The applicant is requesting five years of funding through the Mentored Career Development Award (KO1) program to enhance her methodological skills for outcomes research on youth mental health services, and specifically to examine the ecological, social, and predictive validity of commonly used outcome measures. The ultimate goal is to have the expertise to offer empirically supported recommendations on the use and interpretation of multidimensional outcome assessment protocols in community settings and to apply such protocols in large scale service effectiveness research. The applicant's strong background of academic, research, and clinical training in developmental psychopathology, program evaluation research, service utilization, psychiatric assessment of children and youth, and consumer satisfaction provides an excellent foundation for this work. The proposed training goals, including enhanced skills in qualitative research techniques, advanced psychometric and data analysis training, and increased familiarity with non- traditional mental health services and information technology will allow the applicant to pursue ecologically valid, technologically efficient, innovative, and comprehensive approaches to outcomes research. The research plan for this award is divided into two studies which complement the proposed sequence of training activities. In the first study, interviews will be conducted with multiple stakeholders (administrator, clinician, teacher, parent, youth) involved in the treatment of 60 youth ages 11-17 who are receiving mental health services. The desired outcomes and ranked priorities of outcomes across five outcome domains defined by Hoagwood, et al (1996) will be obtained from each stakeholder. The respondents will also report on their perceptions of the burdens, benefits, and validity of the state mandated outcome assessment protocol in which they will have participated. The second study will examine the predictive validity of changes in scores on the commonly used outcome measures related to """"""""real life"""""""" outcomes such as school attendance, living environment, and service utilization as well as perceived changes in the youth's and family's functioning for 200 youth receiving mental health services.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01MH001544-03
Application #
6185604
Study Section
Services Research Review Committee (SER)
Program Officer
Ringeisen, Heather
Project Start
1998-08-01
Project End
2003-07-31
Budget Start
2000-08-01
Budget End
2001-07-31
Support Year
3
Fiscal Year
2000
Total Cost
$128,041
Indirect Cost
Name
University of California San Diego
Department
Psychiatry
Type
Schools of Medicine
DUNS #
077758407
City
La Jolla
State
CA
Country
United States
Zip Code
92093
Garland, Ann F; Haine, Rachel A; Boxmeyer, Caroline Lewczyk (2007) Determinates of youth and parent satisfaction in usual care psychotherapy. Eval Program Plann 30:45-54
Brookman-Frazee, Lauren; Haine, Rachel A; Garland, Ann F (2006) Innovations: child and adolescent psychiatry: measuring outcomes of real-world youth psychotherapy: whom to ask and what to ask? Psychiatr Serv 57:1373-5
Yeh, May; McCabe, Kristen; Hough, Richard L et al. (2005) Why bother with beliefs? Examining relationships between race/ethnicity, parental beliefs about causes of child problems, and mental health service use. J Consult Clin Psychol 73:800-7
Lau, Anna S; McCabe, Kristen M; Yeh, May et al. (2005) The acculturation gap-distress hypothesis among high-risk Mexican American families. J Fam Psychol 19:367-75
Garland, Ann F; Lau, Anna S; Yeh, May et al. (2005) Racial and ethnic differences in utilization of mental health services among high-risk youths. Am J Psychiatry 162:1336-43
Garland, Ann F; Lewczyk-Boxmeyer, Caroline M; Gabayan, Elaine N et al. (2004) Multiple stakeholder agreement on desired outcomes for adolescents' mental health services. Psychiatr Serv 55:671-6
Yeh, May; Hough, Richard L; McCabe, Kristen et al. (2004) Parental beliefs about the causes of child problems: exploring racial/ethnic patterns. J Am Acad Child Adolesc Psychiatry 43:605-12
McCabe, Kristen M; Yeh, May; Lau, Anna et al. (2003) Racial/ethnic differences in caregiver strain and perceived social support among parents of youth with emotional and behavioral problems. Ment Health Serv Res 5:137-47
Lewczyk, Caroline M; Garland, Ann F; Hurlburt, Michael S et al. (2003) Comparing DISC-IV and clinician diagnoses among youths receiving public mental health services. J Am Acad Child Adolesc Psychiatry 42:349-56
Garland, Ann F; Aarons, Gregory A; Brown, Sandra A et al. (2003) Diagnostic profiles associated with use of mental health and substance abuse services among high-risk youths. Psychiatr Serv 54:562-4

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