Enhancing the capacity of the Brazilian health system to support the mental health of young people

增强巴西卫生系统支持年轻人心理健康的能力

• 批准号: MR/R022763/1
• 负责人: Sara Evans-Lacko
• 金额: $ 63.25万
• 依托单位: London School of Economics and Political Science
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2018
• 资助国家: 英国
• 起止时间: 2018 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FR022763%2F1
• 关键词: Enhancing; capacity; Brazilian; health; system

Mental health problems affect a significant proportion of young people in Brazil, and can have long-lasting negative consequences, leading to poor school achievement, troubled family relationships, difficulties in keeping stable jobs and involvement with crime and drugs. Mental health problems affect more young people in low- and middle-income countries (LAMICs), than in the high-income ones. LAMICs such as Brazil; however, have fewer resources to provide young people with the effective mental health care they need. Additionally, health professionals working in primary care settings, where most people with mental health problems could be treated, often don't have access to proper training and/or technical resources to deliver treatment to young people with mental health problems. We are developing a research project which aims to enhance the capacity of the Brazilian health system to support the mental health of young people. Our project comprises three activities: in the first activity, we will estimate the number of young people in Brazil who need mental health care through analysis of existing data collected from all five regions in Brazil. We will, then, estimate the economic impact of child and adolescent mental health problems, and how much the country would save by delivering effective treatment for young people with mental health problems, considering that improved mental health should lead to improvement in education achievement and employment prospects, and reduction in the use of drugs and contact with criminal justice.In the second activity, we will generate evidence on effective and affordable interventions that can be implemented in the Brazilian health system to support young people with mental health problems through a systematic review of existing scientific literature. We will focus our review on interventions for prevention and treatment which have been proven cost-effective in Brazil or similar countries and that are, therefore, suitable for the Brazilian context.In the third activity, we will use evidence generated through activities one and two to develop a practical toolkit and training material to support health professionals and policymakers to adapt and implement mental health treatment that is suited to the local reality. It will help them estimate how much it will cost to provide these services and what the long term costs and benefits will be.To ensure that our results will be translated into public health policymaking, and the applicability of our toolkit in different regional contexts, we have assembled a multi-professional team of researchers from the London School of Economics and Political Sciences (LSE), in the UK, and from three Brazilian universities - the State University of Mato Grosso do Sul (UEMS) in the Central-West region, Federal University of Alagoas (UFAL), in the Northeast, and Federal University of Minas Gerais (UFMG), in the Southeast. These three regions (Northeast, Central-West and Southeast) comprise 48% of Brazil's territory and 77% of the country's population. Our research team will work with a Stakeholder Impact Advisory Group (SIAG), which will comprise policymakers from Brazil's five regions and administrative levels (municipality, state and federal), public health practitioners, and representatives from service-user organizations. The SIAG's feedback and advice will be fundamental to the tailoring of our toolkit and training package according to different reginal reality and needs.One important outcome of our project will be the capacity building of researchers in each university. This will facilitate future research and links between researchers and stakeholder groups after the three-year timeframe of the project we are submitting to the UK Medical Research Council and Brazil's Council of State Research Foundations.

