Highlight: Identifying barriers to mental healthcare for civilians affected by protracted armed conflict in Colombia

亮点：确定哥伦比亚受持久武装冲突影响的平民的心理保健障碍

• 批准号: ES/X012808/1
• 负责人: Vaughan Bell
• 金额: $ 30.86万
• 依托单位: University College London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FX012808%2F1
• 关键词: Highlight; Identifying; barriers; mental; healthcare

Colombia has endured a brutal and extensive armed conflict with 9 million registered victims. A national cost-free mental health programme for people with conflict-related mental health needs is being under-used by the most affected and it's unclear why, amplifying conflict-related inequalities. To overcome this, we need to understand barriers facing the invisible victims of conflict - who have conflict-related mental health problems but never access services and who have been hard to research for this reason - and barriers affecting treatment delay and quality of care in those that do access services.This will be the first project to identify invisible victims using innovative data-linkage between i) a nationally representative psychiatric epidemiological study (N=12k+) that used active case ascertainment in the general population, and; ii) data from the national mental health programme (N=1 million+), and the first to examine quality of care at the population level.We will use robust statistical analysis to identify:1) social, health, and demographic drivers of being an invisible victim of conflict - who has conflict-related mental health needs but who never accesses services2) social, health, and demographic drivers of treatment delay, quality of care, and outcome in people with conflict-related mental health needs who successfully access services3) the extent to which gender-based and sexual violence mediates conflict-related mental health needs and poor treatment access / outcome in women and girlsAll 3 aims address urgent national policy issues. Aim 3 was suggested, and most prioritised by, our panel of people with lived experience of the armed conflict who will continue to co-produce this project.Given the large-scale longitudinal data and robust statistical methods, this project will provide high-quality evidence on barriers to equality of access and quality of care. These will translate directly into on-the-ground policy changes and community engagement, while providing an evidence base for Colombia and other conflict-affected countries in Latin America.Access to this data is unique to our research group and no such analysis has been completed or proposed before. This project could only be possible through collaboration between our unique team of international collaborators.The project is led by a team of Colombian and UK academics specialising in the Colombian armed conflict and mental health. Fundación Santa Fé de Bogotá will work in collaboration with the UCL Centre for Outcomes Research and Effectiveness, UCL Clinical Psychology, and UCL Epidemiology and Applied Clinical Research - world-leading centres in data science of mental health and social inequalities.This project is timely. The results of this study will be directly communicated to the new government in Colombia, for whom addressing conflict-related mental health inequalities is central to their 'total peace' policy. We will engage national and international NGOs and women's organisations who have underlined the need for this information to reach the most marginalised communities and inform their programmes.Using a grassroots community involvement programme, led by our panel of lived experience collaborators, we will engage communities most affected by the conflict in the results of the study to directly inform our interpretation, framing and recommendations.This project will develop capacity in Colombia through a planned programme of training and supervision of our Colombian ECR collaborators to facilitate their involvement and through immersion in equal partnership with three world-leading research groups in the UK. They will be trained in advanced epidemiological analysis, policy engagement, and open science methods. In addition, we will publish open access code repositories that will leave a permanent legacy to facilitate future analysis of these datasets by other Colombian researchers.

哥伦比亚与900万注册的受害者遭受了与冲突相关的心理健康需求的冲突。冲突的受害者 - 与之相关的心理健康。在i）使用活性案例确定的：首先要检查遗嘱中的护理，以确定：1）社会，健康和人口统计学的驱动因素，是与冲突相关的冲突，护理质量和冲突人的结果 - 成功访问服务的相关心理健康需求3）基于性别的性暴力介导的心理健康需求和不良治疗的访问 /成果ind Girlsall 3的目标是解决迫切国家国家政策问题。武装冲突的生活经验将共同生产THOS项目。大规模的纵向数据和稳健的统计数据将主要在障碍物上，以实现障碍和质量。透明的变化和社区参与美国。该数据是我们的研究小组独有的，并且在我们独特的Nertthrational合作者团队中可能没有完成或提出过的sub -Assiss Hass。哥伦比亚武装冲突和心理健康中的英国和英国的学者。向他们的。这项直接解释，框架和记录的研究将通过计划的培训计划和我们合作者的监督计划来开发MBIA的研究，以促进他们的参与以及与他们的三个世界领导的研究小组的合作将在高级流行病学分析，政策参与方法中进行。