The purpose of this competitive renewal application for a """"""""Midcareer Investigator Award in Patient- Oriented Research"""""""" is to support the next phase in the development and testing of interventions and services for older persons with serious mental illness (SMI), and to further advance the development of early career investigators in geriatric mental health services research. The goals of this award are: (1) to improve mental and physical health outcomes for older adults with SMI by developing and testing integrated models of psychosocial rehabilitation and health promotion; (2) to improve mental and physical health outcomes for older adults with SMI by developing and testing interventions that enhance consumer activation, shared decision-making, and self-management; and (3) to contribute to the development of early career investigators in geriatric mental health services research by providing mentored research opportunities and by developing innovative models of multi-site, web-assisted mentoring programs. These objectives will be achieved through an integrated career development plan, research plan, and mentoring plan. The career development plan will enhance research skills through collaborations with experts in health care decision support and shared decision-making. In addition to completing data collection and analyses for several ongoing studies, two newly funded studies in the research plan include an R34 to develop and evaluate the effectiveness of an integrated mental and physical health self-management intervention, and an R01 study of a health promotion and fitness intervention. The proposed pilot study supported by this award will evaluate the feasibility and potential effectiveness of a 12-week Consumer Activation and Self-Management Training (CAST) intervention in improving consumer activation, self- management, and physical and mental health outcomes for 60 older adults (age 50+) with SMI, randomized to CAST or Usual Care. The mentoring plan includes mentored research opportunities, as well as a description of an innovative, collaborative, multi-site, web-based mentoring program designed to address the national shortfall in geriatric mental health services researchers. This integrated plan directly builds on progress achieved in the current award. This application addresses a profound lack of research on effective services for the rapidly growing population of aging persons with serious mental illness. ? ? ?

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
Application #
Study Section
Mental Health Services in MH Specialty Settings (SRSP)
Program Officer
Juliano-Bult, Denise M
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Dartmouth College
Schools of Medicine
United States
Zip Code
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
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
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
Bartels, Stephen J; Bruce, Martha L; Unutzer, Jurgen et al. (2013) Developing the next generation of researchers in emerging fields: case study of a multisite postdoctoral research training program. Acad Psychiatry 37:108-13
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
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

Showing the most recent 10 out of 19 publications