Evidence-based mental health assessment and treatment for HIV prevention in Kenya

项目总结（见说明）： 在肯尼亚，精神障碍往往与艾滋病毒/艾滋病同时发生，但仍然得不到诊断和治疗。 这些疾病与不良的药物依从性，危险的性行为，最终 艾滋病毒/艾滋病的持续传播。因此，迫切需要有效评估和治疗 精神障碍，如严重抑郁症和酒精使用障碍，特别是在生活在 或有感染艾滋病的风险。虽然在有效评估和治疗精神疾病方面取得了重大进展， 和酒精使用障碍，这些基于证据的方法往往不适应， 在肯尼亚等发展中国家进行测试。这位国际研究科学家的广泛目标 发展奖（IRSDA）是为了促进以证据为基础的评估和治疗精神病和 通过文化上适当和可持续的转化方法来治疗酒精使用障碍。 研究计划的具体目标是：1）评估精神病和酒精使用的普遍性 一项关于艾滋病毒/艾滋病感染者和在一个卫生诊所接受艾滋病毒检测的成年人之间的疾病的研究， （a）在肯尼亚内罗毕的贫民窟社区，2）实施和评价一项 文化相关的，可持续的，心理健康转诊和酒精使用障碍干预计划， 这些成年人。候选人将进行心理测量属性的定性和定量测试 所有评估工具和干预方案的实施。监督临床心理学 硕士生将用于这种可持续的治疗模式。本研究的长期目标 帮助肯尼亚贫困地区的初级保健诊所建立能力， 能够促进所有患者的精神卫生保健，特别是越来越多的酗酒患者， 使用障碍。候选人建议在密切指导期间实施此研究计划 在美国和肯尼亚接受心理健康评估和治疗专家的培训。的 拟议对候选人进行的辅导培训将使她能够作为一名 国际精神卫生流行病学家。

PROJECT SUMMARY (See instructions): Mental disorders often co-occur with HIV/AIDS, yet continue to be left undiagnosed and untreated in Kenya. These disorders are associated with poor medication adherence, risky sexual behavior, and ultimately the continued spread of HIV/AIDS. Therefore, there is a critical need for effective assessment and treatment of mental disorders such as major depression and alcohol use disorders particularly among people living with or at risk for HIV/AIDS. Although major advances in the effective assessment and treatment of psychiatric and alcohol use disorders have been made, these evidence-based methods are often not adapted and tested in developing countries such as Kenya. The broad objective of this International Research Scientist Development Award (IRSDA) is to promote evidence-based assessment and treatment of psychiatric and alcohol use disorders through a translational approach that is both culturally appropriate and sustainable. The specific aims of the research plan are to 1) Assess the prevalence of psychiatric and alcohol use disorders among adults living with HIV/AIDS and adults being tested for HIV at a health clinic located in a slum community of Nairobi, Kenya, and 2) Implement and evaluate the feasibility and acceptability of a culturally relevant, sustainable, mental health referral and alcohol use disorder intervention program for these adults. The candidate will conduct both qualitative and quantitative tests of the psychometric properties of all assessment tools and intervention programs to be implemented. Supervised clinical psychology Masters students will be used for this sustainable treatment model. The long-term objectives of this research are to help build the capacity of primary care health clinics in underprivileged areas of Kenya such that they are able to promote mental health care for all their patients and particularly the growing number with alcohol use disorders. The candidate proposes to implement this research plan during a period of close mentored training with experts in mental health assessment and treatment in both the United States and Kenya. The proposed mentored training for the candidate will enable her transition towards independence as an international mental health epidemiologist.