Mainstreaming Global Mental Health: A Praxis Nexus Approach

在世界范围内，有10亿人患有精神健康障碍，这是导致健康不佳和残疾的主要原因之一。此外，在低收入和中等收入国家(LMIC)，心理健康状况不佳对人们的影响不成比例，那里也存在着巨大的心理健康劳动力缺口。可以说，精神健康是一项权利，解决精神健康问题也是促进可持续社会经济发展的一种手段。“全球心理健康”与可持续发展目标3“良好的健康和福祉”保持一致，具体地说是3.4：“到2030年，通过预防和治疗将非传染性疾病的过早死亡率降低三分之一，促进心理健康和福祉。”我们的雄心是引发研究界对LMIC精神健康在哪里、如何以及由谁来影响的看法的一步改变，以造福于经历精神健康不良的人。具体地说，我们认为，全球研究人员在实现其核心(非心理健康)项目目标的同时，仍有尚未开发的潜力来影响心理健康，而且这可以在不涉及重大资源的情况下完成。因此，为了加速全球精神健康行动，我们的长期目标是制定一个全球精神健康影响框架，该框架有可能用于发展中国家的所有研究。我们的第一阶段项目将为实现这一长期目标奠定基础和途径，首先创建基于艺术和人文方法论的Impact框架的测试版，为未来在第二阶段应用中对广泛的GCRF项目进行测试和开发做好准备。在第二阶段，我们还将制定一项实施计划，以支持资助者、研究人员和LMIC合作伙伴了解和使用该框架。挑战群汇集了由AHRC、ESRC和MRC资助的16个GCRF项目，一个利兹大学(UOL)AHRC-GCRF Network Plus，以及UOL AHRC领导的GCRF Hub，总计超过650万GB，并由学院外的合作者参与非GCRF面向官方发展援助的项目。该集群的一个巨大优势是，它建立在PRAXIS：全球发展的艺术和人文：大学在线由AHRC领导的GCRF中心的活动和资源的基础上。我们将制定我们自己的Praxis Nexus方法，将已发现的东西汇集在一起，并与研究人员、从业人员和政策制定者接触，以加快在与GCRF方案的重要性相称的跨国规模上产生影响。第一阶段为期12个月的项目的可衡量的、现实的、可实现的目标是：-1.完成对(I)物质做法和(Ii)迄今资助的非精神健康重点GCRF项目中的隐性和显性精神健康活动的范围审查；2.完成一份报告，概述围绕协作性材料做法的全球精神健康影响框架的基础；3.发展和加强公平的国际学术、政策和从业人员伙伴关系，并在LMIC和英国建设能力；以及，4.利用这项工作协助制定第二阶段申请中进行的研究议程和方案。关于潜在的应用和好处，我们将：1.提高英国和LMIC资助者、研究人员和组织的意识，使他们意识到他们可能会错过在其投资组合和项目中影响心理健康的“低垂的果实”机会；2.向他们提供基本的理解，了解如何在非心理健康重点的项目中概念化和确定全球心理健康挑战；3.解释不同的项目如何在不过度耗费项目专业知识或资源的情况下，在其日常活动中实现心理健康影响；以及4.鼓励LMIC组织和政府部门考虑如何将心理健康影响整合到其不同的议程和项目中。

Worldwide, one billion people have a mental health disorder, placing these among the leading causes of ill-health and disability. Moreover, poor mental health disproportionately affects people in Low and Middle Income Countries (LMIC) where there exists also a huge mental health workforce gap. Arguably, mental health is a right and tackling poor mental health is also a means of facilitating sustainable socio-economic development. Global Mental Health aligns with Sustainable Development Goal 3: 'Good Health and Well-Being,' specifically 3.4: 'By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being.' Our ambition is to trigger a step-change in how the research community thinks about where, how and by whom mental health in LMICs can be impacted to benefit people experiencing poor mental health. Specifically, we believe there is untapped potential for global researchers to impact mental health whilst delivering their core (non-mental health) project aims, and that this can be done without significant resource implications. Therefore, to accelerate global action on mental health our long-term aim is to produce a Global Mental Health Impact Framework with potential for use in all research in developing countries. Our first stage project will establish a foundation and pathway towards this long-term aim by creating a beta version of the Impact Framework, based on arts and humanities methodologies first, ready for future testing and development across a broad range of GCRF projects in a second stage application. At this second stage, we will also develop an implementation plan to support funders, researchers and LMIC partners to understand and use the Framework.The Challenge Cluster brings together 16 GCRF projects funded by the AHRC, ESRC and MRC, a University of Leeds (UoL) AHRC-GCRF Network Plus, and UoL AHRC-led GCRF Hub totalling over £6.5 million and collaborator from outside the academy who has worked on non-GCRF ODA-oriented projects. A huge advantage of the Cluster is that it builds on the activities and resources of Praxis: Arts and Humanities for Global Development: an AHRC-led GCRF Hub at the UoL. We will develop our own Praxis Nexus approach to bring together what has been found and engage with researchers, practitioners, and policy-makers to accelerate impact on a cross-national scale commensurate with the significance of the GCRF programme. Measurable, realistic, achievable objectives for the first-stage 12-month project are to:- 1. Complete a scoping review of (i) material practices and (ii) implicit and explicit mental health activities in non-mental health focused GCRF projects funded to date; 2. Complete a report outlining the basis for a Global Mental Health Impact Framework around collaborative material practices; 3. Develop and strengthen equitable international academic, policy and practitioner partnerships and build capacity in LMIC and the UK; and, 4. Use this work to assist in developing the agenda and programmes of research to be undertaken in the second stage application. In relation to potential applications and benefits we will: 1. Raise the awareness of UK and LMIC funders, researchers and organisations that they may be missing 'low hanging fruit' opportunities to impact mental health in their portfolios and projects; 2. Provide them with a basic understanding of how Global Mental Health challenges can be conceptualised and identified in non-mental health focused projects; and 3. Explain ways that diverse projects could achieve mental health impact at micro, meso and macro levels as part of their routine activities without overstretching project expertise or resources; and, 4. Stimulate LMIC organisations and government departments to think about how they might integrate mental health impact across their diverse agendas and projects.