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Impact of a Clinical and Translational Science Awards hub on faculty research grant productivity
- Kelly O’Shea, Jackie Soo, Timothy P. Johnson
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- Journal:
- Journal of Clinical and Translational Science / Volume 6 / Issue 1 / 2022
- Published online by Cambridge University Press:
- 11 February 2022, e30
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- Article
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- Open access
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Introduction:
Applications for and receipt of external research grants are important indicators of scientific productivity, and ones that the Clinical and Translational Science Awards (CTSA) Program is intended to support.
Methods:We investigate the association between the receipt of support services from one CTSA-supported hub and investigator productivity as measured by individual investigator grant submissions and grant awards at a Research I public university over an 8-year period. Negative binomial regression models are used to evaluate associations between individual grant productivity (in 2017, 2018, and 2019) and receipt of support services during the preceding 2 years.
Results:Controlling for prior levels of productivity, service receipt is found to be predictive of both grants submitted and grants awarded to investigators in each model examined. Analyses also found some evidence of faculty rank and race/ethnic differences in the effects of Center for Clinical and Translational Science (CCTS) service use on subsequent grant productivity.
Conclusions:Further work is needed to understand the relationship between clinical and translational services and other measures of productivity.
24 - CAMHS and looked-after children
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- By Fiona Gospel, North Yorkshire & York Primary Care Trust, Jackie Johnson, North Yorkshire & York Primary Care Trust, Ian Partridge, Lime Trees CAMHS, York
- Edited by Greg Richardson, Ian Partridge, Jonathan Barrett
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- Book:
- Child and Adolescent Mental Health Services
- Published by:
- Royal College of Psychiatrists
- Published online:
- 25 February 2017, pp 226-233
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Summary
‘Change is not made without inconvenience, even from worse to better.’
Richard Hooker, Of The Lawes of Ecclesiastical PolitieIntroduction
There are assorted reasons for children being ‘looked after’. A proportion will have suffered physical, sexual or emotional abuse, and parental mental illness. Marital violence, relationship breakdown and parental imprisonment are not uncommon experiences. These children can be seen as enmeshed in a matrix of developmental disadvantage, and have a higher number of risk factors predisposing them to mental health problems. They may already have significant mental health problems as they enter care (Dimigen et al, 1999).
The care system presents these young people with further challenges and difficulties, particularly frequent moves and placement breakdowns (Quinton & Rutter, 1984; Minty, 1999), which may influence their already vulnerable state, interacting with and interrelated to social, educational and relationship difficulties. A cycle evolves whereby children with mental health problems are less likely to achieve placement stability, and therefore become more vulnerable (Barber et al, 2001).
‘Upon rereading my old diaries, I realised how hard foster care was and what a detrimental effect it had on me at that time. Before my first foster placement broke down, I thought foster care was a relatively positive experience, apart from the usual problem of occasionally feeling a bit awkward around the family, but when my foster care placement did breakdown, literally overnight, I realised why some young people in care do have the problems they do. I became very defensive and was determined to never let anyone ever hurt me ever again. I developed a very hard exterior to protect me at that time.’
(Cuckston, 2004: p. 24)A study in Oxfordshire, which looked at the mental health needs of looked-after children, found that 97% of children living within residential care and 57% of children living in foster care were found to have significant mental health problems (McCann et al, 1996). In their research on the mental health of looked-after children aged 5–17 years of age in England, Meltzer et al (2003) discovered that 45% of these children had a mental disorder, 36% a conduct disorder, 12% an emotional disorder and 7% were rated as hyperactive.
24 - CAMHS and looked-after children
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- By Fiona Gospel, BSc, DClinPsych, Consultant Clinical Psychologist, Lime Trees CAMHS, North Yorkshire & York Primary Care Trust, Jackie Johnson, RMN, BSc, CAMHS Community Nurse, Lime Trees CAMHS, North Yorkshire & York Primary Care Trust, Ian Partridge, MA, MSc, CQSW, Social Worker, formerly at Lime Trees CAMHS, York
- Edited by Greg Richardson, Ian Partridge, Jonathan Barrett
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- Book:
- Child and Adolescent Mental Health Services
- Published online:
- 02 January 2018
- Print publication:
- 01 February 2010, pp 226-233
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Summary
‘Change is not made without inconvenience, even from worse to better.’
Richard Hooker, Of The Lawes of Ecclesiastical PolitieIntroduction
There are assorted reasons for children being ‘looked after’. A proportion will have suffered physical, sexual or emotional abuse, and parental mental illness. Marital violence, relationship breakdown and parental imprisonment are not uncommon experiences. These children can be seen as enmeshed in a matrix of developmental disadvantage, and have a higher number of risk factors predisposing them to mental health problems. They may already have significant mental health problems as they enter care (Dimigen et al, 1999).
The care system presents these young people with further challenges and difficulties, particularly frequent moves and placement breakdowns (Quinton & Rutter, 1984; Minty, 1999), which may influence their already vulnerable state, interacting with and interrelated to social, educational and relationship difficulties. A cycle evolves whereby children with mental health problems are less likely to achieve placement stability, and therefore become more vulnerable (Barber et al, 2001).
‘Upon rereading my old diaries, I realised how hard foster care was and what a detrimental effect it had on me at that time. Before my first foster placement broke down, I thought foster care was a relatively positive experience, apart from the usual problem of occasionally feeling a bit awkward around the family, but when my foster care placement did breakdown, literally overnight, I realised why some young people in care do have the problems they do. I became very defensive and was determined to never let anyone ever hurt me ever again. I developed a very hard exterior to protect me at that time.’ (Cuckston, 2004: p. 24)
A study in Oxfordshire, which looked at the mental health needs of looked-after children, found that 97% of children living within residential care and 57% of children living in foster care were found to have significant mental health problems (McCann et al, 1996). In their research on the mental health of looked-after children aged 5–17 years of age in England, Meltzer et al(2003) discovered that 45% of these children had a mental disorder, 36% a conduct disorder, 12% an emotional disorder and 7% were rated as hyperactive.
Insight in first-episode psychosis
- JOSEPH P. McEVOY, JACKIE JOHNSON, DIANA PERKINS, JEFFREY A. LIEBERMAN, ROBERT M. HAMER, RICHARD S. E. KEEFE, MAURICIO TOHEN, IRA D. GLICK, TONMOY SHARMA
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- Journal:
- Psychological Medicine / Volume 36 / Issue 10 / October 2006
- Published online by Cambridge University Press:
- 02 June 2006, pp. 1385-1393
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Background. We report here a study examining the relationships between insight and psychopathology, cognitive performance, brain volume and co-morbid depression in 251 patients experiencing a first episode of psychosis, who were then randomly assigned to 2 years of double-blind treatment with either olanzapine or haloperidol.
Method. Repeated measures of insight were obtained at baseline and 12, 24, 52 and 104 weeks by the Insight and Treatment Attitudes Questionnaire (ITAQ).
Results. Older age, female gender and white ethnicity were associated with more insight. Higher total, positive, negative and general psychopathology scores on the Positive and Negative Syndromes Scale (PANSS) were associated with less insight. Higher depression scores were associated with more insight. Better neurocognitive function and large brain volumes were associated with more insight. More insight throughout the study was associated with longer time to medication non-adherence. However, baseline insight was not significantly related to the probability of discontinuing the study before 2 years. Insight improved significantly over the course of the study, but the improvement in insight was not significantly different between the two antipsychotic treatment groups.
Conclusions. Multiple factors contribute to insight. Patients experiencing a first episode of psychosis who have little insight are at increased risk of discontinuing their medication.