Mainstreaming Global Mental Health: A Praxis Nexus Approach

全世界有10亿人患有精神健康障碍，这是造成健康不良和残疾的主要原因之一。此外，精神卫生状况不佳对低收入和中等收入国家人民的影响尤为严重，这些国家也存在巨大的精神卫生人力缺口。可以说，心理健康是一项权利，解决心理健康问题也是促进可持续社会经济发展的一种手段。全球心理健康符合可持续发展目标3：“良好健康和福祉”，特别是3.4：“到2030年，通过预防和治疗，将非传染性疾病导致的过早死亡率减少三分之一，并促进心理健康和福祉。”我们的目标是促使研究界逐步改变在哪里、如何以及由谁来影响中低收入国家的心理健康，从而使心理健康状况不佳的人受益。具体来说，我们认为全球研究人员在实现其核心（非心理健康）项目目标的同时影响心理健康的潜力尚未开发，而且这可以在不涉及重大资源的情况下完成。因此，为了加快精神卫生方面的全球行动，我们的长期目标是制定一个可能用于发展中国家所有研究的全球精神卫生影响框架。我们的第一阶段项目将通过创建影响框架的测试版，首先基于艺术和人文学科的方法，为实现这一长期目标奠定基础和途径，为未来在第二阶段应用中在广泛的GCRF项目中进行测试和开发做好准备。在第二阶段，我们还将制定一项实施计划，以支持资助者、研究人员和低收入和中等收入国家合作伙伴了解和使用该框架。挑战集群汇集了由AHRC、ESRC和MRC资助的16个GCRF项目，利兹大学（UoL） AHRC-GCRF网络+和UoL AHRC领导的GCRF中心，总额超过650万英镑，以及来自学院以外从事非GCRF面向发展援助项目的合作者。该集群的一个巨大优势是，它建立在“实践：艺术与人文促进全球发展”的活动和资源的基础上。“实践：艺术与人文促进全球发展”是一个由美国人文协会领导的全球人文研究基金会中心。我们将开发自己的实践联系方法，将已发现的成果汇集在一起，并与研究人员、从业者和政策制定者进行接触，以加速在跨国范围内产生与GCRF项目的重要性相称的影响。第一阶段为期12个月的项目的可衡量、现实和可实现的目标是：- 1。完成对迄今资助的以精神健康为重点的GCRF非精神健康项目中的(i)实质性做法和（ii）隐性和显性精神健康活动的范围审查；2. 完成一份报告，概述围绕协作材料做法建立全球精神卫生影响框架的基础；3. 发展和加强公平的国际学术、政策和从业者伙伴关系，并在中低收入国家和英国开展能力建设；和4。利用这项工作来协助制定在第二阶段应用中进行的研究议程和方案。关于潜在的应用和效益，我们将：提高英国和中低收入国家的资助者、研究人员和组织的意识，让他们意识到，他们可能会错过在投资组合和项目中影响心理健康的“唾手可得”的机会；2. 使他们基本了解如何在非精神卫生重点项目中概念化和确定全球精神卫生挑战；和3。解释不同的项目如何在微观、中观和宏观层面上实现心理健康影响，作为其日常活动的一部分，而不会过度消耗项目的专业知识或资源；和4。鼓励低收入和中等收入国家组织和政府部门考虑如何将心理健康影响整合到他们不同的议程和项目中。

Worldwide, one billion people have a mental health disorder, placing these among the leading causes of ill-health and disability. Moreover, poor mental health disproportionately affects people in Low and Middle Income Countries (LMIC) where there exists also a huge mental health workforce gap. Arguably, mental health is a right and tackling poor mental health is also a means of facilitating sustainable socio-economic development. Global Mental Health aligns with Sustainable Development Goal 3: 'Good Health and Well-Being,' specifically 3.4: 'By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being.' Our ambition is to trigger a step-change in how the research community thinks about where, how and by whom mental health in LMICs can be impacted to benefit people experiencing poor mental health. Specifically, we believe there is untapped potential for global researchers to impact mental health whilst delivering their core (non-mental health) project aims, and that this can be done without significant resource implications. Therefore, to accelerate global action on mental health our long-term aim is to produce a Global Mental Health Impact Framework with potential for use in all research in developing countries. Our first stage project will establish a foundation and pathway towards this long-term aim by creating a beta version of the Impact Framework, based on arts and humanities methodologies first, ready for future testing and development across a broad range of GCRF projects in a second stage application. At this second stage, we will also develop an implementation plan to support funders, researchers and LMIC partners to understand and use the Framework.The Challenge Cluster brings together 16 GCRF projects funded by the AHRC, ESRC and MRC, a University of Leeds (UoL) AHRC-GCRF Network Plus, and UoL AHRC-led GCRF Hub totalling over £6.5 million and collaborator from outside the academy who has worked on non-GCRF ODA-oriented projects. A huge advantage of the Cluster is that it builds on the activities and resources of Praxis: Arts and Humanities for Global Development: an AHRC-led GCRF Hub at the UoL. We will develop our own Praxis Nexus approach to bring together what has been found and engage with researchers, practitioners, and policy-makers to accelerate impact on a cross-national scale commensurate with the significance of the GCRF programme. Measurable, realistic, achievable objectives for the first-stage 12-month project are to:- 1. Complete a scoping review of (i) material practices and (ii) implicit and explicit mental health activities in non-mental health focused GCRF projects funded to date; 2. Complete a report outlining the basis for a Global Mental Health Impact Framework around collaborative material practices; 3. Develop and strengthen equitable international academic, policy and practitioner partnerships and build capacity in LMIC and the UK; and, 4. Use this work to assist in developing the agenda and programmes of research to be undertaken in the second stage application. In relation to potential applications and benefits we will: 1. Raise the awareness of UK and LMIC funders, researchers and organisations that they may be missing 'low hanging fruit' opportunities to impact mental health in their portfolios and projects; 2. Provide them with a basic understanding of how Global Mental Health challenges can be conceptualised and identified in non-mental health focused projects; and 3. Explain ways that diverse projects could achieve mental health impact at micro, meso and macro levels as part of their routine activities without overstretching project expertise or resources; and, 4. Stimulate LMIC organisations and government departments to think about how they might integrate mental health impact across their diverse agendas and projects.