Thursday, April 25, 2024 4/25/2024

An implementation science approach to optimizing evidence-based treatments for posttraumatic stress disorder (PTSD) for non-specialty settings

Award Number: K23MH117221
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

Group Awards By Issue Date FY or Funding FY:

View Award Abstract

PROJECT SUMMARY Background: An estimated 33-46% of clients seen in urban low-income primary care or behavioral health clinics have a current diagnosis of posttraumatic stress disorder (PTSD), yet only 13% receive PTSD treatment. Further, only 57% of those who access care for PTSD receive a minimally adequate dose of therapy. The shortage of trained mental health specialists has led to concerning inequities in access to and quality of care in low-income community settings. To address workforce shortages, as well as client preferences, leaders in the field have advocated for the development of stepped care approaches that begin with brief, patient-centered interventions before progressing to intensive treatments. Despite promise, stepped approaches have not been developed for adults with PTSD. Specific Aims: This current study applies the Replicating Effective Programs Framework to guide the refinement and pre-implementation of a “Step 1” evidence-based treatment (EBT) for PTSD in primary care. A full stepped care approach will be tested in a future R01 (Step 1: brief, low intensity EBT in a non-specialty setting; Step 2: high intensity EBT in a specialty setting). Aim 1: To conduct a mixed-methods formative evaluation based on surveys and semi-structured interviews (N=25; 10 social worker and community health worker interventionists; 15 primary care stakeholders) to characterize the local integrated primary care setting and identify the need for augmentation to the intervention, protocol, or implementation blueprint. Aim 2: To optimize the intervention and operational procedures and to finalize the formal implementation blueprint (based on Aim 1 findings and consultation with the community advisory board [CAB]; N=10). Aim 3: To conduct a nonrandomized hybrid type 1 implementation-effectiveness pilot (N=60 clients) to assess the feasibility, effectiveness, and implementation of the adapted PTSD intervention (v. treatment as usual) in a primary care clinic. Candidate: This Mentored Patient-Oriented Research Career Development Award (K23) builds upon the candidate’s previous experiences in clinical research focused on psychological adjustment following exposure to violence or discrimination among multiple minority populations. The candidate’s long-term goal is to be an independent implementation scientist focused on optimizing EBTs and care delivery models for PTSD. Training Objectives: (1) The development of implementation packages for delivery of EBTs in non-specialty settings; (2) Advanced training in pragmatic clinical trial design and mixed-methods data analysis and integration; and (3) Integrated primary care and stepped care models for mental health service delivery. Training Activities: Training will be achieved through mentorship by experts (Drs. A. Rani Elwy, Lisa Fortuna, Marylene Cloitre, Alisa Lincoln, Mark Bauer, Margarita Alegria, and Bindu Kalesan), formal coursework at Boston University School of Public Health, seminars, trainings, conferences, and workshop attendance.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$22,221 )
2023	2022	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Mental Health Research Grants	000	5	12/15/2022	NON-COMPETING CONTINUATION	-$22,221
														Subtotal = -$22,221

Issue Date FY: 2022 ( Subtotal = $184,483 )
2022	2022	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Mental Health Research Grants	000	5	7/12/2022	NON-COMPETING CONTINUATION	$184,483
														Subtotal = $184,483

Issue Date FY: 2021 ( Subtotal = $186,441 )
2021	2021	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Mental Health Research Grants	000	4	6/10/2021	NON-COMPETING CONTINUATION	$186,441
														Subtotal = $186,441

Issue Date FY: 2020 ( Subtotal = $185,759 )
2020	2020	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Mental Health Research Grants	000	3	6/24/2020	NON-COMPETING CONTINUATION	$185,759
														Subtotal = $185,759

Issue Date FY: 2019 ( Subtotal = $187,023 )
2019	2019	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Mental Health Research Grants	001	2	7/31/2019	NON-COMPETING CONTINUATION	$0
2019	2019	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Mental Health Research Grants	000	2	7/3/2019	NON-COMPETING CONTINUATION	$187,023
														Subtotal = $187,023

Issue Date FY: 2018 ( Subtotal = $186,549 )
2018	2018	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Mental Health Research Grants	000	1	6/1/2018	NEW	$186,549
														Subtotal = $186,549

Grand Total All Awards = $908,034

Top

All Categories

About

Search

Reports

Data Submission

Award Information

An implementation science approach to optimizing evidence-based treatments for posttraumatic stress disorder (PTSD) for non-specialty settings

Award Number: K23MH117221

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer