Low Intensity Family Support for Refugees in an LMIC

摘要 本申请正在按照NOT-TW-19-003的规定提交给PA-18-591。它扩展了研究和 关于预防和治疗LMICs中行为障碍的实施科学的培训。 它利用NIMH在现有R21资助的奖项中的投资，作为全球大脑计划的一部分，该计划 正在土耳其进行。该R21奖项正在开发和试点测试一种新的模式，以帮助城市 LMIC中患有常见精神障碍(CMD)且无法获得循证精神障碍的难民家庭 医疗服务。它提供了跨诊断的低资源密集型家庭支持干预措施 卫生部门和非卫生部门环境。在原父母裁决的范围内行事，并在 家长赠款LMIC网站，这一补充增加了目前获得资助的R21项目发挥作用的可能性 对心理健康研究和培训产生持续、强大的影响。具体地说，它利用令人难以置信的新 与土耳其红新月会建立伙伴关系的机会，该组织负责提供 向在土耳其的360多万难民提供心理社会和心理健康服务。总体目的是为了 通过扩大以证据为基础的难民心理健康政策和项目发展 土耳其红新月会内部研究人员和最终用户之间的沟通和合作 (TRC)，包括从业者、管理者和政策制定者。具体目标是：1)召集一名难民 由研究人员和TRC的最终用户组成的心理健康实施研究小组将 协作：a)就实施科学研究的最新情况进行培训(例如 有效心理健康干预措施的实施、传播和评估战略)；b) 传播关于经过验证的精神健康评估和干预措施的研究结果；以及c)建立模型 对真相与和解委员会的组织结构、气候、文化和进程产生最佳影响 实施、传播和评估有效的心理健康干预措施。这些活动，在 除了正在进行的R21之外，还将加强一个专注于心理健康的实施科学研究团队 在TRC内，为他们提出未来的R01或HUB提案做好准备，重点是有效地扩大规模 针对难民的心理健康干预。

Abstract This application is being submitted to PA-18-591 in accordance with NOT-TW-19-003. It expands research and training on implementation science in relation to the prevention and treatment of behavioral disorders in LMICs. It leverages the NIMH investment in an existing R21 funded award as part of the Global Brain program, which is being conducted in Turkey. This R21 award is developing and pilot testing a novel model for helping urban refugee families in LMICs with common mental disorders (CMD) and no access to evidence-based mental health services. It delivers a transdiagnostic low resource-intensity family support intervention for CMD in health sector and non-health sector settings. Acting within the scope of the original parent award, and at the parent grant LMIC site, this supplement increases the likelihood for the currently funded R21 project to exert a sustained, powerful influence on mental health research and training. Specifically, it utilizes the incredible new opportunity for partnership with the Turkish Red Crescent, which is the organization responsible for providing psychosocial and mental health services to more than 3.6 million refugees in Turkey. The overall purpose is to foster evidence-based policy and program development in mental health for refugees by expanding communication and collaboration between the researchers and end users within the Turkish Red Crescent (TRC), including practitioners, managers, and policy makers. The specific aims are to: 1) Convene a refugee mental health implementation research group composed of researchers and end users in the TRC that will collaboratively: a) conduct trainings on the state-of-the-science in implementation science research (e.g. strategies for implementation, dissemination, and evaluation of effective mental health interventions); b) disseminate research findings on proven mental health assessments and interventions; and c) build a model for best impacting the TRC organizational structure, climate, culture, and processes regarding the implementation, dissemination, and evaluation of effective mental health interventions. These activities, in addition to the R21 in progress, will strengthen a mental health-focused implementation science research team within the TRC and prepare them for proposing a future R01 or hub proposal focused on scaling up effective mental health interventions for refugees.