Malawian Program for Mental Health Research Training (WARMHEART)

摘要 在全球范围内，精神健康障碍占残疾生活年数的近三分之一，是第五大 残疾调整寿命年的主要原因。这一负担的大约四分之三存在于低收入国家， 中等收入国家存在特别大的“心理健康治疗差距”。这种差距 特别是在撒哈拉以南非洲，那里的心理健康治疗能力极其有限， 在27名精神障碍患者中，只有不到1人得到最低限度的适当治疗。 发展国内精神卫生研究和政策翻译的领导者， 解决南非的心理健康治疗差距。在其他卫生领域的经验提供了一个成功的， 可持续的变革模式。在马拉维，一系列以艾滋病毒为重点的Fogarty D43训练了传染病 这些受训人员现在担任重要的研究和政策职位，领导艾滋病毒研究。 影响政策的改变。我们的目标是将这种成功的培训模式扩展到心理健康研究。 心理健康研究和政策制定有望大幅增长。在马拉维，被称为“ 温暖非洲的心”，该国第一位精神科医生在一代人完成了两年的医疗培训 前马拉维医学院热情支持扩大其心理健康系， research.多个资助的心理健康研究赠款为指导研究提供了丰富的机会 卫生部心理健康股致力于将研究成果转化为实践。 我们将采用一种模式来加快马拉维整个生命周期的心理健康研究能力， 强调三个互补的维度：深度，广度和范围。这一举措建立在强大的 联合国大学教堂山分校、马拉维大学 马拉维卫生部和许多其他合作伙伴。 具体而言，我们将1）培养4名临床精神病学研究人员和5名博士后精神健康研究 研究员谁将参加领导力培训，短期课程，指导研究项目，写作 讲习班和会议出席率（深度）; 2）举行广泛的初步利益攸关方会议， 研究和政策问题，需要跨专业合作的指导研究项目，共同赞助 年度心理健康会议，提高国内教师的指导技能，并定期赞助 心理健康期刊俱乐部面向广泛的受众（广度）; 3）扩大这些研究人员的影响 通过领导力和政策翻译培训，需要与政策制定者合作， 研究项目，并在项目期结束时举行政策翻译会议（reach）。 马拉维心理健康研究培训方案（WARMHEART）将建立一个专家库， 心理健康研究人员被培训为领导者，能够与其他学科和政策制定者合作 to address地址the role作用of psychiatric精神疾病across横过the lifetime寿命.

Abstract Globally, mental health disorders account for nearly a third of years lived with disability and are the fifth- leading cause of disability-adjusted life years. Approximately three-quarters of this burden resides in low and middle-income countries, where a particularly large “mental health treatment gap” exists. This gap is particularly striking in sub-Saharan Africa (sSA), where extremely limited mental health treatment capacity exists; less than 1 in 27 of those with a mental disorder get minimally adequate treatment. The development of in-country leaders in mental health research and policy translation is critical to address this mental health treatment gap in sSA. Experience in other health areas provides a successful and sustainable model for change. In Malawi, a series of HIV-focused Fogarty D43s has trained infectious diseases researchers for over a decade; these trainees now hold key research and policy posts, leading HIV research and effecting policy change. We aim to expand this successful training model to mental health research. Mental health research and policy development is poised for significant growth. In Malawi, known as “the warm heart of Africa,” the country's first psychiatrist in a generation completed medical training two years ago. The Malawi College of Medicine enthusiastically supports expansion of its mental health faculty and research. Multiple funded mental health research grants provide a rich opportunity for mentored research experiences, and the Ministry of Health mental health unit is committed to translating research to practice. We will employ a model to accelerate mental health research capacity across the lifespan in Malawi that emphasizes three complementary dimensions: depth, breadth, and reach. This initiative builds on the strong training track records of and successful collaborations between UNC-Chapel Hill, the Malawi College of Medicine, the Malawi Ministry of Health, and many other partners. Specifically, we will 1) train 4 clinical psychiatry researchers and 5 postdoctoral mental health research fellows who will participate in leadership training, short courses, mentored research projects, writing workshops, and conference attendance, (depth); 2) hold broad initial stakeholder meetings to prioritize research and policy questions, require cross-specialty collaboration in mentored research projects, co-sponsor an Annual Mental Health conference, enhance mentorship skills among in-country faculty, and sponsor regular mental health journal clubs for a broad audience (breadth); and 3) extend the impact of these researchers through leadership and policy translation training, require collaboration with a policymaker in mentored research projects, and hold a policy translation meeting at the end of the project period (reach). The Malawian Program for Mental Health Research Training (WARMHEART) will create an expert pool of mental health researchers trained as leaders and able to collaborate with other disciplines and policymakers to address the role of psychiatric illness across the lifespan.