Global Mental Health (GMH) Research Fellowship: Interventions that Make a Difference

这是我们的全球心理健康（GMH）研究奖学金的第二次更新：干预，使一个 差GMH实施科学（IS）的目的是减少巨大的GMH治疗差距，无论是在低， 中等收入国家（LMIC），其中75-85%的人口无法获得MH护理， 在高收入国家（HIC）的环境中，包括美国，35-50%的人无法获得MH护理。MH 疾病是全球两性、整个生命周期和全世界健康相关负担的主要原因。 地区不幸的是，COVID-19在全球范围内增加了MH疾病的患病率，恶化了社会 健康的决定因素（SDoH）驱动MH差距，并破坏了现有的医疗保健系统。多 存在减少MH障碍影响的循证干预措施（EBI）;然而，由于EBI量表- 由于MH疾病尚未成为全球或美国的优先事项，因此MH疾病的全球患病率并未降低， 1990.在这次更新中，我们保持了培训研究员使用信息系统来应对扩大规模的挑战的目标 预防和识别精神分裂症疾病，并优化资源匮乏地区获得有效精神分裂症治疗的途径 设置.凭借其理论严谨，方法创新和实际应用，我们的计划利用 哥伦比亚大学的广泛设施、我们的美国和全球合作伙伴以及该领域的杰出研究人员 为下一代GMH科学家提供培训，重点有两个：第一，以部署为重点 干预研究，我们在其中培训研究员，以适应和发展MH EBI，准备 在资源贫乏的地区与社区合作部署（例如，病人，亲属，律师，供应商， 管理人员和政策制定者），同时解决SDoH在服务不足者中造成的MH差异 第二，干预措施的传播、实施和服务规模的扩大，以解决MH问题 差异、相关的SDoH以及护理系统的中断。研究员将学习如何检查MH EBI 可以在美国和中低收入国家的低资源环境中实现可持续的规模扩大。具有鲁棒 指导，实践经验（即，重点放在可持续性的试点项目），GMH IS教学指导，以及 培训成为有竞争力的研究人员（例如，撰写科学论文，争取资助），我们将 维持一个由4名研究员组成的小组，每名研究员的任期为3年，新任命的研究员为研究员 毕业生该方案现在将：1）通过确定造成卫生保健差距的机制来促进卫生公平， 在服务不足的人群中增加获得优质MH EBI护理的机会; 2）改善SDoH驱动MH 3）改善公共卫生保健系统的准备工作，积极应对流行病; 4）促进 加强来自高收入国家和低收入国家的下一代初级研究人员之间的研究合作。在 此外，我们还增加了一个代表性不足的少数民族医学生（URMMS）短期夏季 研究奖学金在GMH是刺激GMH是更大的包容性和多样性的劳动力管道。

This is the second renewal of our Global Mental Health (GMH) Research Fellowship: Interventions that Make a Difference. GMH implementation science (IS) aims to decrease the vast GMH treatment gap both in low- and middle-income countries (LMIC), where 75-85% of populations have no access to MH care, and in low-resource settings of high-income countries (HIC), including the US, where 35-50% have no access to MH care. MH disorders are the leading causes of global health-related burden across both sexes, the entire lifespan, and world regions. Unfortunately, COVID-19 has globally increased MH disorder prevalence, worsened the social determinants of health (SDoH) that drive MH disparities, and disrupted the existing health care system. Multiple evidence-based interventions (EBIs) that reduce the impact of MH disorders exist; however, because EBI scale- up has not been a global or US priority, there has been no reduction in global prevalence of MH disorders since 1990. In this renewal, we maintain our goal of training Fellows to use IS to address the challenges of scaling up prevention and recognition of MH disorders and optimizing access to efficacious MH treatment in low-resource settings. With its theoretical rigor, methodological innovation, and practical application, our program leverages extensive facilities at Columbia University, our US and Global partners, and distinguished researchers in the field to provide training to the next generation of GMH scientists with a 2-fold focus: First, Deployment-focused intervention research, in which we train Fellows to contextually adapt and develop MH EBI that are ready to be deployed in resource-poor areas with community collaboration (e.g., patients, relatives, advocates, providers, administrators, and policy makers) while addressing SDoH driving MH disparities among underserved populations; Second, Intervention dissemination, implementation, and services scale-up, to address MH disparities, associated SDoH, and disruptions of the care system. Fellows will learn to examine how MH EBI can be implemented for sustainable scale-up in low-resource settings in the US and LMICs. With robust mentorship, hands-on experience (i.e., pilot projects focusing on sustainability), GMH IS didactic instruction, and training to excel as competitive researchers (e.g., writing scientific papers, competing for grant support), we will maintain a cohort of 4 Fellows, each with a 3-year appointment, and with new appointments made as Fellows graduate. The Program now will 1) Promote health equity by identifying mechanisms driving MH disparities and increasing access to quality MH EBI care among underserved populations; 2) Improve SDoH driving MH disparities; 3) Improve public MH system preparedness to proactively address pandemics; and 4) Foster enhanced research collaboration among the next generation of junior investigators from HICs and LMICs. In addition, we have added an Underrepresented Minority Medical Student (URMMS) Short-Term Summer Research Fellowship in GMH IS to stimulate a workforce pipeline of greater inclusion and diversity in GMH IS.