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Leveraging Implementation Science and Design Methods to Sustain Community-Based Mental Health Services for Refugees

利用实施科学和设计方法为难民维持基于社区的心理健康服务

基本信息

批准号：
10701085
负责人：
Mary Bunn
金额：
$ 18.73万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-08 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10701085
关键词：
Address Adopted Adoption Adult Affect Applied Skills Area Caring Characteristics Chicago Child Child Mental Health Coffee Collaborations Communities Community Practice Community Services Complex Conflict (Psychology)Country Coupled Data Education Effectiveness Effectiveness of Interventions Evidence based intervention Family Family Relationship Funding Future Goals Health Resources Health Services Accessibility Home Improve Access Income Individual Intervention Knowledge Life Experience Mediating Mental Health Mental Health Services Mental disorders Mentored Research Scientist Development Award Mentors Methods Modeling National Institute of Mental Health Outcome Partnership Practice Personal Satisfaction Pilot Projects Population Prevention Process Provider Randomized Refugee Camp Refugees Research Research Personnel Research Priority Research Project Grants Resources Risk Risk Factors Service setting Services Shapes Social Network Stress and Coping Structure Syria System Testing Time Training Trauma Universities War Woman Work care systems career clinical practice community organizations community partnership community setting coping effectiveness/implementation design empowerment evidence base experience group intervention health disparity help-seeking behavior human centered design hybrid type 1 design implementation design implementation evaluation implementation science low and middle-income countries men migration military family multidisciplinary peer practice setting preference prevention service preventive intervention programs psychosocial research study scale up service organization skills social social relationships stressor tool trauma exposure trial design uptake urban area usability violence exposure

项目摘要

There has been an unprecedented increase in the number of refugees worldwide, with approximately 26 million men, women and children forcibly displaced from their homes at the end of 2019. More than half of the world’s refugees live in dense urban areas or refugee camps in low- and middle-income countries. A smaller percentage are permanently resettled in high-income countries. Across these contexts, refugees have elevated rates of common mental disorders. War and forced migration also contribute to systematic disruptions in social relationships including family separation, tension and conflict, and losses of social networks. There is an emerging evidence base of models regarding refugees’ mental health and psychosocial needs, but major gaps exist regarding how to adapt evidence-based interventions (EBIs) to refugee populations and sustain them in community settings. To address these gaps, my career goal is to establish an independent research program focused on the implementation of community-based mental health services for refugee communities across the displacement continuum. In collaboration with community partners, I aim to examine methods for integrating EBIs into non-traditional service settings to enable refugees’ access to prevention and care interventions that promote positive mental health outcomes. A central concern my research seeks to address is how to best mobilize social and family resources to enhance coping and wellbeing. These research priorities are shaped by my more than fifteen years of clinical practice experience working with war-affected populations in the U.S and globally, doctoral training at the University of Chicago and early research experiences. This K01 application is structured to build upon my strengths and develop new knowledge and skills in key areas needed to achieve my long-term goals. My training aims focus on 1) implementation science methods to adapt, scale up and sustain EBIs in community settings; 2) the application of human-centered design to community-based refugee mental health services; and 3) community-based trial design and analysis. With support from an accomplished multidisciplinary team of mentors, I will apply these skills to a research project that focuses on implementing a peer-led multiple family group (MFG) prevention intervention called CAFES in two community-based organizations in Chicago to promote uptake and meet the multi-level needs of refugee families. Using a pilot randomized type 1 hybrid implementation-effectiveness design, the research aims include: 1) Adapting the multiple family CAFES model for Syrian refugee families and delivery by peer providers in community-based organizations using the ADAPT-ITT framework and human-centered design methods; 2) Piloting the adapted CAFES model to assess implementation science domains; and 3) Exploring changes in mental health outcomes and family and community support and mechanisms of change. Drawing on the new knowledge and skills and pilot study data obtained from this K01, I will prepare an R01 proposal to further test the model implementation and effectiveness.

全世界难民人数空前增加，大约有26人

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Rethinking mental healthcare for refugees.

重新思考难民的心理保健。

DOI：
10.1016/j.ssmmh.2023.100196
发表时间：
2023
期刊：
SSM. Mental health
影响因子：
0
作者：
Bunn,Mary;Khanna,Deepika;Farmer,Elizabeth;Esbrook,Eleanor;Ellis,Heidi;Richard,Anne;Weine,Stevan
通讯作者：
Weine,Stevan

Family-based mental health interventions for refugees across the migration continuum: A systematic review.