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: 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
• 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

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) 的儿童占该地区总人口的一半，但心理健康服务 的装备严重不足，无法满足他们的需求。尽管儿童心理健康循证实践 （EBP）存在，但扩大其规模的尝试却受到与吸收相关的严重挑战的困扰， 美国的实施、整合和可持续性方面的工作很少在 SSA 进行。这 针对 RFA-MH-16-350 的申请，为非洲儿童心理合作中心寻求资金 卫生实施研究 (ACCCR) 是一个非洲区域跨学科合作中心，旨在 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 以以下具体目标为指导： 1) 建立并参与学术界、政府、非政府组织、社区的跨学科研究联盟 乌干达、加纳、肯尼亚和南非的文化利益攸关方重点关注解决儿童心理问题 健康负担、循证干预措施实施、扩大规模、服务差距； 2）培养孩子的心理素质 卫生实施研究能力（包括开发监测系统、开展小规模研究） 加纳和肯尼亚两个国家的实施研究； 3) 开展EBP规模化研究 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 关于解决严重儿童破坏性问题的 EBP 的采用、实施、有效性和可持续性 行为挑战； 4) 向政府官员（各部委）传播及时、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，由扩大的科学家、非政府组织和 政府官员。总部位于美国的团队由儿童心理健康服务领域的科学领导者和 实施科学，以及当前 NIH 资助的研究和能力建设的研究人员 非洲各地设立的计划，博士。麦凯、奥格德贝、霍格伍德、黄、Ssewamala。 SSA 调查员正在 来自领先的学术机构，包括麦克雷雷大学、Rakai 健康科学项目 （乌干达）、加纳大学和内罗毕大学（肯尼亚）。拥有多国业务的非政府组织 表达了支持 ACCCR 目标的坚定承诺。 ACCCR 领导团队将开展工作 与五个分包 PI 密切合作，制定吸引合作机构以及相关机构参与的战略 社区利益相关者。这种国家内部和跨国的跨学科伙伴关系将为 致力于随后在乌干达、加纳和肯尼亚扩大研究规模并最终维持努力。这 ACCCR 的工作旨在实现全球精神卫生重大挑战倡议的核心目标，以扩大 在全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来开展研究。