Disparities in Mental Health Care for Latinos with Serious Mental Illness

描述(由申请者提供)：本申请的总体目标是发展一个为期5年的国际研究培训计划，培养一支年轻的研究人员队伍，以解决患有严重精神疾病的美国拉美裔人在心理健康护理方面的差异。为了实现这一目标，我们寻求：(A)从健康差距人群中招聘最优秀的年轻研究人员，特别是拉美裔；(B)帮助受训人员发展研究和专业技能，以减少和消除拉美裔的心理健康差距；以及(C)增加获得以研究为导向的博士学位的拉美裔人数。南加州大学临床心理学项目、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项目中的博士项目将作为培训计划的本土机构。我们还将从美国各地的学院和大学中抽取申请者。每年招收本科实习生6人，研究生实习生2人。墨西哥贝内梅里塔大学的医学院将作为外国的母校。组织培训的目的是反映2002年医学研究所报告“不平等待遇”所界定的健康差距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)，并反映获得精神卫生保健途径的重要关头(护理的先决条件、获得护理的机会和提供服务)。受训者将首先在南加州大学接受为期一周的密集研讨会，由来自南加州大学和加州大学洛杉矶分校的多学科教员小组提供关于拉丁裔精神卫生保健差异的研究。在第一周之后，学员将前往墨西哥普埃布拉完成为期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实施的两个家长项目中的一个项目中。在第一年，该方案将侧重于(A)提高社区居民识别精神病症状的能力，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作为培训的重点，这些项目将在墨西哥和美国的教师导师之间轮流进行。 相关性(请参阅说明)： 该培训计划将培养研究人员，以解决拉丁裔在精神卫生保健方面的差异，特别是他们对精神卫生服务的低使用率和他们糟糕的精神卫生保健质量。此外，该计划将增加拥有必要研究和专业技能的拉丁裔调查人员的数量，以帮助消除这种差距。

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.