心理健康问题影响到巴西很大一部分年轻人，并可能产生长期的负面影响，导致学业成绩不佳、家庭关系出现问题、难以保持稳定的工作以及参与犯罪和毒品。心理健康问题影响到低收入和中等收入国家（LAMIC）的年轻人，而不是高收入国家。然而，像巴西这样的拉美和中等收入国家，为年轻人提供他们所需的有效精神卫生保健的资源较少。此外，在初级保健环境中工作的卫生专业人员，大多数有心理健康问题的人都可以得到治疗，但他们往往无法获得适当的培训和/或技术资源，为有心理健康问题的年轻人提供治疗。我们正在制定一个研究项目，旨在加强巴西卫生系统支持青年人心理健康的能力。我们的项目包括三项活动：在第一项活动中，我们将通过分析从巴西所有五个地区收集的现有数据，估计巴西需要心理保健的年轻人人数。然后，我们将估计儿童和青少年心理健康问题的经济影响，以及通过为有心理健康问题的年轻人提供有效治疗，国家将节省多少钱，考虑到改善心理健康应导致教育成就和就业前景的改善，以及减少使用毒品和刑事司法接触。我们将通过对现有科学文献的系统性审查，为巴西卫生系统实施有效且负担得起的干预措施提供证据，以支持有心理健康问题的年轻人。我们将重点审查在巴西或类似国家证明具有成本效益、因此适合巴西国情的预防和治疗干预措施。我们将利用活动一和活动二产生的证据，开发实用的工具包和培训材料，以支持卫生专业人员和政策制定者调整和实施适合当地的现实。这将帮助他们估计提供这些服务的成本以及长期成本和收益。为了确保我们的研究结果将转化为公共卫生政策制定，以及我们的工具包在不同地区背景下的适用性，我们组建了一个由来自英国伦敦经济与政治学院（LSE）的多专业研究人员组成的团队，以及三所巴西大学-中西部地区的南南马托格罗索州立大学（UEMS）、东北部的阿拉戈斯联邦大学（UFAL）和东南部的米纳斯吉拉斯联邦大学（UFMG）。这三个地区（东北部、中西部和东南部）占巴西领土的48%，人口占全国的77%。我们的研究团队将与利益相关者影响咨询小组（SIAG）合作，该小组将由巴西五个地区和行政级别（市，州和联邦）的政策制定者，公共卫生从业人员以及服务用户组织的代表组成。SIAG的反馈和建议将是我们根据不同地区的实际情况和需求定制工具包和培训包的基础。我们项目的一个重要成果将是每所大学研究人员的能力建设。这将促进未来的研究和研究人员和利益相关者群体之间的联系后，我们正在提交给英国医学研究理事会和巴西的国家研究基金会的理事会的项目的三年时间表。

项目成果

Avaliação econômica da atenção em saúde mental baseada no financiamento público: Uma revisão integrativa

Avaliação econà mica da atenção em saóde mental baseada no financiamento público: Uma revisão integrativa

• DOI: 10.33448/rsd-v10i8.17110
• 发表时间: 2021
• 期刊: Research, Society and Development
• 作者: Araújo R

The impact of child psychiatric conditions on future educational outcomes among a community cohort in Brazil.

• DOI: 10.1017/s2045796021000561
• 发表时间: 2021-10-28
• 期刊: Epidemiology and psychiatric sciences
• 影响因子: 8.1
• 作者: Hoffmann MS;McDaid D;Salum GA;Silva-Ribeiro W;Ziebold C;King D;Gadelha A;Miguel EC;Mari JJ;Rohde LA;Pan PM;Bressan RA;Mojtabai R;Evans-Lacko S
• 通讯作者: Evans-Lacko S

Utilisation and costs of mental health-related service use among adolescents.

青少年中与心理健康相关的服务使用的利用率和成本。

• DOI: 10.1371/journal.pone.0273628
• 发表时间: 2022
• 期刊: PloS one
• 影响因子: 3.7

A systematic review of evidence-based interventions for child and adolescent mental health problems in low- and middle-income countries

对低收入和中等收入国家儿童和青少年心理健康问题的循证干预措施的系统回顾

• DOI: 10.1016/j.comppsych.2022.152358
• 发表时间: 2023
• 期刊: Comprehensive Psychiatry
• 影响因子: 7.3
• 作者: Ribeiro W

Efficacy of school-based interventions for mental health problems in children and adolescents in low and middle-income countries: A systematic review and meta-analysis.

• DOI: 10.3389/fpsyt.2022.1012257
• 发表时间: 2022
• 期刊: FRONTIERS IN PSYCHIATRY
• 影响因子: 4.7
• 作者: Grande, Antonio Jose;Hoffmann, Mauricio Scopel;Evans-Lacko, Sara;Ziebold, Carolina;de Miranda, Claudio Torres;Mcdaid, David;Tomasi, Cristiane;Ribeiro, Wagner Silva
• 通讯作者: Ribeiro, Wagner Silva