Improving mental health and human capital: developing a mental health intervention for 'Youth in Action' programme in post-conflict areas in Colombia

改善心理健康和人力资本：为哥伦比亚冲突后地区的“青年在行动”计划制定心理健康干预措施

• 批准号: ES/V013173/1
• 负责人: Ricardo Araya
• 金额: $ 43.07万
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FV013173%2F1
• 关键词: Improving; mental; health; human; capital

Colombia endured more than five decades of armed internal conflict leaving behind high rates of mental health problems among the Colombian youth. Conflict and associated mental health issues also cause great cost to human capital. These disorders are usually long-lasting and commonly co-exist with other physical/mental conditions. Despite these harmful consequences, there is little evidence of effective mental health interventions for helping young people affected by the conflict. Most services are fragmented, inadequate, and difficult to access for the majority of those victims of the conflict with mental health problems. This is a 36-month project to address the need for better designed mental health interventions for younger people affected by the conflict that can help not only to provide relief with their mental health problems but also allow these young people to make better use of the assistance available to improve their future economic prospects. The project aims to develop a feasible and acceptable mental health intervention that addresses comorbid mental health problems through a co-design process with extensive involvement of the community. The intervention will be embedded within one the largest social programmes (Youth in Action' or Jóvenes en Acción JeA) in Colombia to assist young vulnerable populations living in poverty. The intervention developed will be subsequently implemented and evaluated in three municipalities with high proportion of young people affected by the conflict and where JeA is available. The evaluation will consider the impact on the mental health as well as on the training and educational outcomes of the young participants with mental health problems receiving the intervention.To project will use a three-phase approach:1. We will update a review of the literature in the subject and explore in depth the mental health needs, resources available, and local contexts through interviews with participants, especially those affected by the conflict, and JeA staff.2. We will undertake the development of the intervention identifying potentially useful components and strategies based on the existing evidence. A potentially feasible intervention will be put through a co-designed, participatory process (involving JeA beneficiaries, JeA staff, and other relevant stakeholders) to gather ideas as to whether this intervention can be potentially feasible and acceptable to the target population. Once a preliminary agreement is reached this will go through another more intensive process of adaptation using similar co-designed processes. Once an agreement is reached in terms of the content and strategies to deliver the intervention, this will be assembled and tested with a small sample of potential users to ensure there are no major technical problems to deliver the intervention.3. Finally the co-developed, approved and usable intervention will be tested in a pilot study using appropriate scientific methods to evaluate the feasibility, acceptability and usefulness in 'real-settings'. Results will inform if the intervention improves clinical and educational and employment prospects among those who use it. We will share findings with stakeholders and policymakers to argue for more and better mental health services to serve our populations. All participants will provide informed consent and projects will receive ethical approval.Our multidisciplinary team of experienced professionals from some of the best research centres in Colombia and the UK has been working together for almost a decade, showing an excellent track record of equitable and successful collaboration. We also have well-established partnerships with representatives from government and civil society. We have a deep knowledge of the settings and have developed excellent connections with policymakers to ensure implementation in a larger and sustainable way.

哥伦比亚忍受了五十年的武装内部冲突，这留下了哥伦比亚青年的精神健康问题的高度。冲突和相关的心理健康问题也给人力资本带来了巨大的成本。这些疾病通常是持久的，通常与其他身体/心理状况共存。尽管有这些有害的后果，但几乎没有证据表明有效的心理健康干预措施可以帮助受冲突影响的年轻人。对于大多数与心理健康问题冲突的惊喜，大多数服务都是分散的，不足的，并且难以访问。这是一个36个月的项目，旨在满足对受冲突影响的年轻人进行更好设计的心理健康干预措施的需求，不仅可以帮助您解决他们的心理健康问题，而且还可以使这些年轻人更好地利用可用的援助来改善其未来的经济前景。该项目旨在开发可行且可接受的心理健康干预措施，通过共同设计过程与社区广泛参与，以解决合并的心理健康问题。干预措施将嵌入哥伦比亚最大的社会计划（行动中的青年或JóvenesenacciónJea）中，以协助生活在贫困中的年轻弱势群体。随后将在三个市政当局中实施和评估开发的干预措施，评估将考虑对心理健康的影响以及对接受干预的心理健康问题的年轻参与者的培训和教育成果。项目将使用三阶段方法：1。我们将通过与参与者（尤其是受冲突影响的参与者）和JEA员工进行访谈，深入探讨该主题中文献的审查，并深入探讨心理健康需求，可用资源和地方环境。2。我们将根据现有证据来开发干预措施，以确定潜在有用的组成部分和策略。将通过共同设计的参与过程（涉及JEA受益人，JEA工作人员和其他相关利益相关者）来提出一项潜在可行的干预措施，以收集有关该干预措施是否可能可行且目标人群可接受的想法。一旦达成了初步协议，这将通过类似的共同设计的过程进行另一个更密集的适应过程。一旦达成协议，就提供干预的内容和策略达成了协议，将与一小部分潜在用户进行组装和测试，以确保没有重大的技术问题可以提供干预。3。最后，将使用适当的科学方法来评估“实时选择”中的可行性，可接受性和有用性，在一项试点研究中测试共同开发，批准和可用干预措施。结果将告知干预措施是否可以改善使用临床，教育和就业前景。我们将与利益相关者和政策制定者分享发现，以争取更多更好的心理健康服务为我们的人群服务。所有参与者将提供知情同意，项目将获得道德批准。来自哥伦比亚和英国一些最佳研究中心的经验丰富专业人士组成的多学科团队已经合作了近十年，展现了公平和成功的合作的出色记录。我们还与政府和民间社会的代表建立了良好的合作伙伴关系。我们对设置有深刻的了解，并与决策者建立了良好的联系，以确保以更大和可持续的方式实施。