Scaling up Science-based Mental Health Interventions in Latin America

在拉丁美洲扩大基于科学的心理健康干预措施

• 批准号: 9281068
• 负责人: CARLOS GOMEZ
• 金额: $ 70.44万
• 依托单位: DARTMOUTH COLLEGE
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-06-01 至 2021-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9281068
• 关键词: Accounting; Adoption; Alcohol or Other Drugs use; Alcohols; Area; Budgets; Cessation of life; Chile; Chronic Disease; Colombia; Communication; Communities; Country; Coupled; Data; Development; Disease Management; Employee Strikes; Ensure; Government; Health; Health Policy; Health Promotion; Health Technology; Healthcare; Individual; Information Technology; Insurance; Intervention; Knowledge; Latin America; Latin American; Leadership; Learning; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Methods; Modeling; National Institute of Mental Health; Outcome Assessment; Pan American Health Organization; Patient advocacy; Persons; Peru; Policies; Population; Prevalence; Preventive Intervention; Primary Health Care; Research; Research Activity; Research Infrastructure; Research Personnel; Resources; Rural; Science; Services; Site; Substance abuse problem; System; Technology; Testing; Time; Training; Violence; Work; World Bank; advocacy organizations; base; behavioral health; burden of illness; care systems; data management; disability; evidence base; implementation research; industry partner; low and middle-income countries; member; novel; organizational structure; primary care setting; programs; public health relevance; scale up; severe mental illness; synergism

 DESCRIPTION (provided by applicant): Mental health disorders are increasingly recognized as a major cause of the global burden of disease, accounting for an estimated 7.4% of the disease burden worldwide and significantly contributing to disability and death. This challenge is particularly evident in low and middle-income countries (LMICs) where more than half of the world's populations live. Latin America is one region of the world composed of LMICs where the burden of mental health problems is high and services for mental health are low (and account for <2% of the health budget in the region). In the Latin American country of Colombia, 8 out of 20 individuals have a lifetime prevalence of one or more mental health disorders. Depression and substance use, often coupled with other mental health problems resulting from endemic violence in Colombia, are particularly striking concerns in the region. Only 11% of persons with a mental health disorder in Colombia receive mental health care. This application brings together a broad array of stakeholders, including leading researchers in both the US and Latin America; governmental organizations (Ministry of Health in Columbia; Ministry of Communication and Information Technology in Colombia; National Institute of Mental Health in Peru); patient advocacy organizations; insurance company payers in Latin America; and non-governmental and/or multilateral organizations (PAHO/WHO; The World Bank; industry partners; and primary care systems in Latin America). We will (Aim 1) support a core organizational structure and management approach to maximally benefit from a broad array of stakeholders and ensure efficient and successful coordination and integration of the activities across project Cores (Administrative Core); (Aim 2) conduct systematic, multi-site mental health implementation research in both rural and urban primary care settings (Scale-Up Study Core), and (Aim 3) use science-based methods and information to build sustainable capacity for conducting mental health implementation research and informing mental health policies and programs in Latin America (Capacity Building Core). In this new mental health service delivery model, we will (1) harness science-based mobile behavioral health technology for mental health (with a primary focus on depression), (2) launch new workforce training and service delivery models, (3) launch and evolve an integrated data management system for systematic data tracking and outcomes assessment, and (4) launch and grow a learning collaborative of organizations integrating mental health into primary care. We will conduct this project in multiple primary care sites in various parts of Colombia, with planned capacity-building activities in several other Latin American countries, including Chile and Peru. Overall, this project brings together an outstanding expert team to test and refine an entirely new model for delivering widespread, science-based, mental health care in Latin America. This project may also serve as an important demonstration project to LMICs globally as they tackle the significant burden of mental health disorders and scale-up access to evidence-based mental health care.

 描述（由适用提供）：越来越多地将精神疾病视为全球疾病烧伤的主要原因，估计占全球伯恩疾病的7.4％，并大大导致残疾和死亡。在低收入和中等收入国家（LMIC）中，这一挑战尤其是世界人口中有一半以上的人。拉丁美洲是世界上一个由LMIC组成的地区之一，在该地区，精神健康问题的负担很高，精神健康服务较低（占该地区健康预算的2％）。在拉丁美洲国家哥伦比亚，有20个人中有8人终生患病率或多种心理健康障碍。抑郁症和药物使用通常与哥伦比亚内在暴力导致的其他心理健康问题相结合，在该地区特别引起关注。在哥伦比亚，只有11％的患有精神疾病的患者接受精神卫生保健。该应用程序汇集了各种各样的利益相关者，包括美国和拉丁美洲的主要研究人员；政府组织（哥伦比亚卫生部；哥伦比亚传播和信息技术部；秘鲁国家心理健康研究所）；患者倡导组织；拉丁美洲的保险公司付款人；以及非政府和/或多边组织（Paho/Who；世界银行；行业伙伴；拉丁美洲的初级保健系统）。我们将（AIM 1）支持核心组织结构和管理方法，以最大程度地从广泛的利益相关者那里受益，并确保跨项目核心（行政核心）的有效，成功的协调和整合； （目标2）在粗糙和城市初级保健环境（扩大研究核心）中进行系统的，多站点的心理健康实施研究，以及（AIM 3）使用基于科学的方法和信息来建立可持续的能力，以进行心理健康实施研究，并在拉丁美洲（能力建设核心）进行心理健康政策和计划。在这种新的心理健康服务传递模型中，我们将（1）以科学为基础的心理健康移动行为卫生技术（主要关注抑郁症），（2）启动新的劳动力培训和服务交付模型，（3）启动和进化，用于系统数据跟踪和成果的集成数据管理系统，以及（4）启动并发展并成长为组织精神健康的学习协作。我们将在多个 哥伦比亚各个地区的初级保健网站，在包括智利和秘鲁在内的其他几个拉丁美洲国家进行了计划建设活动。总体而言，该项目汇集了一个杰出的专家团队，以测试和完善一个全新的模型，用于在拉丁美洲提供宽度，基于科学的，基于科学的心理保健。该项目还可以作为全球LMIC的重要示范项目，因为它们可以解决精神健康障碍的重大燃烧并扩大对基于证据的精神卫生保健的机会。