Implementing mental health interventions for pregnant adolescents in primary care LMIC contexts

将mhGAP/IPT-G综合心理健康护理培训适应远程/远距离 数字培训，以支持肯尼亚在COVID-19下的心理健康服务需求 背景（INSPIRE for COVID） 感染SARS-COV-1病毒的患者人数每年都在增加， INSPIRE研究（K43 TW 010716 -03），旨在 整合mhGAP和循证心理健康干预（IPT-G）， 青少年接受初级妇幼保健服务方案现已开始， 我们已经开始了mhGAP社区工具包和社区干预培训， 卫生工作者和卫生设施工作人员。然而，由于COVID-19大流行， 肯尼亚的问题大大增加，临床服务和患者的获得 护理被打乱了。对于我们的实施研究， 培训/支持卫生保健工作人员，并提供面对面的咨询/干预 由于交通问题，青少年/家庭会议也面临许多挑战。 限制、资金损失和其他物流障碍。为了应对心理健康状况的改善 需求和服务提供方面的挑战，肯尼亚卫生部（MOH）正在寻求 电子保健和远程医疗解决方案，为保健提供及时的心理健康培训 为弱势青少年和妇女提供心理保健服务。因此开发 培训初级保健工作人员提供精神卫生保健的技术解决方案是 迫切需要。这项为期一年的补充研究的总体目标是 通过调整我们目前的面对面，回应公共卫生和我们的研究需求 培训mhGAP/基于团体的心理健康干预（IPT-G）到网络/视频/电子健康- 版本的培训，并研究是否技术交付版本的mhGAP/IPT-G 培训是可行的，对支持卫生工作人员和社区精神卫生需求是有用的。

Adapting the mhGAP/IPT-G Integrated Mental Health Care Training to a Remote/Distance Digital Training to Support Mental Health Service Needs in Kenya under COVID-19 Context (INSPIRE for COVID) The number of patients who have contracted SARS- COV-1 virus disease is increasing every day in Kenya just like many other countries.The INSPIRE study (K43 TW010716-03), with aim to integrate mhGAP and evidence-based mental health intervention (IPT-G) for pregnant adolescents in primary maternal child care (MCH) service, is now about to begin its third year and we have begun our mhGAP community toolkit and intervention trainings for community health workers and health facility staff. However, due to COVID-19 pandemic, mental health problems in Kenyan has been increased significantly, and clinical services and patients’ access to care have been disrupted. For our implementation study, carrying out in-person training/support for health care workforce and providing in-person counseling/ intervention sessions for adolescents/families are also facing many challenges due to transportation restriction, financial lose, and other logistic barriers. In response to the increased mental health needs and service provision challenges, the Kenyan Ministry of Health (MOH) is seeking for eHealth and telemedicine solutions to provide timely mental health training for health care workers and mental health care to vulnerable adolescents and women. Therefore, developing technology solutions for training primary care workforce to provide mental health care are urgently needed. The overarching aim of this proposed 1-year supplemental research is to respond to the public health and our research needs by adapting our current face-to-face training for the mhGAP/ group-based mental health intervention (IPT-G) to a web/video/eHealth- version of training, and studying whether the technology-delivered version of mhGAP/IPT-G training is feasible and useful to support health workforce and community mental health needs.