Eastern Mediterranean Partnership to implement the Regional Framework for Mental Health: Going to scale with school mental health

东地中海伙伴关系实施区域心理健康框架：扩大学校心理健康范围

• 批准号: 10006849
• 负责人: ATIF RAHMAN
• 金额: $ 11.73万
• 依托单位: UNIVERSITY OF LIVERPOOL
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2022-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10006849
• 关键词: Address; Affect; Child; Child Mental Health; Collaborations; Communication; Communities; Consultations; Country; Egypt; Ensure; Evaluation; Family; Health; Health Policy; Institution; Instruction; International; Intervention; Iran; Jordan; Knowledge; Leadership; Learning; Mediterranean Region; Mental Health; Methods; Monitor; National Institute of Mental Health; Outcome; Output; Pakistan; Phase; Policies; Policy Maker; Process; Province; Research; Research Infrastructure; Research Personnel; Resources; S Phase; Schools; Science; Site; Structure; Supervision; Tablets; Technology; Testing; Theory of Change; Training; Translating; Work; World Health Organization; base; clinical implementation; cohort; effectiveness implementation study; evidence base; experience; health plan; implementation research; innovation; member; programs; scale up; service delivery; service programs; skills; social; teacher

Project summary: An estimated 10-20% of children globally are affected by a mental health problem. Child mental health has been identified as a priority within the WHO’s Eastern Mediterranean Region (WHO EMRO). Following consultations with international and regional experts and stakeholders, WHO EMRO developed an evidence-based manualised School Mental Health Intervention (EMRO SMHI), endorsed by all member countries, including Pakistan, where the federal and provincial health departments have made plans for phased national implementation at scale. A number of implementation challenges identified by stakeholders at a WHO EMRO consultation have to be addressed to achieve these plans, including sustainable delivery of quality training and supervision at scale; routine monitoring of outcomes; mechanisms for ensuring programme quality; and intervention adaptation for delivery in diverse regional settings. We will conduct research in Pakistan embedded within national implementation of the EMRO SMHI to address these challenges, applying scalable technological and social innovations developed and feasibility-tested in Pakistan. This builds upon many years’ experience of successfully delivering similar programs in resource- poor and challenging community-based settings in this region of Pakistan. Capacity building will be embedded within the project with focus on child mental health. This will involve strengthening the capacity of targeted cohorts of researchers and policy makers in 4 EMRO countries (Pakistan, Iran, Jordan, and Egypt) to: 1) Develop skills in generating, applying and effectively disseminating research to aid implementation of school-based interventions for child mental health; and 2) To understand, interpret and apply science-based methods and information to develop child mental health policies and plans; 3) Use their skills to build the child mental health research and policy capacity of their countries and the region as a whole. The research component, consisting of two stages, will be embedded within Pakistan’s phased scale-up implementation of the EMRO SMHI. Research will be conducted in Pakistan, in sites with an established research infrastructure, sub-districts Kallar Syedan and Gujar Khan, in the Province of Punjab. The research team will partner with the Pakistan Health Ministry and the WCC-IoP to both study and assist its scale-up plans by integrating our technological and social innovation. We will begin our work by engaging stakeholders to develop a comprehensive “theory of change” to both guide scale-up and support testable hypotheses about the structures, collaborations, and knowledge most important to the process of scaling innovations. In the next stage the research team will work with the WCC-IoP to conduct hybrid effectiveness-implementation research comparing two methods of implementing the EMRO SMHI. Using mixed methods, we will compare conventional training, supervision, service delivery and program monitoring with the use of a tablet-based technology-assisted platform that integrates these essential functions. The platform uses readily-adaptable video and audio modules to provide a structure for cascading personalised knowledge and skill instruction to teachers, so they can in turn apply universal and targeted strategies to address mental health problems with children and their families. We hypothesise that use of the platform will lead to improvements in both clinical and implementation outcomes.

项目概要： 据估计，全球有10-20%的儿童受到心理健康问题的影响。儿童心理健康 已被确定为世卫组织东地中海区域（世卫组织东地中海区域）的优先事项。以下 世卫组织东地中海区域办事处与国际和区域专家及利益攸关方进行了磋商， 循证手册学校心理健康干预（EMRO SMHI），得到所有成员的认可 包括巴基斯坦在内的国家，联邦和省级卫生部门已经制定了计划， 在全国范围内分阶段实施。利益攸关方确定的若干执行挑战 为实现这些计划，包括可持续的交付， 大规模的质量培训和监督;成果的例行监测;确保 方案质量;以及调整干预措施，以便在不同的区域环境中实施。我们会进行 巴基斯坦的研究嵌入在EMRO SMHI的国家实施中，以解决这些问题 挑战，应用可扩展的技术和社会创新，并在 巴基斯坦这是建立在多年的经验，成功地提供类似的计划，在资源- 巴基斯坦这一地区贫穷和具有挑战性的社区环境。 能力建设将纳入该项目，重点关注儿童心理健康。这将涉及 加强4个东地中海区域办事处国家的目标研究人员和决策者群体的能力 （巴基斯坦、伊朗、约旦和埃及）： 1)发展产生、应用和有效传播研究成果的技能，以协助执行 以学校为基础的儿童心理健康干预措施;以及 2)理解，解释和应用基于科学的方法和信息，以发展儿童心理 卫生政策和计划; 3)利用他们的技能，建设他们国家的儿童心理健康研究和政策能力， 整个区域。 研究部分由两个阶段组成，将纳入巴基斯坦分阶段扩大规模的计划 实施东地中海区域组织SMHI。研究将在巴基斯坦进行，在具有既定 研究基础设施，Kallar Syedan和古贾尔汗分区，位于旁遮普省。的 研究小组将与巴基斯坦卫生部和WCC-IoP合作，研究并协助其 通过整合我们的技术和社会创新来扩大计划。我们将开始工作， 利益攸关方制定全面的“变革理论”，以指导扩大规模和支持可测试的 关于结构、合作和知识的假设，这些假设对规模化过程最重要 创新。在下一阶段，研究团队将与WCC-IoP合作， 比较两种实施EMRO SMHI的方法的有效性实施研究。 使用混合方法，我们将比较传统的培训，监督，服务提供和计划 使用基于平板电脑的技术辅助平台进行监测，该平台集成了这些基本功能， 功能协调发展的该平台使用易于适应的视频和音频模块， 向教师提供个性化的知识和技能指导，这样他们就可以反过来应用通用的， 采取有针对性的战略，解决儿童及其家庭的心理健康问题。我们hypothesise 该平台的使用将导致临床和实施结果的改善。