PALOP Mental Health Implementation Research Training

有2900万人，只有18名精神病学家(在国外接受培训)和125名临床心理学家， 在此之前没有人拥有博士学位，莫桑比克面临着巨大的心理健康(MH)护理 挑战。为了解决该国在MH治疗和研究方面的巨大差距，通过北方- 美国、巴西和莫桑比克之间的南南合作，我们的PALOPmhIS-1 L非洲葡萄牙语国家-葡萄牙语非洲 实施科学；2014-2019年)D43计划提供了个人指导的实践 对来自其他医学领域的4名高级导师和11名学员进行研究和教学培训， 其中大部分是女性。我们在短短五年内就取得了令人羡慕的“投资回报”。 年超过我们的目标：a)研究能力建设：九名研究员和另外两名研究员在 分别在巴西获得博士和硕士学位的最后阶段(15种出版物在 国际期刊)；b)研究经费：研究员已成为有价值的研究人员， 作为一个团队，我们已经在NIH资助的研究中获得了超过850万美元的资金；c)实施科学 (IS)：在乘数效应中，研究员监督了25名培训员的培训，这些培训员又培训了300名 循证实践中的初级保健提供者和900名社区卫生工作者 针对常见精神障碍(人际咨询)、物质使用障碍 (激励性访谈)、严重障碍(精神病药物)和自杀风险(安全 规划)，作为NIH资助的两项研究的一部分，扩大综合MH(NIMH)和 使用移动保健技术将物质使用(NIAAA)保健纳入初级保健；以及 政策影响：我们的团队，包括卫生部的人员，正在领导整合 用于临床和研究目的的电子病历，以前作为单独的 疾病筒仓。我们还为PALOP其他国家发起了培训活动。作为对.的回应 不断发展的需求和机会，PALOPmhIS-2将(目标1)招募和支持长期 为期4年的8名研究员的博士生培训在以下范围内 莫桑比克的公共卫生博士项目；(目标2)提供过去的PALOPMHIS D43 毕业生(N=11)和其他莫桑比克中级教员(N=50)新的中期培训 科学内容：MH是可持续发展(福格蒂国际中心战略计划目标3)，e- 保健(目标2)、保健信息学、电子病历、大数据集、多病；和(目标3)培训 五名毕业生在研究领导力方面走向独立和地方项目的可持续性。我们 将向其他地方和区域合作伙伴提供培训(目标1)；争取进一步的研究资金 并继续培训当地劳动力，同时扩大电子健康EBI的使用。

With 29 million people and only 18 psychiatrists (trained abroad) and 125 clinical psychologists, none of whom had a PhD prior to this D43, Mozambique faces enormous mental health (MH) care challenges. To address the country’s large MH treatment and research gaps, through a North- South-South collaboration between the US, Brazil and Mozambique, our PALOPmhIS-1 (Países Africanos de Língua Oficial Portuguesa –Portuguese-speaking African countries– MH implementation science; 2014-2019) D43 program has provided individually mentored hands-on research and didactic training to four senior mentors from other medical fields and 11 trainees, the majority of whom are women. We have had an enviable ‘return-on-investment’ in only five years surpassing our targets: a) Research capacity building: nine fellows and two others are in the final stages of obtaining their PhDs and Masters in Brazil, respectively (15 publications in international journals); b) Research funding: fellows have become valuable investigators, and as a team, we have garnered over $8.5 million in NIH-funded research; c) Implementation science (IS): in a multiplier effect, fellows oversaw the training of 25 trainers, who in turn are training 300 primary care providers and 900 community health workers in evidence-based practices (EBPs) targeting common mental disorders (Interpersonal Counseling), substance use disorders (Motivational Interviewing), severe disorders (Psychiatric Medications), and suicidal risk (Safety Planning), as part of two NIH-funded studies scaling-up comprehensive MH (NIMH) and substance use (NIAAA) care integrated into primary care using mobile health technology; and, d) Policy impact: our team, which includes Ministry of Health personnel, is leading the integration of electronic medical records for clinical and research purposes, previously functioning as separate disease-silos. We also initiated training activities for other PALOP countries. In response to evolving needs and opportunities, PALOPmhIS-2 will (Objective 1) recruit and support long- term (4 years) doctoral training of eight Fellows integrating a novel concentration in MH IS within a Public Health PhD program in Mozambique; (Objective 2) offer past PALOPmhIS D43 graduates (N=11) and other Mozambican Mid-Level Faculty (N=50) medium-term training on new scientific content: MH IS sustainability (Fogarty International Center Strategic Plan Goal 3), e- Health (Goal 2), health informatics, EMR, large datasets, multimorbidities; and (Objective 3) train five graduates in research leadership towards independence and local program sustainability. We will extend training to other local and regional partners (Goal 1); pursue further research funding opportunities, and continue to train the local workforce while scaling up the use of e-Health EBIs.