Research Component

我们拉丁美洲中心（HLA）的总体目标是为严重精神障碍患者（CHC-SMD）的社区卫生保健取得持续进展。我们将CHC-SMD设想为一个初级保健和二级精神卫生服务的综合系统，并尽可能接近使用它们的社区；所有严重精神障碍患者及其家人都可以获得；促进充分的社区融合；让受影响的个人、他们的家庭和社区参与到为他们提供的卫生服务中来。

The overall goal of our Hub for Latin America (HLA) is to generate sustained progress toward Community Health Care for individuals with Severe Mental Disorders (CHC-SMD). We envision CHC-SMD as an integrated system of primary care and secondary mental health services that are delivered as close as possible to the communities that use them; that are accessible to all people with severe mental disorders and their families; that promote full community integration; and that engage the affected individuals, their families, and their communities in shaping the health services offered to them. The Research Component proposes to test a pilot regional randomized controlled trial (RCT) of a Critical Time Intervention-Task Shifting (CTI-TS) intervention. CTI-TS is a task shifting integration, and, at the system level, strengthens the connections between mental health and primary care clinics. The proposed pilots are a necessary preparatory step toward a full-scale regional RCT. We wili conduct pilot RCTs (N=40) of CTI-TS at three sites (total N = 120): Rio de Janeiro, Santiago, and a third HLA site selected during year 1. The study complements our Capacity Building Component, because HLA sites will gain experience with R(5TS, with task shifting interventions, and with coordination of research among sites. The aims of the Research Component then are : (a) to complete a pilot RCT of CTI-TS at three HLA sites; (b) to analyze the data collected to infomi the design of a full scale regional RCT; and (c) to share results and challenges encountered with all relevant stakeholders.