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

项目总结(见说明)： 精神障碍经常与艾滋病毒/艾滋病并存，但在肯尼亚仍未得到诊断和治疗。 这些障碍与服药依从性差、危险的性行为有关，最终导致 艾滋病毒/艾滋病的持续传播。因此，迫切需要进行有效的评估和治疗 精神障碍，如重度抑郁症和酒精使用障碍，特别是在与 或有感染艾滋病毒/艾滋病的风险。尽管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，这些循证方法往往不适用， 在肯尼亚等发展中国家进行了测试。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精神疾病评估和治疗 通过一种既符合文化又可持续的翻译方法，解决酒精使用障碍问题。 该研究计划的具体目标是：1)评估精神和酒精使用的流行率 成人艾滋病毒/艾滋病患者的疾病和成人在一家卫生诊所接受艾滋病毒检测 肯尼亚内罗毕贫民窟社区，以及2)实施和评估 与文化相关、可持续的精神健康转介和酒精使用障碍干预计划 这些成年人。应聘者将对心理测量学特性进行定性和定量测试 所有要实施的评估工具和干预计划。带教临床心理学 硕士研究生将被用于这种可持续治疗模式。这项研究的长期目标 是帮助肯尼亚贫困地区的初级保健保健诊所的能力建设，以便他们 能够促进他们所有患者的心理健康护理，特别是越来越多的酗酒患者 使用障碍。候选人建议在近距离指导期间实施此研究计划 在美国和肯尼亚与心理健康评估和治疗方面的专家进行培训。这个 为候选人提议的有指导的培训将使她能够过渡到作为一名 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.