Disparities in Mental Health Care for Latinos with Serious Mental Illness

描述（由申请人提供）：本申请的总体目标是制定一项为期5年的国际研究培训计划，该计划将培养一支年轻的研究人员队伍，以解决美国严重精神疾病拉丁美洲人在精神卫生保健方面的差异。为了实现这一目标，我们力求：（a）从健康差距人口，特别是拉丁美洲人中招募最优秀的年轻研究人员;（B）帮助受训人员发展研究和专业技能，以减少和消除拉丁美洲人的心理健康差距;（c）增加获得研究型博士学位的拉丁美洲人的人数。南加州大学临床心理学项目，南加州大学社会工作学院和加州大学洛杉矶分校临床心理学项目的博士课程将作为培训计划的家庭机构。我们还将从美国各地的学院和大学吸引申请人。每年招收本科生6名，研究生2名。墨西哥普埃布拉Benemerita自治大学医学院将作为外国母机构。组织培训是为了反映2002年医学研究所报告“不平等待遇”所界定的健康差异的三个一般性决定因素领域（个人因素、卫生系统和提供者歧视），并反映获得精神卫生保健途径中的重要转折点（获得保健的前提、获得保健的机会和提供服务）。学员将首先在南加州大学接受为期一周的密集研讨会，研究南加州大学和加州大学洛杉矶分校多学科教师小组提供的拉丁美洲精神卫生保健的差异。第一周之后，学员将前往墨西哥的普埃布拉完成为期10周的课程，在此期间，他们将沉浸在由墨西哥教师导师和美国教师导师开展的两个母项目之一中。第一年，该方案将侧重于（a）促进社区居民识别精神病迹象的能力，（B）评估与精神病患者残疾有关的因素。在接下来的几年里，培训咨询委员会将决定哪些项目将作为培训的重点，在墨西哥和美国的教师导师中轮流进行项目。 相关性（参见说明）： 该培训计划将培养研究人员，以解决拉丁美洲人心理健康护理方面的差距，特别是他们对心理健康服务的低使用率和心理健康护理质量差。此外，该计划将增加具有必要研究和专业技能的拉丁裔调查人员的数量，以帮助消除这种差异。

DESCRIPTION (provided by applicant): The overall objective of this application is to develop a 5-year international research training program that will develop a cadre of young investigators to address disparities in mental health care for U.S. Latinos with serious mental illness. To accomplish this objective, we seek: (a) to recruit the very best young researchers from health disparities populations, particularly Latinos; (b) to help the trainees develop the research and professional skills to reduce and eliminate mental health disparities for Latinos; and (c) to increase the number of Latinos who receive research oriented doctoral degree. The doctoral programs within USC's Clinical Psychology Program, USC's School of Social Work, and UCLA's Clinical Psychology Program will serve as the home institutions of the training program. We will also draw our applicant pool from colleges and universities throughout the United States. A total of 6 undergraduate trainees and 2 graduate trainees will be recruited each year. The School of Medicine at the Benemerita Universidad Autonoma de Puebla, in Mexico will serve as the foreign home institution. The training is organized to reflect the three general domains of determinants of health disparities as defined by the 2002 Institute of Medicine Report "Unequal Treatment" (individual factors, health systems, and provider discrimination) and to reflect significant junctures in pathways to mental health care (antecedents to care, access to care, and provision of services). Trainees will first receive an intensive 1-week seminar at USC in the study of disparities in Latino mental health care delivered by a multidisciplinary group of faculty from both USC and UCLA. Following the first week, trainees will then travel to Puebla, Mexico to complete a 10-week program during which they will immerse themselves in one of two parent projects being carried out by a Mexico Faculty Mentor and a U.S. Faculty Mentor. For the first year, the program will focus on (a) promoting community residents' literacy in identifying the signs of psychosis, and (b) assessing factors associated with disability in persons with mental illness. For the following years, the Training Advisory Committee will decide which projects will serve as the focus of the training rotating the projects among both Mexican and U.S. faculty mentors. RELEVANCE (See instructions): The training program will develop researchers to address disparities in mental health care for Latinos, specifically their low use of mental health services and their poor quality of mental health care. In addition, the program will increase the number of Latino investigators with the necessary research and professional skills to help eliminate such disparities.