Global Mental Health: Trauma and Recovery

描述（由申请人提供）：本提案的目的是为政策制定者、科学家和临床医生开发一个硕士学位课程，以照顾和临床治疗受人为冲突和/或自然灾害（例如2004年12月的海啸灾害）影响的不同地理和全球环境中受创伤人群的健康和精神健康后遗症。今天，超过47个国家受到战争、种族冲突和平民暴力的影响。麻省总医院（MGH）的哈佛难民创伤项目（HPRT）估计，全球约有10亿人的生活因暴力和灾难而中断。实证研究表明，对这些人群的心理健康和健康相关影响相当大。科学调查现在表明，暴力对残疾的影响可以通过循证干预措施加以识别和成功治疗。与暴力有关的心理健康问题在全球范围内继续受到忽视，其全球影响深远，不仅影响到个人减轻痛苦和残疾，而且影响到社会经济发展、社会资本和人权。HPRT与罗马大学拉萨皮恩扎分校和意大利国立卫生研究所高等卫生研究所（ISS）合作，准备与来自受冲突和灾害影响国家的35个卫生部一道，通过HPRT- mgh、罗马大学和ISS的协调，开发、设计和实施全球硕士学位课程。硕士学位将通过促进各机构内部和跨机构的多学科合作，寻求改善一个重大的全球心理健康问题，并为职业发展提供一条途径，特别是在发展中国家，从而符合当前拨款申请的目标。这个硕士学位将是全球精神卫生和暴力的第一个硕士学位。这一硕士学位项目的主要依据是25年来HPRT在受大规模暴力影响的国家对大规模暴力和自然灾害幸存者进行的临床护理、培训和研究。世界将第一次获得在文化上有效、科学和负担得起的教育经验，从而获得这一新的、重要的全球精神卫生领域的硕士学位。对来自冲突后国家和受灾害影响国家的参与者进行先进的科学培训，将对世界上最贫穷国家的精神健康问题的识别和治疗产生巨大影响。

DESCRIPTION (provided by applicant): The purpose of this proposal is to develop a Master's Degree program for policy makers, scientists and clinicians caring for and clinically treating the health and mental health sequelae of traumatized populations in diverse geographical and global environments affected by man-made conflict and/or natural disasters (e.g. Tsunami disaster of December 2004). More than 47 countries today have been impacted by war, ethnic conflict and civilian violence. The Harvard Program in Refugee Trauma (HPRT) at Massachusetts General Hospital (MGH), estimates that approximately one billion persons worldwide have had their lives disrupted by violence and disaster. Empirical studies reveal a considerable mental health and health related impact on these populations. Scientific investigations now reveal that the disability effects of violence can be identified and successfully treated by evidence-based interventions. The global implications of violence-related mental health problems, continuing to be globally neglected, are far-reaching, not only on the individual relief of suffering and disability, but also on socio-economic development, social capital and human rights. HPRT, in collaboration with the University of Rome, La Sapienza, and the Italian National Institute of Health, Istituto Superiore di Sanita (ISS), is prepared, along with 35 Ministries of Health from conflict and disaster affected countries, to develop, design and implement a global Master's Degree course through the coordination of HPRT-MGH, University of Rome and ISS. The Master's Degree will be in line with the goals of the current grant request by facilitating multi-disciplinary collaboration within and across institutions to seek the amelioration of a major global mental health issue, and offer a pathway for career development, especially in the developing world. This Master's Degree will be the first one in global mental health and violence. The major rationale for this Master's Degree project arose out of 25 years of clinical care, training and research with survivors of mass violence and natural disasters by HPRT in countries affected by mass violence. For the first time, the world will have available a culturally valid, scientific and affordable educational experience leading to a Master's Degree in this new and important global mental health area. The advanced scientific training of participants from post-conflict and disaster-affected countries will have an enormous impact on the identification and treatment of mental health problems in the world's poorest countries.