development of psychosocial interventions for multiethnic urban trauma victims. The award will provide an excellent transition from investigations the applicant complete as a Robert Wood Johnson Clinical Scholar. The career development plan proposes course work, practical, and supervised investigation to support learning in three core areas: 1) health services and treatment outcomes research, 2) clinical effectiveness trails, and 3) dimensions of patient centered care for urban trauma victims. These career development activities will be directly applied to three mentored research projects: Investigation I an archival analysis of data from the UC Davis trauma surgery registry, aims to identify the relationship between psychiatric disturbance and patterns of posttraumatic health services utilization, costs, and recidivism for over 11,000 trauma victims. Investigation II is a longitudinal study of the psychiatric symptoms, functional status, service utilization, and needs and expectations for care of ethnically diverse victims of violent assaults and motor vehicle accidents. Informed by these initial studies, Investigation III will develop and pilot randomized effectiveness trails of collaborative and case management interventions. These interventions aim to decrease posttraumatic symptom levels and functional impairments while also reducing posttraumatic inpatient recidivism and outpatient service utilization. Investigation III will proceed in conjunction with a FIRST or R01 award application. The five year K08 award will enable the applicant to obtain the research skills required to become an independent investigatory. The applicant's career will be devoted to developing a program of research focused on the delivery of cost-effective psychosocial interventions for trauma victims who require treatment outside of the mental health specialty sector. The award provide support for ongoing development as an investigator, clinical, and educator so that the applicant may ultimately become a productive clinical- scientist in an academic department of psychiatry.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Clinical Investigator Award (CIA) (K08)
Project #
5K08MH001610-04
Application #
6185528
Study Section
Services Research Review Committee (SER)
Program Officer
Oliver, Karen Anderson
Project Start
1998-08-01
Project End
2003-07-31
Budget Start
2000-08-01
Budget End
2001-07-31
Support Year
4
Fiscal Year
2000
Total Cost
$147,135
Indirect Cost
Name
University of Washington
Department
Psychiatry
Type
Schools of Medicine
DUNS #
135646524
City
Seattle
State
WA
Country
United States
Zip Code
98195
Petrie, Megan; Zatzick, Douglas (2010) Collaborative care interventions in general trauma patients. Oral Maxillofac Surg Clin North Am 22:261-7
Osenbach, Janyce E; Stubbs, Jennifer; Wang, Jin et al. (2009) Legal events as predictors of posttraumatic stress in injured trauma survivors. Psychiatry 72:70-8
Zatzick, Douglas F; Jurkovich, Gregory J; Fan, Ming-Yu et al. (2008) Association between posttraumatic stress and depressive symptoms and functional outcomes in adolescents followed up longitudinally after injury hospitalization. Arch Pediatr Adolesc Med 162:642-8
Ghesquiere, Angela; Fan, Ming-Yu; Berliner, Lucy et al. (2008) Adolescents'and parents'agreement on posttraumatic stress disorder symptoms and functioning after adolescent injury. J Trauma Stress 21:487-91
Santos, Monica R; Russo, Joan; Aisenberg, Gino et al. (2008) Ethnic/Racial diversity and posttraumatic distress in the acute care medical setting. Psychiatry 71:234-45
Zatzick, Douglas F; Russo, Joan; Rajotte, Emily et al. (2007) Strengthening the patient-provider relationship in the aftermath of physical trauma through an understanding of the nature and severity of posttraumatic concerns. Psychiatry 70:260-73
Zatzick, Douglas; Roy-Byrne, Peter P (2006) From bedside to bench: how the epidemiology of clinical practice can inform the secondary prevention of PTSD. Psychiatr Serv 57:1726-30
Zatzick, Douglas; Russo, Joan; Grossman, David C et al. (2006) Posttraumatic stress and depressive symptoms, alcohol use, and recurrent traumatic life events in a representative sample of hospitalized injured adolescents and their parents. J Pediatr Psychol 31:377-87
Zatzick, Douglas F; Russo, Joan; Pitman, Roger K et al. (2005) Reevaluating the association between emergency department heart rate and the development of posttraumatic stress disorder: A public health approach. Biol Psychiatry 57:91-5
Zatzick, Douglas; Russo, Joan; Rivara, Frederick et al. (2005) The detection and treatment of posttraumatic distress and substance intoxication in the acute care inpatient setting. Gen Hosp Psychiatry 27:57-62

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