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

摘要 在我的主要导师Borba博士、我的共同导师Freier博士、Dorsey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 对因被迫流离失所而迁徙的人的心理健康治疗进行调整。这个 拟议的研究调查了治疗因以下原因引起的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。我的研究计划的目标是 独立研究和检查心理健康治疗，以了解治疗的目的 在被污名化和边缘化的人群中寻求和保留精神障碍，如强迫 流离失所的人们。最近移民到秘鲁的委内瑞拉人的初步调查结果 委内瑞拉人的外逃表明，移民之旅有影响心理健康的风险因素 背景。因此，该提案利用定性的方法来检查，并随后针对特定的上下文 促进秘鲁被迫流离失所人口寻求和保留治疗的移民因素 精神错乱。在实施科学的框架内，该提案将包括亲自采访 被迫离开委内瑞拉并移民到秘鲁的人。这些采访将是 利用通用要素治疗方法，这是一种跨诊断干预措施，适用于独特的 强迫流离失所的挑战。在与我的导师的合作下，我制定了一个全面的 培训计划将使我具备从事全球心理健康研究事业所需的技能。我的 培训和职业发展的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)临床干预分析。这些技能将使我能够 成为一名专注于全球心理健康的独立科学家。

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.