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

这是我们的全球精神卫生(GMH)研究奖学金的第二次更新：干预使 不同之处。GMH实施科学(IS)旨在减少GMH治疗的巨大差距 中等收入国家(LMIC)，75%-85%的人口无法获得卫生保健服务，以及资源匮乏 高收入国家(HIC)的环境，包括美国，35%-50%的人无法获得MH护理。MH 疾病是全球健康相关负担的主要原因，无论是性别、整个寿命还是世界 地区。不幸的是，新冠肺炎在全球范围内增加了MH障碍的患病率，恶化了社会 健康决定因素(SDoH)导致了MH差异，并扰乱了现有的医疗保健系统。多重 存在减少MH疾病影响的循证干预(EBI)；然而，由于EBI量表- UP一直不是全球或美国的优先事项，自那以来，全球MH疾病的患病率没有下降 1990年。在此次续订中，我们坚持使用我们的培训研究员的目标是应对扩大规模的挑战 预防和认识MH疾病，优化低资源条件下有效MH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，在这项研究中，我们培训研究员根据背景适应和发展MH EBI 通过社区协作在资源匮乏地区部署(例如，患者、亲属、倡导者、提供者、 管理人员和政策制定者)，同时解决SDoH在服务不足人群中造成MH差异的问题 人口；第二，干预措施的传播、实施和扩大服务，以应对MH 差异、相关的SDoH和护理系统的中断。研究员将学习如何检查MH EBI 可以在美国和LMIC的低资源环境中实施可持续扩大。具有健壮的 指导，实践经验(即，注重可持续性的试点项目)，GMH是教学指导，以及 为了成为有竞争力的研究人员而出类拔萃的培训(例如，撰写科学论文、竞争拨款)，我们将 维持4名研究员，每人任期3年，并新任命为研究员 毕业了。该计划现在将1)通过确定推动卫生保健差距的机制和 在服务不足的人群中增加获得高质量MH EBI护理的机会；2)改善推动MH的SDoH 差距；3)改善公共卫生系统为主动应对流行病所做的准备；以及4)促进 加强HIC和LMIC的下一代初级研究人员之间的研究协作。在……里面 此外，我们还增加了一个人数不足的少数民族医学生(URMMS)短期暑期班 GMH的研究奖学金旨在刺激GMH的劳动力管道，使其更具包容性和多样性。

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.