Abstract

The purpose of this application for an NIMH Midcareer Investigator Award in Patient-Oriented Research is to support the development of expertise on improving care on the mental health/primary care interface in public, safety net systems of care. The application will address four broad goals: 1. To develop effective, sustainable models for improving the medical care of persons treated in Community Mental Health Centers (CMHCs). 2. To develop effective, sustainable models for improving mental health care for persons treated in Community Health Centers (CHCs). 3. To develop effective, sustainable models for improving care on the interface through enhanced organizational linkages between these two types of institutions. 4. To provide mentorship to a cadre of trainees and junior faculty from both primary care and psychiatry in mental health services research in these safety net settings. The award will address these goals through an integrated Career Development Plan, Mentoring Plan, and Research Plan. The Career Development Plan will involve advanced training and support from national leaders in qualitative research, public financing, organizational theory, community-based participatory research, and health disparities. The Mentoring Plan will provide support to trainees and junior faculty members from the Morehouse School of Medicine and Emory. The Research Plan builds on an existing NIMH study testing a model for improving medical care for patients at CMHCs, and on work seeking to develop financially viable approaches for providing care for depression in Community Health Centers. New research supported by the award will include a qualitative and quantitative program to develop and pilot test a """"""""staff exchange"""""""" model for improving care for persons with depression at the CHC and with cardiovascular risk factors (hypertension, hyperlipidemia) at the CMHC. This award will provide the applicant with the salary support, training, freedom from administrative responsibilities, and formal structure for providing mentorship that will allow him to successfully achieve these goals.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24MH075867-04
Application #
7686321
Study Section
Services Research Review Committee (SRV)
Program Officer
Juliano-Bult, Denise M
Project Start
2006-09-01
Project End
2011-06-30
Budget Start
2009-07-01
Budget End
2010-06-30
Support Year
4
Fiscal Year
2009
Total Cost
$170,461
Indirect Cost

  Institution

Name
Emory University
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322

  Publications

Ward, Martha C; Lally, Cathy; Druss, Benjamin G (2017) Medicaid Expenditures for Fee-for-Service Enrollees with Behavioral Diagnoses: Findings from a 50 State Claims Analysis. Community Ment Health J 53:1-7
Walker, Elizabeth Reisinger; Pratt, Laura A; Schoenborn, Charlotte A et al. (2017) Excess mortality among people who report lifetime use of illegal drugs in the United States: A 20-year follow-up of a nationally representative survey. Drug Alcohol Depend 171:31-38
Druss, Benjamin G (2017) Improving access to exercise training programs for patients with serious mental illness. Transl Behav Med 7:62-63
Walker, Elizabeth Reisinger; Druss, Benjamin G (2017) Cumulative burden of comorbid mental disorders, substance use disorders, chronic medical conditions, and poverty on health among adults in the U.S.A. Psychol Health Med 22:727-735
Walker, Elizabeth Reisinger; Kwon, Jennie; Lang, Delia L et al. (2016) Mental Health Training in Schools of Public Health: History, Current Status, and Future Opportunities. Public Health Rep 131:208-17
Pratt, Laura A; Druss, Benjamin G; Manderscheid, Ronald W et al. (2016) Excess mortality due to depression and anxiety in the United States: results from a nationally representative survey. Gen Hosp Psychiatry 39:39-45
Walker, Elizabeth Reisinger; McGee, Robin E; Druss, Benjamin G (2015) Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry 72:334-41
Walker, Elizabeth Reisinger; McGee, Robin E; Druss, Benjamin G (2015) Analysis of Mortality in Mental Disorders-Reply. JAMA Psychiatry 72:1150-1
Walker, Elizabeth Reisinger; Druss, Benjamin G (2015) Rate and Predictors of Persistent Major Depressive Disorder in a Nationally Representative Sample. Community Ment Health J 51:701-7
Cummings, Janet R; Wen, Hefei; Ritvo, Alexis et al. (2014) Health insurance coverage and the receipt of specialty treatment for substance use disorders among U.S. adults. Psychiatr Serv 65:1070-3

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