Disparities in Mental Health Care for Latinos

描述(申请人提供)：这项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一支年轻调查人员队伍的发展，以解决患有严重精神疾病的美国拉美裔人在心理健康护理方面的差异。为达致这个目标，我们寻求：(A)招聘 (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心理健康护理方面的差距；(C)增加在生物医学、行为、临床和社会科学领域任职人数不足的群体，特别是拉丁美洲人，获得面向研究的博士学位的人数。南加州大学临床心理学项目、南加州大学社会工作学院和加州大学洛杉矶分校临床心理学项目中的博士项目将作为主场机构。大多数参与的教师(导师和咨询委员会成员)都来自这些系/校。申请者池将从全国各地的大学和学院中抽取，这反映在我们过去4年的申请者池中，其中有353人申请。每年招收本科实习生7人，研究生实习生2人。墨西哥贝内梅里塔自治大学医学院将作为每年7名学员的主要外国归国机构。Psiquitria国家研究所将作为次要地点，每年招收2000名学员。组织培训的目的是反映2002年医学研究所报告“不平等待遇”所界定的健康差距决定因素的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条重要途径(发病、社会网络[例如，家庭]和提供服务)。受训者将首先在南加州大学接受为期一周的密集研讨会，由来自南加州大学和加州大学洛杉矶分校的多学科教员小组提供关于拉丁裔精神卫生保健差异的研究。在第一周之后，学员将前往普埃布拉或墨西哥城完成为期10周的计划，在此期间，他们将沉浸在与三条主要护理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.