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

• 批准号: 8332250
• 负责人: ANNE E BECKER
• 金额: $ 13.85万
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-13 至 2015-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8332250
• 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

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.

摘要：2010年海地太子港附近发生的地震造成了广泛的灾难性破坏和人员伤亡，给本已紧张的海地精神卫生保健资源带来了前所未有的严重负担。创伤性暴露和新的社会心理逆境，包括流离失所、失去工作和学校，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患病率和严重程度增加。预期的非常需要将要求谨慎和战略性地分配不可避免地有限的资源。开发新颖的、有经验支持的模式来扩展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范围并使其受益。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，这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在海地提供卫生保健的非政府组织Zanmi Lasante （ZL）与哈佛医学院（HMS）之间现有的机构合作，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合作能力。我们建议通过协调需求评估、互惠的教学研讨会培训，以及在海地中部设计、实施和评估一项新的以学校为基础的青少年心理健康干预的实习，来实现这一目标。这一干预措施将有可能加强在学校发现有精神障碍风险的青年，然后利用教师作为精神卫生陪护者，支持青年获得适当护理。如果可行、可接受和有效，可以研究这种干预措施在未来的研究中改善海地青年心理健康结果的潜力，这也将进一步发展和巩固ZL/HMS在海地精神障碍方面的合作研究能力。

项目成果

Mental health training for secondary school teachers in Haiti: a mixed methods, prospective, formative research study of feasibility, acceptability, and effectiveness in knowledge acquisition.

• DOI: 10.1017/gmh.2016.29
• 发表时间: 2017
• 期刊: Global mental health (Cambridge, England)
• 作者: Eustache E;Gerbasi ME;Smith Fawzi MC;Fils-Aimé JR;Severe J;Raviola GJ;Legha R;Darghouth S;Grelotti DJ;Thérosmé T;Pierre EL;Affricot E;Alcindor Y;Stack MB;Becker AE
• 通讯作者: Becker AE

High burden of mental illness and low utilization of care among school-going youth in Central Haiti: A window into the youth mental health treatment gap in a low-income country.

• DOI: 10.1177/0020764017700174
• 发表时间: 2017-05
• 期刊: The International journal of social psychiatry
• 作者: Eustache E;Gerbasi ME;Smith Fawzi MC;Fils-Aimé JR;Severe J;Raviola GJ;Legha R;Darghouth S;Grelotti DJ;Thérosmé T;Pierre EL;Affricot E;Alcindor Y;Becker AE
• 通讯作者: Becker AE

Formative research on a teacher accompaniment model to promote youth mental health in Haiti: Relevance to mental health task-sharing in low-resource school settings.

• DOI: 10.1177/0020764017700173
• 发表时间: 2017-06
• 期刊: The International journal of social psychiatry
• 作者: Eustache E;Gerbasi ME;Severe J;Fils-Aimé JR;Smith Fawzi MC;Raviola GJ;Darghouth S;Boyd K;Thérosmé T;Legha R;Pierre EL;Affricot E;Alcindor Y;Grelotti DJ;Becker AE
• 通讯作者: Becker AE