Disparities in Mental Health Care for Latinos

描述（由申请人提供）：本申请的总体目标是继续并加强现有的MHIRT计划，该计划已成功地促进了年轻研究人员骨干的发展，以解决美国精神卫生保健的差异。为达致这个目标，我们致力： 该项目的目的是：（a）培养来自在生物医学、行为科学、临床科学和社会科学领域代表性不足的群体，特别是拉丁美洲人的最优秀的年轻研究人员;（B）帮助受训人员发展研究和专业技能，以减少和消除拉丁美洲人在精神保健方面的差距;（c）增加来自代表性不足群体，特别是拉丁美洲人的获得研究型博士学位的人数。南加州大学的临床心理学项目，南加州大学的社会工作学院和加州大学洛杉矶分校的临床心理学项目的博士课程将作为家庭机构。大多数参与的教师（导师和咨询委员会成员）来自这些部门/学校。申请人库将从我们全国的大学和学院中抽取，这反映在我们过去4年的申请人库中，有353人申请。每年招收本科生7名，研究生2名。墨西哥普埃布拉Benemerita自治大学医学院将作为每年7名受训人员的主要外国家庭机构。El Instituto Nacional de Psiquiatria将作为二级场所，每年有2名受训人员。组织培训是为了反映2002年医学研究所报告“不平等待遇”所定义的健康差异决定因素的3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的3个重要途径（疾病发作、社交网络[例如，#21453;服务）。学员将首先在南加州大学接受为期一周的密集研讨会，研究南加州大学和加州大学洛杉矶分校多学科教师小组提供的拉丁美洲精神卫生保健的差异。第一周之后，学员将前往普埃布拉或墨西哥城完成为期10周的课程，在此期间，他们将沉浸在与3个主要途径有关的母项目中。

DESCRIPTION (provided by applicant): The overall objective of this application is to continue and to strengthen an existing MHIRT program that has successfully contributed to the development of 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 groups underrepresented in biomedical, behavioral, clinical and social sciences, particularly Latinos; (b) to help the trainees develop the research and professional skills to reduce and eliminate disparities in the mental health care for Latinos; and (c) to increase the number of persons from underrepresented groups, especially Latinos, who receive research oriented doctoral degrees. 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. Most participating faculty (Mentors and Advisory Committee Members) are from these departments/schools. The applicant pool will be drawn from throughout our nation's universities and colleges as reflected in our applicant pool over the last 4 years in which 353 persons applied. A total of 7 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 primary foreign home institution for 7 trainees each year. El Instituto Nacional de Psiquiatria will serve as a secondary site with 2 trainees each year. The training is organized to reflect the 3 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 the 3 significant pathways to mental health care (illness onset, social networks [e.g., families], 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 or Mexico City to complete a 10-week program during which they will immerse themselves in the parent projects pertaining to the 3 main pathways to care.