Regional Network for Mental Health Research in Latin America

拉丁美洲心理健康研究区域网络

• 批准号: 8335431
• 负责人: Ruben Vladimir Alvarado
• 金额: $ 65.96万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-21 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8335431
• 关键词: Adopted; American; Argentina; Brazil; Chile; Cities; Civil Rights; Colombia; Communities; Community Healthcare; Complement; Complex; Country; Development; Education; Employee Strikes; Employment; Exclusion; Goals; Grant; Health; Health Services; Health Services Accessibility; Human Rights; Individual; Institution; International; Latin America; Leadership; Mental Health; Mental Health Services; Mental disorders; Multiple Trauma; New York City; Poverty; Primary Health Care; Process; Psychiatry; Public Health; Randomized Controlled Trials; Research; Research Infrastructure; Research Personnel; Shapes; Site; Sum; System; Time; Training; United States National Institutes of Health; Universities; Violence; Vision; Vulnerable Populations; civil society; design; experience; improved; mortality; programs; public health relevance; social; social inequality; urban area

DESCRIPTION (provided by applicant): The overriding objective of our Hub for Latin America (HLA) is to improve the condition of people with severe mental disorders in Latin America. We propose to do so by making a focused contribution to narrowing the "mental health gap". Our long-term goal is to improve health services for people with severe mental disorders until they are equivalent to the best health services offered to people with highly prioritized general health conditions. We envision an integrated system of primary care and secondary mental health services that we refer to as Community Health Care for individuals with Severe Mental Disorders (CHC-SMD). We adopt a multi-pronged approach that is tailored to the distinctive context of the urban areas of Latin America. Our goals for the 5-year grant period are to launch strategic initiatives that will generate significant progress toward CHC-SMD in this region, and to build a platform for ongoing progress over a longer time period. The HLA brings together key researchers and stakeholders from six cities across Latin America (Santiago, Chile; Rio de Janeiro, Brazil; Buenos Aires, Cordoba, Neuquen, Argentina; Medellin, Colombia) with researchers in New York City in a concerted effort to make progress toward a shared vision of CHC-SMD. The Components are designed to be synergistic so that the impact of the whole HLA is greater than the sum of its parts. The Research Component, for example, proposes to pilot a regional randomized controlled trial (RCT). In order for the HLA to proceed as planned to conduct a full scale regional RCT, the Capacity Building Component will need to train leaders at the HLA sites to conduct RCTs and coordinate regional studies. At the same time, the pilot RCT will help generate this capacity by providing practical experience in RCTs and regional studies. Our overall specific aims are (a) to deploy and evaluate task shifting approaches that can accelerate progress toward CHC-SMD; (b) to train young leaders with the capacities required to generate ongoing progress toward CHC-SMD; and (c) to bring together multiple stakeholders to contribute to implementing and shaping CHC-SMD.

描述(由申请人提供)：我们拉丁美洲中心(HLA)的首要目标是改善拉丁美洲严重精神障碍患者的状况。我们建议通过集中力量缩小“心理健康差距”来做到这一点。我们的长期目标是改善为严重精神障碍患者提供的健康服务，直到它们与向高度优先考虑一般健康状况的人提供的最好健康服务相当。我们设想了一个初级保健和二级精神卫生服务的综合系统，我们将其称为严重精神障碍个人社区卫生保健(CHC-SMD)。我们采取多管齐下的办法，以适应拉丁美洲城市地区的独特情况。我们在5年授权期内的目标是启动战略举措，在该地区的CHC-SMD方面取得重大进展，并建立一个在更长时间内不断取得进展的平台。 人类白细胞抗原将来自拉丁美洲六个城市(智利圣地亚哥、巴西里约热内卢、阿根廷内乌肯的布宜诺斯艾利斯、哥伦比亚的麦德林)的关键研究人员和利益相关者与纽约市的研究人员聚集在一起，共同努力，朝着CHC-SMD的共同愿景取得进展。各组成部分被设计成协同作用，从而使整个HLA的影响大于其各部分的总和。例如，研究部分提议试行一项区域随机对照试验。为了使人类免疫系统能够按计划进行全面的区域区域研究，能力建设部分将需要培训人类免疫系统各地点的领导人，以开展区域研究和协调区域研究。同时，试点区域工作队将通过提供区域工作队和区域研究方面的实际经验，帮助建立这一能力。 我们的总体具体目标是：(A)部署和评估可加速实现CHC-SMD进展的任务转移方法；(B)培训具备在CHC-SMD取得持续进展所需能力的年轻领导者；以及(C)将多个利益攸关方聚集在一起，为实施和形成CHC-SMD做出贡献。