Disparities in Mental Health Care for Latinos with Serious Mental Illness

描述（由申请人提供）：本申请的总体目标是制定一个为期5年的国际研究培训计划，该计划将培养一批年轻的研究人员，以解决患有严重精神疾病的美国拉丁美洲人在精神卫生保健方面的差异。为实现这一目标，我们力求：(a)从健康差异人群，特别是拉丁裔人群中招募最优秀的年轻研究人员；(b)帮助受训者发展研究和专业技能，以减少和消除拉丁美洲人的心理健康差距；(c)增加获得研究型博士学位的拉丁裔人数。南加州大学临床心理学专业的博士课程，南加州大学社会工作学院和加州大学洛杉矶分校临床心理学专业将作为培训计划的主要机构。我们还将从美国各地的学院和大学中抽取申请者。每年共招收本科生6人，研究生2人。墨西哥的普埃布拉自治大学的医学院将作为外国家庭机构。培训的组织是为了反映2002年医学研究所报告“不平等待遇”所界定的健康差异决定因素的三个一般领域（个人因素、卫生系统和提供者歧视），并反映精神卫生保健途径中的重要节点（护理前事、获得护理和提供服务）。受训人员将首先在南加州大学接受为期一周的密集研讨会，由南加州大学和加州大学洛杉矶分校的多学科教师小组提供拉丁裔精神卫生保健的差异研究。在第一周之后，学员将前往墨西哥普埃布拉完成一个为期10周的项目，在此期间，他们将沉浸在由墨西哥教师导师和美国教师导师开展的两个母项目中的一个中。在第一年，该计划将侧重于(a)提高社区居民识别精神病迹象的能力，以及(b)评估与精神疾病患者残疾相关的因素。在接下来的几年里，培训咨询委员会将决定哪些项目将成为培训的重点，在墨西哥和美国教员导师之间轮流进行。

DESCRIPTION (provided by applicant): The overall objective of this application is to develop a 5-year international research training program that will develop a cadre of young investigators to address disparities in mental health care for U.S. Latinos with serious mental illness. To accomplish this objective, we seek: (a) to recruit the very best young researchers from health disparities populations, particularly Latinos; (b) to help the trainees develop the research and professional skills to reduce and eliminate mental health disparities for Latinos; and (c) to increase the number of Latinos who receive research oriented doctoral degree. The doctoral programs within USC's Clinical Psychology Program, USC's School of Social Work, and UCLA's Clinical Psychology Program will serve as the home institutions of the training program. We will also draw our applicant pool from colleges and universities throughout the United States. A total of 6 undergraduate trainees and 2 graduate trainees will be recruited each year. The School of Medicine at the Benemerita Universidad Autonoma de Puebla, in Mexico will serve as the foreign home institution. The training is organized to reflect the three general domains of determinants of health disparities as defined by the 2002 Institute of Medicine Report "Unequal Treatment" (individual factors, health systems, and provider discrimination) and to reflect significant junctures in pathways to mental health care (antecedents to care, access to care, and provision of services). Trainees will first receive an intensive 1-week seminar at USC in the study of disparities in Latino mental health care delivered by a multidisciplinary group of faculty from both USC and UCLA. Following the first week, trainees will then travel to Puebla, Mexico to complete a 10-week program during which they will immerse themselves in one of two parent projects being carried out by a Mexico Faculty Mentor and a U.S. Faculty Mentor. For the first year, the program will focus on (a) promoting community residents' literacy in identifying the signs of psychosis, and (b) assessing factors associated with disability in persons with mental illness. For the following years, the Training Advisory Committee will decide which projects will serve as the focus of the training rotating the projects among both Mexican and U.S. faculty mentors. RELEVANCE (See instructions): The training program will develop researchers to address disparities in mental health care for Latinos, specifically their low use of mental health services and their poor quality of mental health care. In addition, the program will increase the number of Latino investigators with the necessary research and professional skills to help eliminate such disparities.