This application requests renewal funding for a multi-site postdoctoral two-year training program in geriatric mental health services research (T32 MH073553) consisting of a training collaboratory including Dartmouth College (Bartels, Pl), Cornell University (Bruce), University of Washington (Unutzer) and the University of Michigan (Blow). The goal of the program is to train postdoctoral fellows for academic careers in geriatric mental health services research through an innovative, transdisciplinary, multi-site, collaborative approach. We will achieve this goal by providing each participant a two-year program consisting of: mentored geriatric mental health services research training;cross-site seminars and co-mentoring linked by web-based communication and archived curricula;and formal coursework at each site, including the opportunity for a master's in public health or master's of science in health services research. We will further develop our program over the next 5 years by extending the breadth, depth, and reach of the initially funded program by adding a fourth site (University Of Michigan) with additional fellows and methodological/ content expertise;by including additional NIMH-funded trainees from other research centers;and by enhancing the cross-site seminar with sessions dedicated to NIMH's strategic priority areas, including translational and implementation research. The four-site structure provides the critical mass of expertise in geriatric mental health services research and breadth of mentored research opportunities that would not be available at any one site. We will train 16 postdoctoral fellows over the 5-year funding period. Applicants will have a doctoral degree in medicine, psychology, social work, sociology, epidemiology, public health, health economics, or a related social science. The proposed renewal builds on a proven track record of success over the first 3 Va years of funding. Accomplishments include: filling 100% of fellowship positions across each of the three initial sites (including participants from NIMH diversity categories of underrepresented minorities [33%], educationally disadvantaged backgrounds [8%], and disabled [25%]);100% retention over the 2-year fellowship;successful implementation of our web-based, biweekly, cross-site mentoring seminar;evaluation of the overall quality of the program by our fellows as """"""""excellent to outstanding"""""""", and evidence of successful scholarship by our fellows. In the first 31/2 years of our program;the 12 fellows have published over 50 publications (abstracts, book chapters, and articles), including 31 peer-reviewed journal articles (18 as first author). Over 80% percent of our graduates have successfully obtained academic positions and 58% have obtained competitive research funding.

Public Health Relevance

This research training program links four centers of excellence to develop the next generation of researchers who will have the skills to develop, test, and evaluate effective models of care and services for the rapidly growing number of older persons with mental health needs. We will provide supervised two-year research training experiences for 16 post-doctoral fellows from a variety of fields and backgrounds.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Institutional National Research Service Award (T32)
Project #
5T32MH073553-08
Application #
8298245
Study Section
Special Emphasis Panel (ZMH1-ERB-I (01))
Program Officer
Hill, Lauren D
Project Start
2005-09-01
Project End
2015-06-30
Budget Start
2012-07-01
Budget End
2013-06-30
Support Year
8
Fiscal Year
2012
Total Cost
$624,668
Indirect Cost
$40,467
Name
Dartmouth College
Department
Psychiatry
Type
Schools of Medicine
DUNS #
041027822
City
Hanover
State
NH
Country
United States
Zip Code
03755
Fortuna, Karen L; Naslund, John A; Aschbrenner, Kelly A et al. (2018) Text message exchanges between older adults with serious mental illness and older certified peer specialists in a smartphone-supported self-management intervention. Psychiatr Rehabil J :
Batsis, J A; Mackenzie, T A; Vasquez, E et al. (2018) Association of adiposity, telomere length and mortality: data from the NHANES 1999-2002. Int J Obes (Lond) 42:198-204
Crow, Rebecca S; Lohman, Matthew C; Titus, Alexander J et al. (2018) Mortality Risk Along the Frailty Spectrum: Data from the National Health and Nutrition Examination Survey 1999 to 2004. J Am Geriatr Soc 66:496-502
Leggett, Amanda N; Polenick, Courtney A; Maust, Donovan T et al. (2018) Falls and Hospitalizations Among Persons With Dementia and Associated Caregiver Emotional Difficulties. Gerontologist 58:e78-e86
Fortuna, Karen L; Aschbrenner, Kelly A; Lohman, Matthew C et al. (2018) Smartphone Ownership, Use, and Willingness to Use Smartphones to Provide Peer-Delivered Services: Results from a National Online Survey. Psychiatr Q 89:947-956
Leggett, Amanda; Polenick, Courtney A; Maust, Donovan T et al. (2018) ""What Hath Night to Do with Sleep?"": The Caregiving Context and Dementia Caregivers' Nighttime Awakenings. Clin Gerontol 41:158-166
Rippberger, Peter L; Emeny, Rebecca T; Mackenzie, Todd A et al. (2018) The association of sarcopenia, telomere length, and mortality: data from the NHANES 1999-2002. Eur J Clin Nutr 72:255-263
Fortuna, Karen L; DiMilia, Peter R; Lohman, Matthew C et al. (2018) Feasibility, Acceptability, and Preliminary Effectiveness of a Peer-Delivered and Technology Supported Self-Management Intervention for Older Adults with Serious Mental Illness. Psychiatr Q 89:293-305
Lohman, Matthew C; Scherer, Emily A; Whiteman, Karen L et al. (2018) Factors Associated With Accelerated Hospitalization and Re-hospitalization Among Medicare Home Health Patients. J Gerontol A Biol Sci Med Sci 73:1280-1286
Wharton, Tracy; Paulson, Daniel; Macri, Lisa et al. (2018) Delirium and mental health history as predictors of aggression in individuals with dementia in inpatient settings. Aging Ment Health 22:121-128

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