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Developing research capacity for mental health interventions for youth in Haiti

发展海地青年心理健康干预研究能力

基本信息

批准号：
8074259
负责人：
ANNE E BECKER
金额：
$ 15.58万
依托单位：
HARVARD MEDICAL SCHOOL
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-13 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8074259
关键词：
Acute Address Anguish Brain Diseases Caring Clinical Research Collaborations Communicable Diseases Data Detection Development Distress Earthquakes Effectiveness of Interventions Epidemiology Evaluation Exploratory/Developmental Grant Funding Goals Grant Haiti Health Healthcare Home environment Improve Access Institution Intervention Knowledge Longevity Major Depressive Disorder Mental Health Mental Health Services Mental disorders Mentorship Modeling NIH Program Announcements Needs Assessment Occupations Outcome Persons Pilot Projects Population Post-Traumatic Stress Disorders Prevalence Process Psychosocial Assessment and Care Research Research Personnel Research Priority Research Training Resources Risk Schools Screening procedure Services Severities Site Social Environment Social Sciences Students Symptoms Training Treatment outcome Work Youth abstracting base care delivery clinical care community based evaluation design effective intervention experience health care delivery implementation research improved medical schools meetings novel psychologic psychosocial response skills suicidal risk teacher

项目摘要

DESCRIPTION (provided by applicant): Developing research capacity for mental health interventions for youth in Haiti Abstract: The widespread and catastrophic destruction and casualties following the 2010 earthquake centered near Port-au-Prince, Haiti imposed an acute and unprecedented burden upon already strained Haitian mental health care delivery resources. Traumatic exposures and new psychosocial adversities, including displacement from homes, jobs, and schools and major disruptions in supplies and services, are expected to result in increased prevalence and severity of mental disorders in all sectors of the Haitian population. The anticipated extraordinary need will demand prudent and strategic allocation of inevitably limited resources. Development of novel, empirically-supported models for extending scarce mental health care resources can leverage them for greater coverage and benefit within the Haitian population. Intrinsic to building requisite mental health services in Haiti, is the further development of local research capacity that can advance the empirical base for effective mental health care delivery strategies in Haiti. The overarching aim of the proposed work is to strengthen and extend an existing institutional collaboration between Zanmi Lasante (ZL), a non-governmental organization delivering health care in Haiti, and Harvard Medical School (HMS), in order to develop local and collaborative capacity for epidemiologic, social science, and implementation research on mental disorders in Haiti. We propose to achieve this aim through coordinating needs assessment, reciprocal didactic seminar based training, and a practicum that encompasses design, implementation, and evaluation of a novel school-based youth mental health intervention in central Haiti. This intervention will potentially enhance school-based detection of youth at risk for mental disorders and then utilize teachers as mental health accompagnateurs to support youth access to appropriate care. If feasible, acceptable, and effective, this intervention can be studied for its potential to improve mental health outcomes for Haiti's youth in future research that will also further develop and consolidate ZL/HMS collaborative research capacity for mental disorders in Haiti. PUBLIC HEALTH RELEVANCE: The proposed work will develop collaborative research capacity among Zanmi Lasante and Harvard Medical School investigators in Haiti and the U.S. through needs assessment, reciprocal didactic seminar based training, and a practicum that encompasses design, implementation, and evaluation of a novel school-based youth mental health intervention in central Haiti. This intervention will potentially enhance school-based detection of youth at risk for mental disorders and then utilize teachers as mental health accompagnateurs to support youth access to appropriate care. If feasible, acceptable, and effective, this intervention can be studied further for its potential to improve mental health outcomes for Haiti's youth.

描述（由申请人提供）：发展研究能力的心理健康干预措施，为青年在海地摘要：广泛和灾难性的破坏和伤亡后，2010年的地震集中在太子港附近，海地施加了严重的和前所未有的负担已经紧张的海地精神卫生保健提供资源。创伤暴露和新的心理社会逆境，包括流离失所、离开家园、工作和学校以及供应和服务的严重中断，预计将导致海地各阶层人口中精神障碍的发病率和严重程度增加。预期的非常需求将要求审慎和战略性地分配不可避免的有限资源。开发新的、得到医疗机构支持的模式，以扩大稀缺的精神卫生保健资源，可以利用这些资源在海地人口中扩大覆盖面和获益。在海地建立必要的精神卫生服务的本质是进一步发展当地的研究能力，可以推进海地有效的精神卫生保健提供战略的经验基础。拟议工作的总体目标是加强和扩大Zanmi Lasante（ZL）（一个在海地提供医疗保健的非政府组织）与哈佛医学院（HMS）之间的现有机构合作，以发展海地精神障碍流行病学、社会科学和实施研究的地方和协作能力。我们建议通过协调需求评估，互惠的教学研讨会为基础的培训，并包括设计，实施和评估一种新的以学校为基础的青年心理健康干预在海地中部的实习来实现这一目标。这一干预措施将有可能加强学校对有精神障碍风险的青年的检测，然后利用教师作为精神健康陪护，支持青年获得适当的护理。如果可行，可接受的，有效的，这种干预措施可以研究其潜力，以改善海地的青年在未来的研究，也将进一步发展和巩固ZL/HMS在海地精神障碍的合作研究能力的心理健康结果。公共卫生关系：拟议的工作将开发Zanmi Lasante和哈佛医学院的调查人员在海地和美国之间的合作研究能力通过需求评估，互惠教学研讨会为基础的培训，以及实习，包括设计，实施和评估一个新的以学校为基础的青年心理健康干预海地中部。这一干预措施将有可能加强学校对有精神障碍风险的青年的检测，然后利用教师作为精神健康陪护，支持青年获得适当的护理。如果可行，可接受和有效，这种干预措施可以进一步研究其改善海地青年心理健康结果的潜力。