The application proposes collaboration between one of the largest children?s non-profit community mental health service agencies in New York City, the Jewish Board of Family and Children?s services (JBFCS), and the Mount Sinai School of Medicine (MSSM), to address child trauma and posttraumatic stress disorder (PTSD), an extremely important public health problem. The partners seek to take advantage of a unique opportunity to integrate their response to the RISP RFA within a major organizational change now occurring in the JBFCS, that includes defining best practice models of care, and representing them in an electronic medical record (EMR). We propose to build on this infrastructure platform to conduct field-based exploratory studies of trauma screening and treatment, and to evaluate the ability of the proposed system to support the conduct of collaborative research. This proposal is organized around three major programmatic aims: (1) the development of an infrastructure, including an electronic medical record, that supports the conduct of clinical research in a field setting, (2) implementation of three pilot projects to test the infrastructure using increasingly sophisticated designs and to advance our knowledge regarding child trauma screening and treatment, (3) development of an integrated training program designed to facilitate collaborative clinical research and team building between JBFCS and MSSM clinicians and investigators. Achieving these aims will help us to create a collaborative field research organization capable of supporting a broad variety of child mental health clinical and research initiatives within community practice settings. The three specific projects will be carried out during the funded period. These are: an evaluation of the impact of the EMR on clinical perception of EMR and system performance indicators, evaluating the impact of several different methods of screening for childhood victimization/trauma history in a large clinical service delivery system, and comparing the efficacy of a disorder-specific treatment for children and youths with PTSD to usual care in a large complex clinical service delivery system. Concurrently, we will establish an effective governance structure, including an internal peer review capacity, so to develop a generative collaboration that allows for the development of satellite research projects of mentees and junior faculty in field based intervention research.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Resource-Related Research Projects (R24)
Project #
5R24MH063910-04
Application #
6898173
Study Section
Special Emphasis Panel (ZMH1-CRB-C (01))
Program Officer
Oliver, Karen Anderson
Project Start
2002-09-01
Project End
2007-05-31
Budget Start
2005-06-01
Budget End
2006-05-31
Support Year
4
Fiscal Year
2005
Total Cost
$598,240
Indirect Cost
Name
Mount Sinai School of Medicine
Department
Psychiatry
Type
Schools of Medicine
DUNS #
078861598
City
New York
State
NY
Country
United States
Zip Code
10029
Chemtob, Claude M; GudiƱo, Omar G; Luthra, Rohini et al. (2016) Child Trauma Exposure and Posttraumatic Stress Disorder: Identification in Community Mental Health Clinics. Evid Based Pract Child Adolesc Ment Health 1:103-115
Nomura, Yoko; Chemtob, Claude M (2009) Effect of maternal psychopathology on behavioral problems in preschool children exposed to terrorism: use of generalized estimating equations to integrate multiple informant reports. Arch Pediatr Adolesc Med 163:531-9
Luthra, Rohini; Abramovitz, Robert; Greenberg, Rick et al. (2009) Relationship between type of trauma exposure and posttraumatic stress disorder among urban children and adolescents. J Interpers Violence 24:1919-27
Chemtob, Claude M; Nomura, Yoko; Abramovitz, Robert A (2008) Impact of conjoined exposure to the World Trade Center attacks and to other traumatic events on the behavioral problems of preschool children. Arch Pediatr Adolesc Med 162:126-33
Rubacka, Joseph M; Schmeidler, James; Nomura, Yoko et al. (2008) The relationship between PTSD arousal symptoms and depression among mothers exposed to the World Trade Center attacks. J Nerv Ment Dis 196:504-7
Taylor, Tisha L; Chemtob, Claude M (2004) Efficacy of treatment for child and adolescent traumatic stress. Arch Pediatr Adolesc Med 158:786-91