Implementing mental health interventions for pregnant adolescents in primary care LMIC contexts

在初级保健中低收入国家中对怀孕青少年实施心理健康干预措施

• 批准号: 10215282
• 负责人: Manasi Kumar
• 金额: $ 3.78万
• 依托单位: UNIVERSITY OF NAIROBI
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-10-01 至 2021-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10215282
• 关键词: Adolescent; Adult; African; Anxiety; Area; COVID-19; COVID-19 pandemic; Cessation of life; Child Care; Clinical Services; Collaborations; Communities; Community Health Aides; Community Services; Contracts; Counseling; Country; County; Educational Intervention; Face; Family; Feasibility Studies; Funding; Health; Health Personnel; Health Services Accessibility; Health Services Needs; Health care facility; Healthcare; Heart; Internet; Intervention; Kenya; Knowledge; Logistics; Mental Depression; Mental Health; Mental Health Services; Mentally Ill Persons; Modeling; Outcome; Output; Patients; Perinatal; Persons; Population; Primary Health Care; Public Health; Research; SARS coronavirus; Service provision; Service setting; Services; System; Technology; Telemedicine; Testing; Time; Training; Training Support; Transportation; Trauma; Virus Diseases; Work; base; care systems; community setting; coronavirus disease; digital; eHealth; evidence base; health training; implementation research; literacy; low and middle-income countries; member; metropolitan; pregnant teen; primary care services; response; service delivery; service intervention; social; stressor; transmission process; user centered design; vulnerable adolescent; young adult; young woman

Adapting the mhGAP/IPT-G Integrated Mental Health Care Training to a Remote/Distance Digital Training to Support Mental Health Service Needs in Kenya under COVID-19 Context (INSPIRE for COVID) The number of patients who have contracted SARS- COV-1 virus disease is increasing every day in Kenya just like many other countries.The INSPIRE study (K43 TW010716-03), with aim to integrate mhGAP and evidence-based mental health intervention (IPT-G) for pregnant adolescents in primary maternal child care (MCH) service, is now about to begin its third year and we have begun our mhGAP community toolkit and intervention trainings for community health workers and health facility staff. However, due to COVID-19 pandemic, mental health problems in Kenyan has been increased significantly, and clinical services and patients’ access to care have been disrupted. For our implementation study, carrying out in-person training/support for health care workforce and providing in-person counseling/ intervention sessions for adolescents/families are also facing many challenges due to transportation restriction, financial lose, and other logistic barriers. In response to the increased mental health needs and service provision challenges, the Kenyan Ministry of Health (MOH) is seeking for eHealth and telemedicine solutions to provide timely mental health training for health care workers and mental health care to vulnerable adolescents and women. Therefore, developing technology solutions for training primary care workforce to provide mental health care are urgently needed. The overarching aim of this proposed 1-year supplemental research is to respond to the public health and our research needs by adapting our current face-to-face training for the mhGAP/ group-based mental health intervention (IPT-G) to a web/video/eHealth- version of training, and studying whether the technology-delivered version of mhGAP/IPT-G training is feasible and useful to support health workforce and community mental health needs.

使mhGAP/IPT-G精神卫生综合培训适应远程/远程 新冠肺炎下支持肯尼亚精神卫生服务需求的数字培训 背景(COVID的灵感) 感染SARS-COV-1病毒疾病的患者人数每隔一年就会增加 像许多其他国家一样，在肯尼亚过一天。INSPIRE研究(K43 TW010716-03)，有目的 MhGAP与循证心理健康干预(IPT-G)的整合 初级母婴保健服务中的青少年现在即将开始第三个年头 我们已经开始了我们的mhGAP社区工具包和社区干预培训 卫生工作者和卫生设施工作人员。然而，由于新冠肺炎大流行，心理健康 肯尼亚的问题显著增加，临床服务和患者的准入 护理已经被打乱了。对于我们的实施研究，亲自进行 培训/支持卫生保健工作人员并提供面对面咨询/干预 青少年/家庭课程由于交通原因也面临着许多挑战 限制、经济损失和其他后勤障碍。为了应对日益增长的心理健康 需求和服务提供挑战，肯尼亚卫生部(MOH)正在寻求 电子健康和远程医疗解决方案，为医疗保健提供及时的心理健康培训 工作人员和弱势青少年和妇女的精神卫生保健。因此，发展 培训初级保健人员以提供精神卫生保健的技术解决方案包括 急需之物。这项拟议的为期一年的补充研究的总体目标是 通过面对面适应我们当前的公共卫生和我们的研究需求 培训mhGAP/基于团体的心理健康干预(IPT-G)到网络/视频/电子健康- 培训版本，并研究技术交付的mhGAP/IPT-G版本 培训是可行和有用的，以支持卫生人力和社区精神卫生需求。