Research Training Program in Psychiatric Epidemiology

项目摘要/摘要 精神病学流行病学的培训计划对推动科学和发展越来越重要 积极影响公众健康的预防和干预工作。2020年的事件使情况变得严峻起来 关注美国的经济、地理、教育和种族不平等，这些不平等深刻地影响着人们的心理 健康和幸福。他们加深了考虑社会环境和精神障碍如何 与健康的生物决定因素相交，为此新的数据源和技术正在迅速 加速，并规划加强公共精神卫生基础设施。近几年的变化 精神障碍的发病率和流行率，并加快数据收集和技术 能力，正在影响精神病学研究的概念化，研究参与者的招募，以及 心理健康数据是跨研究领域分析的，这些因素将为精神卫生保健提供信息 被交付、访问和评估。自1972年以来，哥伦比亚大学精神病学流行病学培训(PET) 该计划培养出了多产的科学家，他们在如何评估病因学方面发挥了主导作用， 流行病学、生物学和心理健康干预学术和服务，以应对新出现的 需要。我们认为，这个项目的成功得益于五个基本特征：1)理论训练-- 和假设驱动的科学探究；2)多层次因果关系的动态讯问 交互作用；3)预测和因果推理方法的开发和应用；4)响应 公共卫生和精神卫生的变化；以及5)作为工作基础的伦理原则方面的培训和研究 与弱势群体，如精神障碍者的合作。在我们计划的下一个五年里，我们 将通过奖学金和培训继续发展这些领域。我们的焦点吸引了来自 与我们的教员、课程和培训接触的众多学科--然后成为领导者的学者 在学术和非学术环境中产生影响，评估社会和生物精神病学、服务 公平和交付，以及设计和评估循证治疗。这些学者是更好的 以及他们的员工在接受培训时能够更好地对科学和实践产生重大影响 询问多层次框架、因果推理以及社会因素影响病因学的方式， 诊断和获得护理系统的机会。在PET计划的下一阶段发展中，我们将在 这些基金会拥有额外的师资、培训和专业知识。通过平衡历史遗产的增长和 新的智力资源，PET计划将准备好下一代学者和 应对全球精神疾病患者面临的重大挑战的变革创造者。 由PET计划培训的流行病学家拥有加强公众心理健康所需的技能 基础设施，为未来的全球危机，包括流行病做好准备。

Project summary/abstract Training programs in psychiatric epidemiology are increasingly critical to advance science and develop prevention and intervention efforts that positively affect public health. The events of 2020 brought into stark focus the economic, geographic, educational, and racial inequalities in the US that deeply affect mental health and wellbeing. They deepen the need to consider how the social environment and psychiatric disorders intersect with biological determinants of health, for which new data sources and technology are rapidly accelerating, and to plan for strengthening of public mental health infrastructure. Changes in recent years in the incidence and prevalence of psychiatric disorders, and accelerating data collection and technological capacity, are impacting how psychiatric research is conceptualized, research participants are recruited, and mental health data are analyzed across research domains, and these factors will inform how mental healthcare is delivered, accessed, and evaluated. Since 1972, the Columbia Psychiatric Epidemiology Training (PET) program has produced productive scientists who emerge as leading voices on how to assess etiology, epidemiology, biology, and intervention in mental health scholarship and services to respond to emerging needs. We believe that the success of this program is due to five foundational features: 1) training in theory- and hypothesis-driven scientific inquiry; 2) interrogation of multiple levels of causation with dynamic interactions; 3) development and application of methods for prediction and causal inference; 4) responding to changes in public health and mental health; and 5) training and research in ethical principles that underpin work with disadvantaged populations such as those with mental disorders. In the next five years of our program, we will continue to grow each of these areas through scholarship and training. Our focus has drawn scholars from numerous disciplines to engage with our faculty, coursework, and training—scholars who then become leaders with impact across academic and non-academic settings assessing social and biological psychiatry, service equity and delivery, and designing and evaluating evidence-based treatments. These scholars are better informed and their workforce better situated to significantly impact science and practice when trained to interrogate multi-level frameworks, causal inference, and the ways in which social factors influence etiology, diagnosis, and access to systems of care. Over the next stage of growth of the PET program, we will build upon these foundations with additional faculty, training, and expertise. By balancing growth of historical legacies and new intellectual resources, the PET program will be poised to prepare the next generation of scholars and change-makers to address critical challenges among those with mental illness across the globe. Epidemiologists trained by the PET program have the skills necessary to strengthen the public mental health infrastructure to prepare for future global crises, including pandemics.