This is a request for a Mentored-Clinical Scientist Development Award. The candidate is a child psychiatrist whose long-term career goal is to improve the quality of mental health services delivered in schools, using a quality improvement framework. The candidate's more immediate career goal is to become an independent investigator who partners with the school community to improve the treatment of anxiety disorders (separation anxiety, social phobia, and generalized anxiety disorder) for students receiving school counseling services through Special Education. To accomplish these goals, the candidate's career development plan will consist of the following: 1) Coursework in qualitative methods, special education, quality of care, cultural issues in assessment and treatment, and advanced quantitative analysis; 2) In-depth supervision in quality improvement methods; in mixed methods approaches; in development of school interventions that take into account the school ecology and working with multicultural communities. The research plan will use a quality improvement framework for exploring how to make changes within school services from the perspective of multiple stakeholders.
The specific aims are to: 1) To critically evaluate and adapt evidence-based reviews, practice parameters, and a standardized CBT intervention for childhood anxiety disorders, for use in schools; 2)To describe the current mental health services provided to students in special education; and 3) To develop a protocol for delivering services for special education students who have anxiety disorders and to pilot this program for feasibility and acceptability. This project will provide pilot data for an R01 application to evaluate the effectiveness of this program on a larger population of students in special education. The overall goal of this career development award is for Sheryl Kataoka to develop expertise and research skills in order to independently pursue a research career focused on developing and applying a quality improvement model to improving mental health services in schools, especially targeting ethnic minority youth.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Clinical Investigator Award (CIA) (K08)
Project #
1K08MH069741-01
Application #
6711573
Study Section
Special Emphasis Panel (ZMH1-NRB-W (11))
Program Officer
Ringeisen, Heather
Project Start
2003-12-01
Project End
2008-11-30
Budget Start
2003-12-01
Budget End
2004-11-30
Support Year
1
Fiscal Year
2004
Total Cost
$147,738
Indirect Cost
Name
University of California Los Angeles
Department
Psychiatry
Type
Schools of Medicine
DUNS #
092530369
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
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Katon, Wayne J; Unützer, Jürgen (2013) Health reform and the Affordable Care Act: the importance of mental health treatment to achieving the triple aim. J Psychosom Res 74:533-7
Coleman, Shane M; Katon, Wayne; Lin, Elizabeth et al. (2013) Depression and death in diabetes; 10-year follow-up of all-cause and cause-specific mortality in a diabetic cohort. Psychosomatics 54:428-36
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Katon, Wayne J; Young, Bessie A; Russo, Joan et al. (2013) Association of depression with increased risk of severe hypoglycemic episodes in patients with diabetes. Ann Fam Med 11:245-50
Ahrens, Kym R; Ciechanowski, Paul; Katon, Wayne (2012) Associations between adult attachment style and health risk behaviors in an adult female primary care population. J Psychosom Res 72:364-70
Katon, Wayne; Russo, Joan; Lin, Elizabeth H B et al. (2012) Cost-effectiveness of a multicondition collaborative care intervention: a randomized controlled trial. Arch Gen Psychiatry 69:506-14
Ell, Kathleen; Katon, Wayne; Lee, Pey-Jiuan et al. (2012) Depressive symptom deterioration among predominantly Hispanic diabetes patients in safety net care. Psychosomatics 53:347-55
Katon, Wayne; Lyles, Courtney R; Parker, Melissa M et al. (2012) Association of depression with increased risk of dementia in patients with type 2 diabetes: the Diabetes and Aging Study. Arch Gen Psychiatry 69:410-7

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