Asia Pacific Research for Mental Health Services (ASPIRE_MHS)

 描述（由申请人提供）：亚太精神卫生服务研究中心（ASPIRE-MHS）的总体目标是建立亚太地区研究人员，服务提供者和政策制定者的协作网络，以开展和建设与LMIC环境中的精神卫生服务相关的实施研究能力。随着越来越多的证据表明，非药物治疗在LMIC中治疗常见精神障碍是可以接受和有效的，我们对如何将这些干预措施扩大规模并创造政策支持环境以长期维持这些干预措施的理解仍然存在差距。一旦我们不仅了解了阻碍实施循证精神卫生服务的障碍，而且了解了解决方案，我们就可以提出更广泛的解决方案，以缩小该地区精神障碍的治疗差距。为实现这一目标，ASPIRE-MHS将开展研究和能力建设活动。本申请的扩大研究部分是对缅甸常见精神障碍的创新跨诊断心理治疗方案的战略和成本进行评估。跨诊断方案，共同要素治疗方法（CETA），已证明在缅甸人民中的影响，并提供了基础，通过使用单一的治疗方法，可用于非精神卫生专业人员治疗多种常见的精神障碍与不同的严重程度，一种方法，是更具有成本效益的实施更常见的单一障碍为重点的心理治疗。根据这项研究，ASPIRE-MHS将制定一个路线图，包括相关的测量工具，以评估组织实施循证心理健康服务的准备情况，并监测组织在实现服务可持续性方面的进展，这将与该地区和全球其他LMIC环境相关。对于能力建设部分，ASPIRE-MHS将与来自越南，东帝汶和巴布亚新几内亚的共同调查员合作，在该地区实施和利用心理健康服务研究方面进行能力建设。我们将实施专门旨在加强以下能力的活动：1）伙伴国家的研究人员进行心理健康实施科学研究; 2）政策和决策者解释和适当利用科学证据以改善心理健康政策和计划。这些目标将有助于在该地区发展充满活力的可持续学习保健系统。ASPIRE-MHS中心将建立一个训练有素的实施科学研究人员网络，他们可以与政策和决策者合作，在亚太地区设计和开展当地相关的心理健康研究。通过培训和既定的合作，来自所有伙伴机构的共同研究者将处于有利地位，以促进将研究有效转化为与政策相关的行动。

 DESCRIPTION (provided by applicant): The overall goal of the Asia Pacific Research for Mental Health Services (ASPIRE-MHS) Hub is to establish a collaborative network of researchers, service providers and policy makers in the Asia Pacific region to conduct and build capacity in implementation research relevant to scaling up and integrating mental health services in LMIC settings. As evidence grows that non-pharmaceutical treatments are acceptable and efficacious in LMIC for the treatment of common mental disorders there remains a gap in our understanding of how to bring these interventions to scale and create policy-supportive environments to sustain them over time. Once we understand not only the barriers, impeding the implementation of evidence-based mental health services, but also the solutions, we can propose wider-scale solutions to reducing the treatment gap for mental disorders in the region. To achieve this goal, ASPIRE-MHS will undertake research and capacity building activities. The scale up research component of this application is an evaluation of the strategies and costs associated with bringing to scale an innovative transdiagnostic psychotherapy program for common mental disorders in Myanmar. The transdiagnostic program, Common Elements Treatment Approach (CETA), has proven impact among Myanmar people and provides the basis for establishing sustainability through the use a single therapy that can be used by non-mental health professionals to treat multiple common mental disorders with different severity, an approach that is more cost-effective implementing the more common single-disorder focused psychotherapy treatments. Based on this research, ASPIRE-MHS will generate a roadmap, including the relevant measurement tools, to assess organizational readiness to implement evidence-based mental health services and to monitor organizational progress to achieving service sustainability that will be relevant to other LMIC settings in the region and globally. For the Capacity Building Component, ASPIRE-MHS will partner with co-investigators from Viet Nam, Timor Leste and Papua New Guinea to build capacity in the implementation and utilization of mental health services research in the region. We will implement activities specifically designed to strengthen the capacity of 1) researchers in partner countries to conduct mental health implementation science research and 2) policy and decision makers to interpret and appropriately utilize the scientific evidence to improve mental health policies and programs. These aims will contribute to developing dynamic sustainable Learning Health Care Systems in the region. The ASPIRE-MHS Hub will create a network of trained implementation science researchers who can work together with policy and decision makers to design and carry out locally relevant mental health research in the Asia Pacific region. Through the trainings and established collaborations, the co-investigators from all partner institutions wil be in a strong position to promote effective translation of research into policy-relevant action.