The Clinical Services Core promotes research on clinically-relevant impacts (quality of care, health outcomes, cost-effectiveness) or alternative forms of managed care, especially variations in intensity of utilization review, patient payment, and physician reimbursement, for persons with psychiatric disorders. The Core also describes and evaluates quality improvement programs, such as outcomes management and disease management systems, within managed care settings, contrasting implementation of programs developed within managed care and those developed for research purposes but disseminated across managed care settings. Further the Core develops improved capacities for cost- effectiveness analyses for research on managed care for psychiatric disorders. There are areas of clinical services research which have been rarely applied to studies of managed care for psychiatric disorders. These research goals are explored in three main Core projects. Each project uses Center data bases, including proprietary data sets from companies in the Center's Managed Care Consortium, and a large primary and secondary data sets. The projects develop methods and concepts and results in data for publications and also serve as preliminary data for new research proposals. The Core is supported by resources from the Administrative Core and consultation from investigations in the other center cores. The Core also sponsors two Working Groups. The Minority Research Group develops new research proposals on quality improve for minorities with psychiatric disorders under managed care. The Science Working Group conducts original methodological and conceptual research from an interdisciplinary perspective on clinical services and technology dissemination for psychiatric disorders, i.e., the sciences of clinical services research. The Core includes clinicians (psychiatrists, internists, nurses), some of whom also have degrees in history or philosophy, a sociologist, and policy analysts.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Specialized Center (P50)
Project #
5P50MH054623-08
Application #
6655935
Study Section
Project Start
2002-09-01
Project End
2003-08-31
Budget Start
Budget End
Support Year
8
Fiscal Year
2002
Total Cost
Indirect Cost
Name
University of California Los Angeles
Department
Type
DUNS #
119132785
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Schoenbaum, Michael; Butler, Brittany; Kataoka, Sheryl et al. (2009) Promoting mental health recovery after hurricanes Katrina and Rita: what can be done at what cost. Arch Gen Psychiatry 66:906-14
Mendel, Peter; Meredith, Lisa S; Schoenbaum, Michael et al. (2008) Interventions in organizational and community context: a framework for building evidence on dissemination and implementation in health services research. Adm Policy Ment Health 35:21-37
Hepner, Kimberly A; Rowe, Melissa; Rost, Kathryn et al. (2007) The effect of adherence to practice guidelines on depression outcomes. Ann Intern Med 147:320-9
Rubenstein, Lisa V; Rayburn, Nadine R; Keeler, Emmett B et al. (2007) Predicting outcomes of primary care patients with major depression: development of a depression prognosis index. Psychiatr Serv 58:1049-56
Rost, Kathryn; Adams, Scott; Xu, Stanley et al. (2007) Rural-urban differences in hospitalization rates of primary care patients with depression. Psychiatr Serv 58:503-8
Fremont, Allen M; Young, Alexander S; Chinman, Matthew et al. (2007) Differences in HIV care between patients with and without severe mental illness. Psychiatr Serv 58:681-8
Chan, Kitty S; Bird, Chloe E; Weiss, Robert et al. (2006) Does patient-provider gender concordance affect mental health care received by primary care patients with major depression? Womens Health Issues 16:122-32
Bogart, Laura M; Fremont, Allen M; Young, Alexander S et al. (2006) Patterns of HIV care for patients with serious mental illness. AIDS Patient Care STDS 20:175-82
Kataoka, Sheryl H; Fuentes, Susan; O'Donoghue, Vincent P et al. (2006) A community participatory research partnership: the development of a faith-based intervention for children exposed to violence. Ethn Dis 16:S89-97
Schoenbaum, Michael; Sherbourne, Cathy; Wells, Kenneth (2005) Gender patterns in cost effectiveness of quality improvement for depression: results of a randomized, controlled trial. J Affect Disord 87:319-25

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