Adaptation and assessment of a common element treatment protocol designed to improve mental health in forcibly displaced populations

旨在改善被迫流离失所者心理健康的共同要素治疗方案的调整和评估

• 批准号: 10448956
• 负责人: Haley Carroll
• 金额: $ 18.77万
• 依托单位: BOSTON MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-01 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10448956
• 关键词: Address; Affect; Aftercare; Anxiety; Area; Attitude; Behavior Therapy; Belief; Birds; COVID-19; Caring; Characteristics; Client; Clinical; Clinical Management; Collaborations; Communities; Complex; Conflict (Psychology); Crime; Elements; Enabling Factors; Environment; Evidence based treatment; Focus Groups; Freedom; Goals; Health system; Influentials; Interdisciplinary Study; International Migrations; Intervention; Intervention Studies; Intervention Trial; Interview; Knowledge; Label; Language; Latin America; Life; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mentors; Mentorship; Migrant; Modeling; National Institute of Mental Health; Nature; Outcome; Perception; Persons; Peru; Politics; Population; Population Growth; Post-Traumatic Stress Disorders; Poverty; Predisposing Factor; Prevalence; Problem Solving; Professional counselor; Protocols documentation; Provider; Public Health; Qualitative Methods; Qualitative Research; Randomized; Recording of previous events; Reinforcing Factor; Research; Research Personnel; Research Support; Research Training; Risk; Risk Factors; Scientist; Services; Social support; Stigmatization; Supervision; Target Populations; Testing; Thinking; Training; Training Activity; Treatment Protocols; Underserved Population; Venezuela; Venezuelan; Waiting Lists; Work; burden of illness; care seeking; career; career development; climate change; design; displaced person; experience; follow-up; food shortage; help-seeking behavior; implementation science; improved; information gathering; marginalized population; member; migration; multidisciplinary; pilot trial; programs; psychoeducation; recruit; skills; social stigma

ABSTRACT With support from my primary mentor Dr. Borba, my co-mentors Drs. Freier, Dorsey, and Gelaye, and my collaborator Dr. Bird, I propose a comprehensive interdisciplinary research and training plan focused on developing my expertise in clinical intervention research and qualitative assessment of cross cultural adaptations of mental health treatments for people who have migrated due to forced displacement. The proposed study investigates the potential avenues of treatment for mental health disorders that arise due to forced displacement in people from Venezuela who have migrated to Peru. My research program goal is to be an independent researcher and examine mental health treatment for the purpose of understanding treatment seeking and retention for mental disorders in stigmatized and marginalized populations, such as forcibly displaced peoples. Preliminary findings from Venezuelans who have migrated into Peru due to the recent Venezuelan exodus suggest that there are risk factors for mental health particular to the migration journey context. Thus, this proposal utilizes qualitative methods to examine, and subsequently target, context specific migration factors that facilitate treatment seeking and retention for forcibly displaced populations in Peru with mental disorders. Framed within implementation science this proposal will include in person interviews with people who have been forcibly displaced from Venezuela and migrated into Peru. These interviews will be leveraged to adapt the Common Elements Treatment Approach, a transdiagnostic intervention, for the unique challenges of forced displacement. In collaboration with my mentors, I have developed a comprehensive training plan that will prepare me with the requisite skill set for a research career in global mental health. My training and career development goals are to cultivate skills in: (1) qualitative methods, (2) cross cultural adaptations of mental health treatments, and (3) analysis of clinical interventions. These skills will allow me to become an independent scientist focused on global mental health.

摘要 在我的主要导师Borba博士、我的共同导师Freier博士、多尔西博士和Gelaye博士以及我的 合作者伯德博士，我提出了一个全面的跨学科研究和培训计划，重点是 发展我在临床干预研究和跨文化定性评估方面的专业知识 为因被迫流离失所而移徙的人调整心理健康治疗。的 一项拟议的研究调查了治疗精神健康障碍的潜在途径， 从委内瑞拉移民到秘鲁的人被迫流离失所。我的研究计划目标是 一个独立的研究人员和检查心理健康治疗的目的，了解治疗 寻求和保留被污名化和边缘化人群的精神障碍， 流离失所的人。由于最近的经济危机，委内瑞拉人移民到秘鲁， 委内瑞拉人的外流表明，特别是移民旅程中存在心理健康风险因素 上下文因此，本建议利用定性方法来审查，并随后针对具体情况 有助于秘鲁被迫流离失所者寻求治疗和保留治疗的移徙因素， 精神障碍在实施科学的框架内，该提案将包括与以下人员的面谈： 这些人被迫离开委内瑞拉，迁移到秘鲁。这些采访将是 利用共同要素治疗方法，一种跨诊断干预， 被迫流离失所的挑战。在与我的导师们的合作中，我制定了一个全面的 培训计划，这将使我具备必要的技能，在全球心理健康的研究生涯。我 培训和职业发展目标是培养以下技能：（1）定性方法，（2）跨文化 心理健康治疗的适应性;（3）临床干预措施的分析。这些技能会让我 成为专注于全球心理健康的独立科学家。