This application requests five years of funding through a Mentored Patient-Oriented Research Career Development Award for the candidate to develop into an independent mental health services researcher who will contribute on a national level to improving the care of depressed adolescents. The primary goal is to acquire the scientific expertise to develop and evaluate effective quality improvement interventions, in collaboration with clinical settings, that will move evidence- and consensus-based treatments into the real world. The educational plan details how the candidate will develop knowledge in content areas pertinent to adolescent depression, clinical epidemiology, advanced statistical methods, and research design as well as quality improvement theory and application. Three studies will complement the proposed educational activities. The studies are sequentially organized to support the development, evaluation, and refinement of a quality improvement intervention for adolescent depression treatment. The intervention will address identified gaps in the quality of care and provider and consumer barriers to evidence- or consensus-based treatment. In order to develop the quality improvement intervention, Study 1 will identify problematic areas in the assessment, acute, and continuation phases of treatment for 50 depressed adolescents in inpatient and outpatient mental health specialty care settings. In Study 2, the feasibility, acceptability, and effectiveness of the intervention will be evaluated by comparing the quality of care and outcomes for depressed adolescents (n=60) in a test and comparison site. Study 2 will also assess barriers and facilitators to high quality care through qualitative follow-up interviews with providers and consumers. Study 3 will re-evaluate the intervention after it is refined - based on findings from Study 2 - and expanded to include the continuation phase of treatment.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23MH001882-05
Application #
6940657
Study Section
Special Emphasis Panel (ZMH1-SRV-C (01))
Program Officer
Light, Enid
Project Start
2001-09-01
Project End
2006-08-31
Budget Start
2005-09-01
Budget End
2006-08-31
Support Year
5
Fiscal Year
2005
Total Cost
$168,150
Indirect Cost
Name
University of Arkansas for Medical Sciences
Department
Psychiatry
Type
Schools of Medicine
DUNS #
122452563
City
Little Rock
State
AR
Country
United States
Zip Code
72205
Wright Jr, Terrence Michael; Calabrese, Ronald L (2011) Patterns of presynaptic activity and synaptic strength interact to produce motor output. J Neurosci 31:17555-71
Wright Jr, Terrence M; Calabrese, Ronald L (2011) Contribution of motoneuron intrinsic properties to fictive motor pattern generation. J Neurophysiol 106:538-53
Garcia, Paul S; Wright, Terrence M; Cunningham, Ian R et al. (2008) Using a model to assess the role of the spatiotemporal pattern of inhibitory input and intrasegmental electrical coupling in the intersegmental and side-to-side coordination of motor neurons by the leech heartbeat central pattern generator. J Neurophysiol 100:1354-71
Kramer, Teresa L; Miller, Terri L; Phillips, Susan D et al. (2008) Quality of mental health care for depressed adolescents. Am J Med Qual 23:96-104
Blake, Katherine; Cangelosi, Scott; Johnson-Brooks, Sonja et al. (2007) Reliability of the GAF and CGAS with children exposed to trauma. Child Abuse Negl 31:909-15
Kramer, Teresa L; Phillips, Susan D; Hargis, Michael B et al. (2004) Disagreement between parent and adolescent reports of functional impairment. J Child Psychol Psychiatry 45:248-59
Kramer, Teresa L; Owen, Richard R; Cannon, Dale et al. (2003) How well do automated performance measures assess guideline implementation for new-onset depression in the Veterans Health Administration? Jt Comm J Qual Saf 29:479-89
Kramer, Teresa L; Booth, Brenda M; Han, Xiaotong et al. (2003) Service utilization and outcomes in medically ill veterans with posttraumatic stress and depressive disorders. J Trauma Stress 16:211-9
Kramer, Teresa L; Robbins, James M; Phillips, Susan D et al. (2003) Detection and outcomes of substance use disorders in adolescents seeking mental health treatment. J Am Acad Child Adolesc Psychiatry 42:1318-26
Jones, Kim A; Kramer, Teresa L; Armitage, Tracey et al. (2003) The impact of father absence on adolescent separation-individuation. Genet Soc Gen Psychol Monogr 129:73-95

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