translational fellowships in public mental health services
TRANSCRIPT
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Current Fellows
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Erin Kelly• BA: New York University• PhD: UC Irvine
• Department of Psychology and Social Behavior
• Moderators of Workplace Stress in Public Mental Hospitals Using the Person-Environment Fit Model
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Sarah Starks• BA Stanford University• PhD UCLA School of Public Health
• Cost-Effectiveness of DMH Full Service Partnerships in Los Angeles County
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Howard Padwa• BA University of Delaware• PhD UCLA
• Department of History• A comparative history of French
and British drug policy• Social Poison: The Culture and
Politics of Opiate Control in Britain and France (Johns Hopkins University Press, 2012)
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Andrew Sabica• BA Pomona College• PhD University of Hawaii
• Department of Clinical Psychology
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MH Cluster Goal(9/10/2010)
• Integration and improvement of mental and physical health care of patients with severe mental illness (SMI) in Los Angeles County
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Background:Physical Health in SMI
• Individuals with SMI die nearly 20 years earlier than those in the general population
• Premature mortality is largely due to illnesses with modifiable risk factors such as obesity, diabetes, hyperlipidemia
• These risks are exacerbated by:
– SMI in itself
– Many of the most widely used treatments for including both antipsychotic and mood stabilizing drugs
– Systemic barriers to adequate medical care
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MH Cluster Approach• SMI is complex product of biological,
psychological, social, and cultural factors
• Care of SMI has required taking all of these multiple determinants into account
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MH Cluster Approach
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Molecular Biology Genetics Clinical Care Health Services & Policy Research Sociocultural
Analysis
KelseyMartin
Nelson Freimer
Stephen Marder
John Brekke
Joel Braslow
Stefan Timmermans
Gery RyanPaul Arns
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Aims
• Prepare young scholars to become independent researchers
• Address research questions that are scientifically tractable and have public health relevance
• Develop a collaborative research infrastructure across Los Angeles County Departments of Mental Health and Department of Health Services, UCLA, and USC
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Content
• Research Seminar– UCLA Center for Health Services and Society– USC School of Social Work– USC CTSI– LAC DMH Headquarters
• Mentoring– UCLA &/or USC Faculty Mentor– DMH Mentor
• Individual research projects
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Research Projects
• Peer Health Navigator Intervention• MHSA Transformation• Low Income Health Plan Evaluation
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Fellows, Projects, & Mentors
Howard Padwa Sarah Starks Erin Kelly Andrew Sabica
Low income health plan
MHSA Transformation
Peer Navigator
Faculty Mentor Joel Braslow Joel Braslow John Brekke John Brekke
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Peer Health Navigator Year 1
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Peer Health Navigator Year 2
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MHSA Transformation Year 1
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MHSA Transformation Year 2
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LIHP Year 1
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LIHP Year 2
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October-December timeline
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Collaboration via the internet
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Major Issues
• Data harmonization within DMH and between DHS and DMH
• Future funding of the fellowship?