Low Intensity Family Support for Refugees in an LMIC

项目摘要： 人道主义危机的规模迅速扩大，需要新的应对能力，以应对长期高度脆弱的心理健康后果和很少或根本无法获得心理健康，健康和社会资源的人群。这一新的R21应用程序响应PAR-17-313，开发和试点测试了一种新的模式，用于帮助中低收入国家的城市难民家庭，这些家庭很少或根本无法获得循证精神卫生服务，并为卫生部门和非卫生部门的常见精神障碍提供跨诊断家庭干预。拟建项目位于土耳其伊斯坦布尔。目标1成立了一个家庭支助设计小组，将PM+和CAFES手册纳入家庭支助干预措施，由社区的非专业提供者和临床地点的护士使用四次会议的多家庭小组形式，用于难民家庭。目的2试点FS与家庭在社区和临床站点，然后通过观察和定性访谈，评估FS的可行性，保真度，背景和当地能力的影响，干预交付的经验，以及从业者和组织的观点上规模扩大。目标3对在所有地点接受临时援助的难民家庭进行援助前、援助后即刻和援助后3个月的评估，以显示所报告的可比干预措施的援助前变化，并以足够的准确度和精确度确定关键的有关参数。项目合作者包括伊利诺伊大学芝加哥分校、Medeniyet大学、普里什蒂纳大学全球卫生中心以及伊斯坦布尔的3个社区和3个临床组织。在世界卫生组织的支持和建议下进行的这项探索性调查将加强伊斯坦布尔的学术和社区合作伙伴的研究能力，并将为土耳其和其他中低收入国家的难民以及美国低资源社区的难民和移民开发新的循证心理健康服务。

Project Abstract: The rapidly growing scale of humanitarian crises requires new response capabilities geared towards addressing populations with prolonged high vulnerability to mental health consequences and little to no access to mental health, health, and social resources. This new R21 application responds to PAR-17-313 by developing and pilot testing a novel model for helping urban refugee families in LMICs with little to no access to evidence-based mental health services, by delivering a transdiagnostic family intervention for common mental disorders in health sector and non-health sector settings. The proposed project is located in Istanbul, Turkey. Aim 1 forms a Family Support Design Team (FSDT) to adopt the PM+ and CAFES manuals into a family support (FS) intervention for use with refugee families by lay providers in community sites and nurses in clinical sites using a four-session multiple family group format. Aim 2 pilots FS with families in community and clinical sites, and then through observations and qualitative interviews, assesses FS’s feasibility, fidelity, the impact of context and local capacity, the experiences of intervention delivery, and practitioner and organizational perspectives on scale up. Aim 3 conducts pre, immediate post, and 3-month post assessments of the refugee families who received FS through all the sites, to demonstrate the kind of pre-post changes that have been reported for comparable interventions and to determine key parameters of interest with sufficient accuracy and precision. Project collaborators include the University of Illinois at Chicago (UIC), Medeniyet University, the Centre for Global Health at the University of Prishtina and 3 community and 3 clinical organizations in Istanbul. This exploratory investigation, conducted with the support and advice of the World Health Organization, will strengthen the research capabilities of the academic and community partners in Istanbul and will develop new evidence-based mental health services for refugees in Turkey and other LMICs, as well as for refugees and migrants in low resource communities in the United States.