African Regional Research Partnerships for Scaling Up Child Mental Health EBPs

扩大儿童心理健康 EBP 的非洲区域研究伙伴关系

• 批准号: 9264017
• 负责人: Mary McKernan McKay
• 金额: $ 27.82万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/9264017
• 关键词: Accountability; Address; Advanced Development; Africa; Africa South of the Sahara; African; Behavioral; Child; Child Mental Health; Collaborations; Communication; Communities; Country; Data; Data Analytics; Data Collection; Decision Making; Education; Effectiveness; Ensure; Evaluation; Evidence based intervention; Evidence based practice; Family; Foundations; Funding; Ghana; Goals; Government; Government Officials; Health; Health Sciences; Health Services Research; Healthcare; Human Resources; Institutes; Institution; Kenya; Knowledge; Laboratories; Lead; Leadership; Learning; Mental Health; Mental Health Services; Methods; Mission; Monitor; National Institute of Mental Health; Policies; Policy Research; Population; Process; Protocols documentation; Public Health; Research; Research Infrastructure; Research Personnel; Resolution; Resources; Rest; Schools; Scientist; Services; Site; South Africa; State Government; Structure; System; Time; Uganda; United States National Institutes of Health; Universities; Work; Workforce Development; Youth; base; child mental health service; data management; evidence base; experimental study; human subject protection; implementation research; implementation science; improved; member; operation; programs; research and development; research study; response; scale up; skills; tool; training opportunity; uptake

Children in Sub-Saharan Africa (SSA) comprise half of the total regional population, yet mental health services are severely under-equipped to meet their needs. Although child mental health evidence-based practices (EBPs) exist, attempts to take them to scale have been plagued by serious challenges related to uptake, implementation, integration and sustainability in the U.S. and have rarely been undertaken in SSA. This application, in response to RFA-MH-16-350, seeks funding for an African Center for Collaborative Child mental health implementation Research (ACCCR), an African Regional Trans-disciplinary Collaborative Center, aimed at reducing child mental health service and research gaps in Uganda, Ghana, and Kenya through a population approach to child mental health. The proposed ACCCR is guided by the following Specific Aims: 1) To establish and engage a trans-disciplinary research consortium of academic, government, NGO, community and cultural stakeholders in Uganda, Ghana, Kenya, and South Africa to focus on addressing child mental health burden, evidence-based intervention implementation, scale-up, service gaps; 2) To build child mental health implementation research capacity (including developing monitoring systems, conducting small-scale implementation studies) in two countries, Ghana and Kenya; 3) To conduct an EBP scale-up research study in Uganda, which will examine multi-level (State/government, NGOs, families, schools, communities) influences on the uptake, implementation, effectiveness and sustainability of EBPs that address serious child disruptive behavioral challenges; 4) To disseminate timely and pragmatic findings to government officials (Ministries of Health and Education) and consortium partners to optimize roll-outs of EBPs and scale-up process via an African Policy Research Advisory Board, consisting of an expanded network of scientists, NGOs and government officials. The US-based team consists of scientific leaders in child mental health services and implementation science, as well as investigators with current NIH-funded studies and capacity building programs set across Africa, Drs. McKay, Ogedegbe, Hoagwood, Huang, Ssewamala. SSA investigators are drawn from leading academic institutions, including Makerere University, Rakai Health Sciences Program (Uganda), University of Ghana and University of Nairobi (Kenya). NGOs with multi-country presence have expressed strong commitment to supporting the goals of the ACCCR. The ACCCR leadership team will work closely with five Subcontract PIs to develop strategies to engage collaborating institutions, as well as relevant community stakeholders. This trans-disciplinary partnership within and across countries will lay foundation work for subsequent scale up studies in Uganda, Ghana and Kenya and ultimately sustainment of efforts. The work of the ACCCR targets the core goal of the Grand Challenges in Global Mental Health initiative to expand access to effective mental health care worldwide, and NIMH's priority of strengthening the public health impact of research by improving knowledge on transporting evidence-based interventions into practice.

撒哈拉以南非洲儿童(SSA)占区域总人口的一半，但心理健康服务 装备严重不足，无法满足他们的需求。尽管儿童心理健康循证实践 (EBPs)的存在，使其规模化的努力一直受到与吸收有关的严重挑战的困扰， 在美国的实施、整合和可持续性，很少在SSA进行。这 申请，响应RFA-MH-16-350，为非洲儿童精神合作中心寻求资金 卫生实施研究(ACCCR)，一个非洲区域跨学科合作中心，旨在 在乌干达、加纳和肯尼亚通过人口减少儿童心理健康服务和研究差距 儿童心理健康的方法。拟议的ACCCR以以下具体目标为指导：1) 建立和参与由学术、政府、非政府组织和社区组成的跨学科研究联盟 乌干达、加纳、肯尼亚和南非的文化利益攸关方专注于解决儿童心理问题 健康负担，循证干预实施，扩大，服务差距；2)建立儿童心理 卫生执行研究能力(包括开发监测系统、开展小规模 实施研究)在加纳和肯尼亚两个国家；3)在#年进行EBP扩大研究 乌干达，将审查多层次(国家/政府、非政府组织、家庭、学校、社区)的影响 关于处理严重扰乱儿童问题的循证政策的吸收、执行、有效性和可持续性 行为挑战；4)向政府官员传播及时和务实的调查结果(各部 卫生和教育)和财团合作伙伴通过 非洲政策研究咨询委员会，由扩大的科学家、非政府组织和 政府官员。总部设在美国的团队由儿童心理健康服务领域的科学领袖和 实施科学，以及目前由NIH资助的研究和能力建设的调查人员 节目设定在非洲各地，麦凯博士、奥格德贝博士、霍格伍德博士、黄博士、塞瓦马拉博士。SSA调查人员正在 来自领先的学术机构，包括Makerere大学，Rakai健康科学项目 加纳大学和内罗毕大学(肯尼亚)。在多个国家设有办事处的非政府组织 表示坚决致力于支持ACCCR的目标。ACCCR领导团队将工作 与五个分包绩效指标密切合作，以制定与合作机构接触的战略，以及相关的 社区利益相关者。这种国家内部和国家之间的跨学科伙伴关系将奠定基础 为随后在乌干达、加纳和肯尼亚进行的扩大研究做准备，并最终维持努力。这个 ACCCR的工作目标是扩大全球精神卫生大挑战倡议的核心目标 在世界范围内获得有效的精神卫生保健，以及NIMH加强公共卫生影响的优先事项 通过提高将循证干预措施付诸实践的知识，促进研究的发展。