The purpose of this proposal for a """"""""Mid-career Investigator Award in Patient-Oriented Research"""""""" is to support development of advanced expertise in interventions and services research focusing on older persons with severe mental illness (SMI). These efforts respond to the need to develop rehabilitative interventions and services that enhance independent functioning and health care management, and to evaluate use and costs of services. The four goals of this mid-career development proposal are: (1) to develop and evaluate models of rehabilitation and health care management for older adults with SMI; (2) to evaluate use, costs, and outcomes of services for older adults with SMI; (3) to expand current research efforts to include more culturally diverse settings; and (4) to enhance mentored research opportunities in geriatric mental health services research for early career investigators. This award will address these goals through an integrated career development plan, research plan, and mentoring plan. The Career Development Plan for this award develops advanced research skills for the candidate through collaborations with experts in aging and SMI, rehabilitation, functional assessment, integration of primary care and mental health care, and cost analysis. The Research Plan includes detailed descriptions of several studies focusing on older adults with SMI including a 5-year, randomized trial of a rehabilitation and health management intervention; a pilot study of a vocational rehabilitation intervention; and a study of the health care costs associated with SMI, aging, and medical comorbidity. In addition, a series of pilot studies are briefly described that will be conducted over the 5-year term of the award to inform future randomized trials. The Mentoring Plan for this award describes how these studies will provide mentored research opportunities for early career investigators. Finally, a program of supervision and training is outlined to support the development of future researchers in the field of geriatric intervention and services research.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Midcareer Investigator Award in Patient-Oriented Research (K24)
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Study Section
Special Emphasis Panel (ZMH1-SRV-C (01))
Program Officer
Juliano-Bult, Denise M
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Dartmouth College
Schools of Medicine
United States
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Pratt, Sarah I; Naslund, John A; Wolfe, Rosemarie S et al. (2015) Automated telehealth for managing psychiatric instability in people with serious mental illness. J Ment Health 24:261-5
Bartels, Stephen J; Pratt, Sarah I; Mueser, Kim T et al. (2014) Long-term outcomes of a randomized trial of integrated skills training and preventive healthcare for older adults with serious mental illness. Am J Geriatr Psychiatry 22:1251-61
Bartels, Stephen J; Pratt, Sarah I; Aschbrenner, Kelly A et al. (2013) Clinically significant improved fitness and weight loss among overweight persons with serious mental illness. Psychiatr Serv 64:729-36
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Bartels, Stephen J; Aschbrenner, Kelly A; Rolin, Stephanie A et al. (2013) Activating older adults with serious mental illness for collaborative primary care visits. Psychiatr Rehabil J 36:278-88
Pratt, Sarah I; Bartels, Stephen J; Mueser, Kim T et al. (2013) Feasibility and effectiveness of an automated telehealth intervention to improve illness self-management in people with serious psychiatric and medical disorders. Psychiatr Rehabil J 36:297-305
Aschbrenner, Kelly A; Cai, Shubing; Grabowski, David C et al. (2011) Medical comorbidity and functional status among adults with major mental illness newly admitted to nursing homes. Psychiatr Serv 62:1098-100
Bruce, Martha L; Bartels, Stephen J; Lyness, Jeffrey M et al. (2011) Promoting the transition to independent scientist: a national career development program. Acad Med 86:1179-84
Bartels, Stephen J; Lebowitz, Barry D; Reynolds 3rd, Charles F et al. (2010) Programs for developing the pipeline of early-career geriatric mental health researchers: outcomes and implications for other fields. Acad Med 85:26-35
Van Citters, Aricca D; Pratt, Sarah I; Jue, Kenneth et al. (2010) A pilot evaluation of the In SHAPE individualized health promotion intervention for adults with mental illness. Community Ment Health J 46:540-52

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