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

基本信息

批准号：
9264019
负责人：
Mary McKernan McKay
金额：
$ 5.41万
依托单位：
WASHINGTON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
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/9264019
关键词：
Address Adolescent Adult Affect Africa Africa South of the Sahara African Applications Grants Area Attention Behavioral Child Child Mental Health Childhood Collaborations Communities Community Developments Consultations Country Data Discipline Doctor of Philosophy Economic Development Economics Education Effectiveness Evidence based intervention Evidence based practice Exposure to Family Fellowship Foundations Funding Ghana Goals Government Government Officials Guidelines Health Health Policy Health Sciences Health Services Health Services Research Health system Healthcare Human Resources Human Resources Development Institution Instruction Intervention Kenya Knowledge Leadership Life Maps Mental Health Mental Health Services Mental disorders Mentorship Methods Monitor National Institute of Mental Health Outcome Pediatrics Pilot Projects Policies Policy Developments Policy Research Politics Population Process Program Development Psychiatry Public Health Research Research Personnel Research Project Grants Resource Development Resources Schools Science Scientist Services Social Work South Africa State Government Statutes and Laws Structure Students Study Section Supervision System Theory of Change Time Training Activity Uganda United States National Institutes of Health Universities Work base behavioral health career child mental health service community setting design dissemination research evidence base experience implementation research implementation science improved mental development online resource programs research and development research data dissemination research study response scale up senior faculty skills uptake webinar

项目摘要

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（SSA）的儿童占区域人口的一半，但心理健康服务精力不足，无法满足他们的需求。尽管儿童心理健康基于证据的做法（EBP）存在，试图将它们进行扩展的尝试受到与吸收相关的严重挑战的困扰，在美国实施，整合和可持续性，很少在SSA进行。这针对RFA-MH-16-350的申请，为非洲协作儿童心理中心寻求资金非洲区域跨学科合作中心健康实施研究（ACCCR）针对通过人口减少乌干达，加纳和肯尼亚的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由以下特定目的指导：1）建立并参与学术，政府，非政府组织，社区的跨学科研究联盟以及乌干达，加纳，肯尼亚和南非的文化利益相关者，专注于解决儿童精神卫生负担，基于证据的干预实施，规模，服务差距； 2）建立孩子的精神健康实施研究能力（包括开发监测系统，进行小规模实施研究）在加纳和肯尼亚的两个国家中； 3）进行EBP扩大研究研究乌干达将检查多层次（州/政府，非政府组织，家庭，学校，社区）的影响 EBP的摄取，实施，有效性和可持续性解决严重的儿童破坏性行为挑战； 4）向政府官员及时和务实的调查结果（健康和教育）和财团合作伙伴，通过非洲政策研究咨询委员会，由扩展的科学家，非政府组织和政府官员。美国的团队由儿童心理健康服务的科学领袖和实施科学以及当前由NIH资助的研究和能力建设的研究者遍布非洲的计划，博士。 McKay，Ogedegbe，Hoagwood，Huang，Ssewamala。 SSA调查人员是从主要学术机构，包括Makerere University，Rakai Health Sciences计划（乌干达），加纳大学和内罗毕大学（肯尼亚）。具有多国家存在的非政府组织表示强烈致力于支持ACCCR的目标。 ACCCR领导团队将工作与五个分包合同PI紧密相关，以制定策略以参与合作机构，并相关社区利益相关者。国家内部和各国内部的跨学科伙伴关系将奠定基础为随后扩大乌干达，加纳和肯尼亚的研究的工作，并最终维持努力。这 ACCCR的工作目标是全球心理健康计划中大挑战的核心目标，以扩大在全球范围内获得有效的心理健康护理，以及NIMH加强公共卫生影响的优先事项通过改善将基于证据的干预措施运输到实践中的知识来进行研究。