PRIDE SSA - Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence Based Practices in sub-Saharan Africa

全球精神卫生(MH)治疗和研究的差距要求扩大有效的治疗， 利用现有平台。同时，政策必须在一段时间内维持这些政策。Pride SSA可能会产生 通过在莫桑比克进行一项最先进的扩大研究并建立一个 协作研究网络的萌芽研究“种子团队”。这样的“种子队”，由 能力建设组成部分，可在整个区域进行能力建设和实施 研究可持续地扩大MH服务。扩大MH和物质使用方面的研究(莫桑比克) 障碍将评估扩大创新、综合、可持续、分级护理的战略和成本 社区方法。我们将利用：(1)莫桑比克培训精神病患者的任务转移战略 技术人员(心理医生)提供MH护理，(2)世卫组织资助的癫痫社区护理方案成功 在5个省实施，现已准备好由卫生部扩大规模。我们具有成本效益的方法 无需新的人力资源即可重新定义工作角色。重要的是，它与卫生部的 计划对所有MH疾病实施预防和治疗，而不是单一的疾病。模型 使用精神病学已经在使用的循证医学(例如，精神药理学；人际疗法)：a)建立 可持续项目由非卫生保健专业人员提供和监督，由卫生保健专家监督；b) 为所有MH疾病提供社区筛查、护理和/或转诊；以及c)使用实施工具 监测可持续性。该协作网络将扩大具有成本效益的可持续计划，并为 政策。能力建设区域伙伴关系将利用成熟的能力建设机构 (职业发展基金会；剑桥大学；比勒陀利亚大学；莫桑比克卫生研究所 教育和研究)和我们的莫桑比克Fogarty/NIMH MH实施计划(伙伴关系： 莫桑比克[卫生部]、美国[哥伦比亚大学、宾夕法尼亚大学]和巴西[U 联邦S圣保罗])培训来自博茨瓦纳、马拉维、 莫桑比克、南非、赞比亚。每个国家都将贡献致力于合作的“种子团队”， 这包括开发、测试、实施和维持基于社区的MH服务所需的所有参与者 EBPS：1)新的研究人员进行卫生保健执行和传播研究；2)政策制定者 利用当地研究产生的证据来改进和测试卫生保健政策和计划；3)培训师 培训师让员工做好准备，提供经过调整的EBP，保持忠诚度；以及4)培养高级教员 大学课程，为下一代调查人员做准备。培训包括协同教学， 与当地利益相关者合作设计的实践研究经验，以及来自当地或美国的指导 高级调查员。在扩大研究中吸取的经验教训将适用于伙伴国家的研究 和其他LMIC。

Global mental health (MH) treatment and research gaps require that efficacious treatments be scaled-up, leveraging existing platforms. In tandem, policies must sustain them over time. PRIDE SSA may generate templates for other LMICs by conducting a state of the art scale up study in Mozambique and by establishing a collaborative research network of nascent research “Seed Teams.” Such “Seed Teams,” trained by the capacity building component, may work across the region to build capacity and conduct implementation research to sustainably scale-up MH services. Scale Up Research (Mozambique) in MH and substance use disorders will evaluate strategies and costs of scaling up an innovative, integrated, sustainable, stepped-care community approach. We will leverage: (1) Mozambique's task-shifting strategy of training psychiatric technicians (PsyTs) to provide MH care, (2) the WHO-funded epilepsy community care program successfully implemented in 5 Provinces, now primed for scale-up by the Health Ministry. Our cost-effective approach redefines work roles without requiring new human resources. Importantly, it comports with the Health Ministry's plan to implement prevention and treatment for all MH conditions, rather than single disorders. The model employs EBPs (e.g. Psychopharmacology; Interpersonal Therapy), already in use by PsyTs to: a) establish a sustainable program delivered and supervised by non-MH professionals, overseen by MH specialists; b) provide community screening, care and/or referrals for all MH disorders; and c) use implementation tools to monitor sustainability. This collaborative network will scale-up a cost-effective, sustainable program and inform policy. Capacity Building Regional Partnerships will leverage well-established capacity building institutions (Foundation for Professional Development; U of Cambridge; U of Pretoria; Mozambique's Institute of Health Education and Research) and our Mozambique Fogarty/NIMH MH Implementation Program (partnership: Mozambique [Ministry of Health; U Eduardo Mondlane]; US [Columbia; U of Pennsylvania]; and Brazil [U Federal do São Paulo]) to train service providers, investigators and policy-makers from Botswana, Malawi, Mozambique, South Africa, Zambia. Each country will contribute `seed teams' committed to working together, that include all actors needed to develop, test, implement and sustain community based MH services using EBPs: 1) new researchers to conduct MH implementation and dissemination research; 2) policy makers to leverage evidence generated by local research to improve and test MH policies and programs; 3) trainer-of- trainers to prepare staff to deliver adapted EBPs that preserve fidelity; and 4) senior-level faculty to develop university programs to prepare the next generation of investigators. Training comprises synergistic didactics, hands-on research experience designed in partnership local stakeholders, and mentorship from local or US senior investigators. Lessons learned in the scale up research will be adapted for research in partner countries and other LMICs.