Global Mental Health Research Fellowship: Interventions That Make a Difference

在全球范围内，在15-15岁的人群中，精神障碍是导致残疾调整寿命的第一大原因 年满49岁，各年龄段均因伤残而居首位。这一点在低端和 中等收入国家(LMIC)，75%以上的精神障碍患者得不到治疗，尽管 严重残疾，在提供治疗的地方，很少是基于循证做法和 侵犯人权的事件仍然时有发生。尽管做出了重要努力来减少这种全球心理健康 尽管(GMH)治疗差距很大，但在LMICs中几乎没有取得可持续扩大的成功。我们建议续签 我们的GMH研究奖学金：哥伦比亚精神病学/纽约州立大学的干预措施 精神病学研究所，提供传播和实施方面的创新博士后培训(D&I) 科学，目的是减少GMH治疗差距。我们坚持创新的培训目标 学者与我们的LMIC合作伙伴和跨学科合作，开展独立研究 应对扩大心理健康预防和获得有效治疗的挑战的职业 在LMIC。我们扩大了该计划，以加强对政策和可持续性的重视，并包括 关注美国的低资源环境，那里服务不足的人口很多。从理论上讲 严谨、方法创新和实际应用，我们的计划利用现有的计划和 哥伦比亚大学的设施、我们的全球合作伙伴和该领域的杰出研究人员为 下一代GMH科学家有两个重点：第一，以部署为重点的干预研究，例如 研究人员学习制定将部署在资源贫乏地区的干预措施。在合作伙伴的帮助下 社区和政策制定者、研究员接受培训，以适应和实地测试经过实践检验的 解决政策制定者认为可持续的识别、评估、预防和治疗问题 社区利益相关者。第二，干预措施的传播、执行、服务和政策研究 研究员研究如何可持续地扩大预防、评估和治疗干预措施 特定的LMIC设置。凭借强大的指导、实践经验和教学指导，我们的计划 采用三种相辅相成、相辅相成的学习策略。研究员(1)从事自己的工作 以可持续性为重点的试点项目，并采用任务转移/分担和其他增进机会的战略 由经验丰富的美国和全球合作伙伴调查人员指导；(2)接受GMH专业培训， 包括研发、政策研究和负责任的研究行为指导；以及(3)接受培训 在使他们能够作为有竞争力的研究人员脱颖而出的技能方面(例如，撰写科学论文、评论、 在科学会议上发表演讲，竞争拨款资助)。我们建议保留4名研究员， 每个人都有一个为期3年的任命，以及随着研究员毕业而做出的新任命。随着成功的 随着我们毕业生的毕业成果，我们的项目已经对GMH研究产生了重大影响。

Globally, mental disorders are the 1st leading cause of disability-adjusted life years among people between 15- 49 years of age, and the 1st cause of years lived with disability for all ages. This is especially true in low- and middle-income countries (LMICs) where over 75% of people with mental disorders receive no care despite substantial disability, and where treatment is provided, it is rarely based on evidence-based practices and human rights violations still occur frequently. In spite of important efforts to decrease this global mental health (GMH) treatment gap, few successes have been sustainably scaled up in LMICs. We propose the renewal of our GMH Research Fellowship: Interventions that make a difference, at Columbia Psychiatry/New York State Psychiatric Institute, to provide innovative postdoctoral training in dissemination and implementation (D&I) science with the aim of decreasing the GMH treatment gap. We maintain our innovative goal of training scholars to collaborate with our LMIC partners and across disciplines and to develop independent research careers that address the challenges of scaling up mental health prevention and access to efficacious treatment in LMIC. We have expanded the Program to increase emphasis in policy and sustainability, and include attention to low-resource settings in the U.S., where underserved populations are abundant. With its theoretical rigor, methodological innovation, and practical application, our program leverages existing programs and facilities at Columbia, our Global partners and distinguished researchers in the field to provide training to the next generation of GMH scientists with a 2-fold focus: 1st, deployment-focused intervention research, such that fellows learn to develop interventions to be deployed in resource poor areas. With the collaboration of communities and policy makers, fellows are trained to adapt and field-test tried and true interventions that address recognition, assessment, prevention and treatment deemed sustainable by policy makers and community stakeholders. 2nd, intervention dissemination, implementation, services and policy research, where fellows examine how prevention, assessment and treatment interventions can be sustainably scaled-up in specific LMIC settings. With robust mentorship, hands-on experience, and didactic instruction, our Program employs three complementary and mutually reinforcing learning strategies. Fellows (1) engage in their own pilot projects focusing on sustainability and using task-shifting/sharing and other access-enhancing strategies mentored by experienced U.S. and Global partners investigators; (2) receive specialized training in GMH, including D&I, policy research, and instruction in the responsible conduct of research; and (3) receive training in skills that will enable them to excel as competitive researchers (e.g., writing scientific papers, reviews, presenting at scientific meetings, competing for grant support). We propose to maintain a cohort of 4 Fellows, each with a 3-year appointment and with new appointments made as Fellows graduate. With the successful outcomes of our graduates, our Program is already having a major impact on GMH research.