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Clinica Latina Opening


									Clinica Latina
Javier I Escobar MD
Department of Psychiatry, UMDNJ-
   NIH Funded Latino Researchers

•   Adriana Cordal M.D*
•   Esperanza Diaz M.D*
•   Javier I Escobar M.D*
•   Alex Interian Ph.D*
•   Theresa Miskimen M.D
•   Humberto Marin M.D
•   William A Vega Ph.D*

            * NIH Funded Researchers
   Department of Psychiatry,
   UMDNJ-Robert Wood Johnson Medical School


1 P20MH074634-01 “MUPS in Primary Care Research Center”
1 R13 MH 66308-01 “Critical Research Issues in Latino Mental Health”
1 RO 1 MH60265-01 A2 “Treatment of Somatization in Primary Care”
1 RO 1 MH62209-01 "National Latino and Asian American Study".
1 RO 1 MH60265-01 A2 “Treatment of Somatization in Primary Care”
1 RO1 MH068801-01A2 “Ethnicity and the Diagnosis of Affective Illness”
1 T26 SM4714-01 “Cultural Competence in Mental Health Services”
 Medically Unexplained Physical Symptoms
     in Primary Care Research Center
Javier I Escobar M.D (PI); Michael Gara Ph.D., Co-PI; Lesley
Allen Ph.D (CBT); Robert Woofolk Ph.D (Psychotherapy); Paul
Lehrer Ph.D (Psychophysiology); Alfred Tallia MD (Primary
Care), Eric Jahn MD (Primary Care), Regina Liu PhD (Statistics
Chair-Rutgers); William Vega Ph.D (Epidemiology), Shula Minsky
PhD (Data Management); Betty Vreeland RN (Mental Health in
Primary Care)
External Advisory Board:
Myrna Weissman PhD (Columbia); Gregory Simon MD (Univ of
Washington); Kenneth Wells MD (UCLA); Jeanne Miranda PHD
(UCLA); Ricardo Araya MD (Bristol); Charlotte Brown MD
Specific Aims for MUPS-PCRS

 Develop the research infrastructure needed to implement a services
  research program in primary care targeting patients with high levels of
 Assemble and test the critical pieces needed to formally evaluate the
  effectiveness of a collaborative stepped-care model starting with a set of
  non-pharmacological approaches for treating primary care patients with
  mental health problems presenting with MUPS.
 Given documented disparities in mental health care particularly for low-
  income users of primary care services including Latino, African-American
  and other patients, studies will relate to patients in these lower- income
  minority groups and focus on how to approach these patients in a
  culturally effective manner.
 Test a number of new, cost-effective, non-pharmacological treatments
  within the stepped-care model and examine how they impact such co-
  morbidities as depression and anxiety in primary care.
MUPS-PCRC (Continued)
Develop and refine study protocols that would advance
knowledge about the assessment, treatment and referral of
such patients in primary care, which can develop into R01
research projects and set the stage for the developing center to
become an advanced center in a period of five years.

Four pilot studies are currently under way that will contribute
pieces of the stepped care model.

Provide a research and mentoring environment in which new
investigators can learn and develop new research strategies for
improving the condition of these patients.

Examine how communities, patients, families, primary care
physicians and psychiatrists accept these new models and start
to disseminate them.
“Critical Research Issues in Latino
Mental Health”

National Institute of Mental Health, 2002-
Javier I. Escobar M.D., P.I
Total Direct Costs = $ 354,808

Major goals of this conference grant are to
hold annual gatherings that pair young
Investigators doing research on Latino
Mental Health with potential mentors, hence
stimulating new research collaborations.

This is used as a national model by NIH and
other agencies
“Antidepressant Adherence
Among Hispanics”

Alex Interian Ph.D., PI;
Javier I Escobar MD; Primary Mentor.
Total Direct Costs = $ 575,064,
National Institute of Mental Health.

Major goal of the project is to foster
the necessary skills to develop
culturally competent treatments for
Hispanics (recruitment and retention
“National Survey of Latinos
and Diabetes”

Robert Wood Johnson Foundation,
09-01-06 to 08-31-07;
William Vega PI.

To provide Coordination for a
National Study Carried out through
the RWJ Foundation.
“Ethnicity and the Diagnosis of
Affective Illness”

4-1-05 to 3-30-09; NIMH,
William A. Vega PI; Michael Gara Co-PI;

To understand diagnostic disparities
(overdiagnosis of psychosis in African
Americans), this study examines how
patient characteristics (ethnicity)
influence the diagnostic process in
patients with serious mental illness.
“Cultural Competence
in Mental Health

10/ 1/02 to 9/30/06;
William A. Vega PI;

To develop culturally
competent practices
curriculum for multicultural
clinical care and a model for
organizational care.
“Treatment of Somatization in
Primary Care”

National Institute of Mental Health,
J.I.Escobar PI, Michael Gara Co-PI;
Total Direct Costs = $ 1,000,000

Based at Chandler and Family Medicine Clinics,
major goals of the project were to assess the
clinical efficacy of a novel 10 session CBT
protocol in primary care patients with common
mental disorders presenting with high levels of
medically unexplained symptoms. >75%
patients were Latino immigrants from 11
different countries in Latin America
Country Origin of Latino Patients Recruited in Primary
Care Study at Chandler Clinic (Escobar et al, 2006)

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