C H I L D R E N ’ S M E N TA L H E A LT H

T H E I D E A S C E N T E R a n N I M H - f u n d e d

A L A C R I T Y C e n t e r

CHILDREN’S MENTAL HEALTH POLICY RESEARCH FELLOWSHIP APPLICATION

APPLY TODAY!

ONE-YEAR FELLOWSHIP for EARLY CAREER RESEARCHERS in CHILDREN’S MENTAL

HEALTH POLICY RESEARCH, WITH TRAINING IN PRINCIPLES OF

DISSEMINATION & IMPLEMENTATION SCIENCE, SYSTEMS SCIENCE, and INNOVATIVE

RESEARCH METHODS

To apply for this fellowship, please complete the enclosed

application and supporting materials and send via email,

as a single PDF document, by January 27, 2020

(5 p.m. EST), to IRI Administrator,

Ms. Stacey McCrary (iri@brownschool.wustl.edu),who

can answer questions about the fellowship.

To help ensure the vi tal i ty and diversi ty of the chi ldren’s mental health services research workforce, we especial ly encourage members of underrepresented minority groups to apply

for this fel lowship, which is being offered joint ly by the IDEAS Center and the

Implementat ion Research Inst i tute ( IRI ) .

POLICY RESEARCH

FELLOWSHIP

1 2020

APRIL

STARTING

31 2021

ENDING

MARCH

Child Mental Health Policy Research Fellowship Application Instructions

Eligibility Requirements

• Must be able to attend the Summer Institute from May 4th-8th, 2020 (in St. Louis, MO) • Early career researchers with doctoral degrees in medicine, social work, psychology, health

services, nursing, anthropology, public health, education • Demonstrated interest or concurrent experience relevant to children’s mental health policy

research, such as analysis of the impact of state or federal mental health policies on individual or systems-level outcomes

• Prior experience writing a grant for external federal funding or comparable funding (e.g. a National Institute of Health F31, R03, R34/R21, or K award)

• A home institution with an on-site mentor who can support Fellow’s progress in grant writing and scholarly publication

☐

Materials Details about Materials

Completed Application Please complete all items on this checklist and the attached Application Form ☐

Curriculum Vitae Please be sure to update your CV, and include all of your relevant children's mental health policy research experience ☐

Your Up-to-date NIH Biosketch Please see NIH website for instructions on completing an NIH Biosketch. ☐

NIH Biosketch of Two Mentors

Biosketches for up to two mentors at your home institution who will support you in your future applications for external federal grant funding, including the mentor who provides a letter of recommendation and completes the Qualtrics Survey (see below).

☐

Two Letters of Recommend-ation and Completion of Qualtrics Survey

Two letters of recommendation (recommended format, attached) are needed: (1) one from your supervisor, dean, or department chair; and (2) one from a senior level MD/PhD who will commit to be an accessible home-institution mentor and work toward the applicant’s goal of submitting at least one competitive grant proposal to NIH in the substantive areas of the children’s mental health policy research (during the year that the candidate would be a fellow, from April 1, 2020 - March 31, 2021). In addition to completing a letter of recommendation, your mentor should also complete a short Qualtrics survey, available here (http://sswwustl.az1.qualtrics.com/jfe/form/SV_1zFtzzcG9QMelBb). Letters of recommendation should be sent to Ms. Stacey McCrary, (iri@brownschool.wustl.edu) by January 27, 2020.

☐

Writing Samples Description of Writing Samples

Research Concept Paper

A research concept paper (<3, single-spaced pages, size 12 font) that provides an analysis of the children’s mental health policy research problem to be addressed through the proposed research, its background, and its significance to the field. Please include: (1) The research aims to be explored and how they relate to the NIMH PAR, “Advanced Laboratories for Accelerating the Reach and Impact of Treatments for Youth and Adults with Mental Illness (ALACRITY) Research Centers” and the NIMH Strategic Plan; and (2) the methods or approaches to be used; (3) the institutional support to be provided; (4) the mentor support to be provided .

☐

Published or in-press articles

Two samples of published/in-press articles (preferably first-authored) in the area of, or closest to, children’s mental health policy research. ☐

Submission Application Submission Process

All set? Please submit this completed application with all of the requested materials listed above (except letters of recommendation) in a SINGLE document (PDF format) and send electronically to IRI Administrator, Ms. Stacey McCrary, (iri@brownschool.wustl.edu) by January 27, 2020.

☐

Name: Institution: Position Title: Proposed Research Project Title:

Page 1 of 2

CHILDREN’S MENTAL HEALTH POLICY RESEARCH FELLOWSHIP APPLICATION

APPLICANT INFORMATION

FULL NAME: ____________________ _______________ _____________________ First Middle Last

ADDRESS: ___________________________________________ ________________ Street Address Apt/Suite

______________________ ____________________ ________________ City State Zip Code

E-MAIL: ______________________________________ PHONE: ________________

PERSONAL CHARACTERISTICS

ARE YOU A U.S. CITIZEN? ☐ YES ☐ NO

*IF NO, ARE YOU ALLOWED TO WORK IN THE U.S.? ☐ YES ☐ NO

WHAT IS YOUR RACIAL BACKGROUND? SELECT ONE OR MORE FROM LIST BELOW:

☐ American Indian or Alaska Native☐ Asian☐ Black or African American☐ Native Hawaiian or Other Pacific Islander☐ White☐ More than one race☐ Other (please specify): ____________________________________________________

WHAT IS YOUR ETHNICITY?

☐ Hispanic or Latino☐ Not Hispanic or Latino☐ Other (please specify): ____________________________________________________

EDUCATION

Highest Academic Credential Earned

__________ ____________________ ______________________________ ____________ Degree Discipline Institution Date Degree Earned

Have you ever submitted an NIH (or other federal) grant proposal as a Principal Investigator?

☐ Yes ☐ No if yes, and you ere a arded, pro ide a ard number(s):______________________ ___

Page 2 of 2

REFERENCES and MENTOR

REFERENCE:

F LL NAME _______________ _______________ RELATIONSHIP: _____________ First Last

INSITUTION: ________________________________ TITLE: _____________________

E-MAIL: ____________________________________ PHONE: ___________________

REFERENCE/MENTOR:

F LL NAME _______________ _______________ RELATIONSHIP: _____________ First Last

INSITUTION: ________________________________ TITLE: _____________________

E-MAIL: ____________________________________ PHONE: ___________________

HOW DID YOU LEARN ABOUT THE IDEAS POLICY FELLOWSHIP PROGRAM?

DISCLAIMER and SIGNATURE

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to an offer for a fello ship position, I understand that any false or misleading information in my application or interview may result in my release.

SIGNATURE _________________________________ DATE ____________________

☐ IDEAS Website (www.ideas4kidsmentalhealth.org)☐ IRI Website (http://iristl.org/)☐ E-Mail Advertisement☐ Mailed Advertisement☐ Twitter☐ Colleague☐ Other ________________________________________________________________