PALOP Mental Health Implementation Research Training

描述（由申请人提供）：PALOP（Paises Africanos de Lingua Official Portuguesa）心理健康（MH）实施研究培训计划。在全球范围内，精神障碍仍然是导致15岁以上残疾人残疾年数的十大因素之三。在莫桑比克等低收入和中等收入国家，情况更是如此;在这些国家，75%以上的精神障碍患者尽管严重残疾，但得不到任何护理，即使提供治疗，也很少基于循证实践，侵犯人权的行为也经常发生。《柳叶刀》全球心理健康系列（2007年）的结论是，“应该为开发和评估可以由非心理健康专业人员（任务转移）提供的干预措施的研究提供资金，并......评估卫生系统如何在所有常规护理环境中扩大这种干预措施。“可悲的是，集中在低收入国家的MH的国际研究合作是有限的，没有福格蒂或国家卫生研究院的MH实施研究的培训计划，但在任何低收入国家。与爱德华多·蒙德莱恩大学（UEM）合作，并与圣保罗联邦大学（UESP）和范德比尔特全球卫生研究所（VIGH）结盟，我们在莫桑比克提出了一个南北和南南合作的计划，该计划将在2年的奖学金中培训下一代PALOP MH实施科学家。该计划将有两个重点：A）以部署为重点的干预措施研究：通过社区合作，研究人员将学习适应和实地测试经过验证的真正干预措施，这些干预措施涉及获取，有效评估，有效预防和治疗;以及B）干预措施的传播，实施和服务研究：研究如何在莫桑比克新扩展的MH护理系统中扩大护理规模。莫桑比克是一个理想的环境，因为我们的合作伙伴UEM与卫生部（也是合作者）制定了新的MH护理战略计划，最近实施了一项针对精神科技术人员的创新培训计划，以提供非专科护理。该计划的组成部分将是：1）导师制; 2）研究设计，统计和拨款写作教学法; 3）干预研究培训; 4） 参与研究的设计、执行和分析，并提交科学论文/提案; 5）通过设计/实施试点项目，在任务转移、分级护理和加强获取战略方面获得实践研究经验; 6）指导负责任地开展研究; 7）在科学会议上发言; 8）与纽约州立精神病医院（NYSPI）/哥伦比亚大学和纽约州立精神病医院的教师和该领域的杰出研究人员进行交流。莫桑比克可以成为其他PALOP和撒哈拉以南非洲国家以及包括美国在内的其他低资源环境的典范。该计划将利用NYSPI现有的8个奖学金，包括T32全球MH实施奖学金，以及来自EMBA的奖学金，以培养一个丰富的学习环境，使研究员沉浸在专注于在本地，区域和全球培养MH的环境中。

DESCRIPTION (provided by applicant): PALOP (Paises Africanos de Lingua Oficial Portuguesa) Mental Health (MH) Implementation Research Training Program. Globally, mental disorders remain 3 of the top 10 contributors to years lived with disability among those over age 15. This is even more so in low- and middle-income countries (LMICs) such as Mozambique; over 75% of those with mental disorders in LMICs receive no care despite substantial disability, and where treatment is provided, it is rarely based on evidence-based practices and human rights violations occur frequently. The Lancet Global MH Series (2007) concluded that "funding should be given to research that develops and assesses interventions that can be delivered by people who are not MH professionals (task- shifting), and... assesses how health systems can scale up such interventions across all routine-care settings." Sadly, international research collaborations focused on MH in LMICs are limited and no Fogarty or NIH training programs in MH implementation research are yet available in any LMICs. Partnering with Universidade Eduardo Mondlane (UEM) and in alliance with Universidade Federal de Sao Paulo (UNIFESP) and the Vanderbilt Institute for Global Health (VIGH), we propose a program in Mozambique with a North-South and South-South collaboration that will train the next generation of PALOP MH implementation scientists in a 2- year fellowship. The program will have two foci: A) Deployment-focused interventions research: With community collaboration, fellows will learn adaptation and field-testing of tried and true interventions that address access, valid assessment, effective prevention and treatment; and B) Intervention dissemination, implementation and services research: Examining how care can be scaled-up within Mozambique's newly expanding system of MH care. Mozambique is an ideal setting given its new strategic plan for MH care developed by our partner UEM with the Ministry of Health (also collaborators) and the recent implementation of an innovative training program for psychiatric technicians to deliver non-specialist care. The program's components will be: 1) mentorship; 2) didactics in research design, statistics, and grant writing; 3) interventions research training; 4) participation in design, execution and analysis of research and submission of scientific papers/proposals; 5) hands-on research experience in task-shifting, stepped-care and access-enhancing strategies through design/implementation of pilot projects; 6) instruction in responsible conduct of research; 7) presentation at scientific meetings; and 8) interchange with New York State Psychiatric (NYSPI)/Columbia University and UNIFESP faculty and distinguished researchers in the field. Mozambique can be a model to other PALOP and sub-Saharan African countries as well as other low-resource settings, including the US. This program will leverage 8 existing fellowships at NYSPI, including a T32 Global MH implementation fellowship, and scholarships from UNIFESP to cultivate a rich learning environment that will immerse fellows in a milieu focused on fostering MH locally, regionally, and globally.