Individual Placement and Support (IPS) for serious mental illness in Jalisco, Mexico

墨西哥哈利斯科州严重精神疾病的个人安置和支持 (IPS)

基本信息

批准号：
10696078
负责人：
RICARDO ARTURO SARACCO ALVAREZ
金额：
$ 20.66万
依托单位：
NATIONAL INSTITUTE OF PSYCHIATRY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-02 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10696078
关键词：
Address Affect Ambulatory Care Facilities Attitude COVID-19 pandemic effects Chile Client Clinic Collaborations Community Integration Comprehensive Health Care Country Data E-learning Education Educational Curriculum Employment Employment Opportunities Evidence based practice Exclusion Family Funding Future Goals Government Grant Health Health Care Costs Health Personnel Health system Hospitalization Human Resources Income Individual Intervention Interview Latin America Latin American Latinx Mental Health Mental Health Services Mental disorders Methods Mexico Modeling Modification Monitor Multiple Trauma National Institute of Mental Health Nature Outcome Participant Pattern Personal Satisfaction Persons Pharmaceutical Preparations Policy Maker Population Poverty Primary Care Process Provider Psyche structure Psychiatric Hospitals Psychoses Quality of life Randomized, Controlled Trials Reporting Research Research Personnel Resources Services Source Structure Supported Employment Symptoms Techniques Time Training Violence Vulnerable Populations care systems evidence base experience implementation evaluation implementation process improved instrument job market learning materials low and middle-income countries marginalized community meetings programs psychosocial rehabilitation rehabilitation service self esteem severe mental illness social integration symptomatology treatment as usual urban area

项目摘要

Project Summary Substantial data indicate that the Individual Placement and Support (IPS) model, a well-know, evidence-practice, can help mental illness (PSMI) to succeed in competitive employment (i.e., average 55%, but over 60% in credible studies). However, not a single country offers IPS services in Latin America. Moreover, services to support employment and education other tend to be ad hoc, low intensity, and not well assessed, because most clinicians are not trained in evidence-based approaches and do not provide high-fidelity services. The overarching goal of this project is to pilot IPS for PSMI in the Center for Comprehensive Care in Long-Stay Mental Health (CAISAME-EB, in Spanish), the largest mental health clinic in Jalisco, Mexico. CAISAME-EB integrates primary care and provides medication and psychosocial rehabilitation services to a large population of PSMI (n=~5,000). This team serves marginalized communities resembling other urban areas of low-and- middle-income countries (LMICs) in Latin America and elsewhere. We will use the Dynamic Adaptation Process model to first inform the adaptation of IPS in Mexico, using our prior experiences adapting IPS and deep understanding of the local context (e.g., the nature of the job market in Mexico) to inform the adaptations. We will then evaluate the implementation and impact of the adapted IPS in a pilot RCT (N = 200). This pilot RCT will include quantitative and qualitative assessments at baseline, 6, and 12 months, conducted with clients, providers, and other key stakeholders. We aim to refine implementation processes, understand outcomes and instruments, and estimate power for a future, regional trial in Latin America.

项目摘要大量数据表明，个体的放置和支持（IPS）模型，一种知名，证据实践的模型，可以帮助精神疾病（PSMI）取得竞争性就业成功（即平均55％，但超过60％可靠的研究）。但是，没有一个国家在拉丁美洲提供IPS服务。此外，服务支持就业和教育其他人往往是临时，低强度，并且没有得到很好的评估，因为大多数临床医生没有接受基于证据的方法的培训，也没有提供高保真服务。这该项目的总体目标是在长期综合护理中心为PSMI试用IPS 心理健康（Caisame-EB，西班牙语），墨西哥哈利斯科最大的心理健康诊所。 caisame-eb 整合初级保健，并为大量人群提供药物和社会心理康复服务 PSMI（n = 〜5,000）。该团队为边缘化的社区提供类似于其他低矮的城市地区拉丁美洲和其他地方的中等收入国家（LMIC）。我们将使用动态适应过程使用我们以前的改编IP和Deep的经验，首先告知墨西哥IP的改编了解当地环境（例如，墨西哥就业市场的性质），以告知适应。我们然后，将评估适用于PILOT RCT（n = 200）的IPS的实施和影响。这个飞行员RCT将在基线，6个和12个月时包括与客户进行的定量和定性评估，提供者和其他主要利益相关者。我们旨在完善实施过程，了解结果和在拉丁美洲的区域试验的仪器和估计未来的区域试验。