INDO - US TRAINING PROGRAM IN BEHAVIORAL HEALTH ACROSS THE LIFESPAN

描述（由申请人提供）：本提案是对慢性非传染性疾病和终生疾病（CNCD）Fogarty倡议的回应，重点关注印度正在经历城市化严重有害影响的三个地区：印度东北部（阿萨姆邦和锡金）和印度中南部（卡纳塔克邦）。Fogarty提交的这份文件的目标与Fogarty战略计划一致，以减少培训差距并提高CNCD的研究能力，并重点关注很少受到关注的行为状况，尽管它们越来越多地导致中低收入国家（LMICs）的疾病负担。该方案涉及接触暴力、成瘾（处方药和非法药物、酒精和尼古丁）以及最有害的精神症状（精神病、自杀意念和痴呆）。它还强调在疾病的社会决定因素（环境和社会因素）以及整个生命周期的表观遗传决定因素方面的培训。这项新计划将加强和扩大通过一个日落福格蒂ICOHRTA计划进行的工作，自2001年以来资助，由华盛顿大学的琳达Cottler博士和主要外国合作者Sanjeev Jain博士从国家精神卫生和神经科学研究所（NIMHANS），班加罗尔，卡纳塔克邦，印度。在全国防治荒漠化委员会机制下，我们增加了两个新的机构，即位于阿萨姆邦特兹布尔的Lokoppaly Gopinath Bordoloi区域精神卫生研究所和位于锡金的甘托克自愿卫生协会。增加这些项目是为了增加我们与主要非政府组织机构合作培训的公共卫生和政策重点。印度-美国团队已经取得了相当大的进展，与班加罗尔的NIMHANS培训的精神卫生专业人员一起与WU的精神病学部门建立研究能力;这个新的Fogarty让WU和NIMHANS有机会继续建立所需的公共卫生相关研究能力，同时也与锡金和阿萨姆邦的东北地区建立联系-这些地区迫切需要可持续的研究能力建设和外展指导。 我们建议每年培训4名长期学员-2名前医生和2名后医生，为期5年。培训咨询小组（TAG）将对受训人员的选择和进展情况进行评估，该小组将向主任和主要外国合作者提供与印度培训讲习班重点有关的问题的反馈，以及机构之间更多合作赠款的想法。在这个计划的学员将有机会采取正式的课程，参加研讨会和辅导，并与他们的导师学徒式的工作。在负责任的研究行为的培训是该计划的一个主要重点。通过我们在印度三个地点的扩大计划，一个增加了能力，两个急需基础设施建设，以及我们新的重点网络，我们将发展可持续的伙伴关系，以干预世界上一些最繁重的CNCD。

DESCRIPTION (provided by applicant): This proposal, responding to the Chronic Non-Communicable Diseases and Disorders Across the Lifespan (CNCD) Fogarty initiative, focuses on three locations in India that are experiencing acute, detrimental effects of urbanization: Northeast India (Assam and Sikkim) and South Central India (Karnataka). The goals of this Fogarty submission align with the Fogarty Strategic Plan to reduce the training gap and increase research capacity for CNCDs, and focuses on behavioral conditions that receive little attention even though they are increasingly contributing to the burden of disease in Lower and Middle Income Countries (LMICs). This program addresses exposure to violence, addiction (prescribed and illicit drugs, alcohol and nicotine), and the most impairing mental symptoms (psychosis, suicidal ideation and dementia). It also emphasizes training in the social determinants of illness (environmental and social factors), as well as epigenetic determinants, across the lifespan. This new program will enhance and expand the work conducted through a sunsetted Fogarty ICOHRTA Program, funded since 2001, directed by Dr. Linda Cottler from Washington University and Major Foreign Collaborator Dr. Sanjeev Jain from the National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India. Under the CNCD mechanism, we are adding two new institutions, specifically, Lokopriya Gopinath Bordoloi (LGBRIMH) Regional Institute of Mental Health in Tezpur, Assam and the Voluntary Health Association of Gangtok, Sikkim (VHAS). These programs are added to increase the public health and policy emphasis of our training collaborating with premier NGO institutions. The INDO-US team has already made considerable progress building research capacity with mental health professionals trained by NIMHANS in Bangalore paired with WU's Department of Psychiatry; this new Fogarty gives WU and NIMHANS the opportunity to continue building needed public health relevant research capacity while also bridging to Northeast areas of Sikkim and Assam-areas that have critical need for sustainable research capacity building and outreach mentoring. We propose to train 4 long term trainees-2 pre docs and 2 post docs-every year for 5 years. Trainee selection and progress will be evaluated by the Training Advisory Group (TAG), who will give feedback to the Director and Major Foreign Collaborator on issues relating to the focus of training workshops in India and ideas for more collaborative grants between and across the institutions. Trainees in this program will have the opportunity to take formal courses, attend seminars and tutorials and work with their mentors apprenticeship- style. Training in the responsible conduct of research is a major emphasis of this program. Through our expanded program with three Indian sites, one with increased capacity, and two in critical need of infrastructure building, and our new networks of focus, we will develop sustainable partnerships to intervene with some of the most burdensome CNCDs in the world.