PALOP Mental Health Implementation Research Training

2900万人口，只有18名精神病医生（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D43，莫桑比克面临着巨大的心理健康（MH）护理 挑战为了解决该国巨大的MH治疗和研究差距，通过北- 美国、巴西和莫桑比克之间的南南合作，我们的PALOPmhIS-1 (Países Africanos de Língua Oficial Portuguesa -葡语非洲国家- MH 实施科学; 2014-2019）D43计划提供了单独指导的实践 为来自其他医学领域的4名高级导师和11名受训人员提供研究和教学培训， 其中大多数是妇女。我们已经有了一个令人羡慕的'投资回报率'在只有五个 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篇出版物， 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)：研究员监督了25名培训员的培训，这些培训员又培训了300名培训员，产生了倍增效应 初级保健提供者和900名社区卫生工作者循证实践（EBP） 针对常见的精神障碍（人际咨询），物质使用障碍 （动机访谈）、重度疾病（精神病药物）和自杀风险（安全性 计划），作为两个NIH资助的研究的一部分，扩大综合MH（NIMH）和 利用移动的保健技术将药物使用（NIAAA）护理纳入初级保健;以及d） 政策影响：我们的团队，包括卫生部工作人员，正在领导 用于临床和研究目的的电子医疗记录，以前作为单独的 疾病筒仓我们还为其他PALOP国家开展了培训活动。响应于 不断变化的需求和机会，PALOPmhIS-2将（目标1）招募和支持长期 一个学期（4年）的博士培训8名研究员整合在MH IS内的新浓度 莫桑比克公共卫生博士课程;（目标2）提供过去的PALOPmhIS D43 毕业生（N=11）和其他莫桑比克中级学院（N=50）的新的中期培训 科学内容：MH IS可持续性（福格蒂国际中心战略计划目标3）， 健康（目标2）、健康信息学、电子病历、大型数据集、多种疾病;以及（目标3）培训 五名毕业生在研究领导走向独立性和当地计划的可持续性。我们 将培训扩大到其他地方和区域合作伙伴（目标1）;争取进一步的研究资金 机会，并继续培训当地劳动力，同时扩大电子卫生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.