Eastern Mediterranean Partnership to implement the Regional Framework for Mental Health: Going to scale with school mental health

东地中海伙伴关系实施区域心理健康框架：扩大学校心理健康范围

• 批准号: 10006846
• 负责人: ATIF RAHMAN
• 金额: $ 52.94万
• 依托单位: UNIVERSITY OF LIVERPOOL
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2022-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10006846
• 关键词: Address; Affect; Child; Child Mental Health; Collaborations; Communities; Consultations; Country; Educational Intervention; Egypt; Ensure; Evaluation; Family; Government; Health; Health Policy; Institution; Instruction; International; Intervention; Iran; Jordan; Knowledge; Learning; Mediterranean Region; Mental Health; Methods; Monitor; Outcome; Output; Pakistan; Phase; Policies; Policy Developments; Policy Maker; Process; Province; Research; Research Infrastructure; Research Methodology; Research Personnel; Research Training; Resources; Role; S Phase; Schools; Science; Site; Structure; Supervision; Tablets; Technical Expertise; Technology; Testing; Theory of Change; Training; Translating; Work; base; clinical implementation; cohort; effectiveness implementation study; evidence base; experience; health plan; implementation research; improved; innovation; member; programs; public health relevance; scale up; service delivery; service programs; skills; social; teacher

DESCRIPTION (provided by applicant): An estimated 10-20% of children globally are affected by a mental health problem. Child mental health has been identified as a priority within the WHO's Eastern Mediterranean Region (WHO EMRO). Following consultations with international and regional experts and stakeholders, WHO EMRO developed an evidence-based manualised School Mental Health Intervention (EMRO SMHI), endorsed by all member countries, including Pakistan, where the federal and provincial health departments have made plans for phased national implementation at scale. A number of implementation challenges identified by stakeholders at a WHO EMRO consultation have to be addressed to achieve these plans, including sustainable delivery of quality training and supervision at scale; routine monitoring of outcomes; mechanisms for ensuring programme quality; and intervention adaptation for delivery in diverse regional settings. We will conduct research in Pakistan embedded within national implementation of the EMRO SMHI to address these challenges, applying scalable technological and social innovations developed and feasibility-tested in Pakistan. This builds upon many years' experience of successfully delivering similar programs in resource- poor and challenging community-based settings in this region of Pakistan. Capacity building will be embedded within the project with focus on child mental health. This will involve strengthening the capacity of targeted cohorts of researchers and policy makers in 4 EMRO countries (Pakistan, Iran, Jordan, and Egypt) to: 1) Develop skills in generating, applying and effectively disseminating research to aid implementation of school-based interventions for child mental health; and 2) To understand, interpret and apply science-based methods and information to develop child mental health policies and plans; 3) Use their skills to build the child mental health research and policy capacity of their countries and the region as a whole. The research component, consisting of two stages, will be embedded within Pakistan's phased scale-up implementation of the EMRO SMHI. Research will be conducted in Pakistan, in sites with an established research infrastructure, sub-districts Kallar Syedan and Gujar Khan, in the Province of Punjab. The research team will partner with the Pakistan Health Ministry and the WCC-IoP to both study and assist its scale-up plans by integrating our technological and social innovation. We will begin our work by engaging stakeholders to develop a comprehensive "theory of change" to both guide scale-up and support testable hypotheses about the structures, collaborations, and knowledge most important to the process of scaling innovations. In the next stage the research team will work with the WCC-IoP to conduct hybrid effectiveness-implementation research comparing two methods of implementing the EMRO SMHI. Using mixed methods, we will compare conventional training, supervision, service delivery and program monitoring with the use of a tablet-based technology-assisted platform that integrates these essential functions. The platform uses readily-adaptable video and audio modules to provide a structure for cascading personalised knowledge and skill instruction to teachers, so they can in turn apply universal and targeted strategies to address mental health problems with children and their families. We hypothesise that use of the platform will lead to improvements in both clinical and implementation outcomes.

描述（由申请人提供）：估计全球有 10-20% 的儿童受到心理健康问题的影响。儿童心理健康已被确定为世界卫生组织东地中海区域（WHO EMRO）的优先事项。在与国际和区域专家和利益攸关方协商后，世卫组织EMRO制定了基于证据的手动学校心理健康干预措施（EMRO SMHI），并得到包括巴基斯坦在内的所有成员国的认可，巴基斯坦的联邦和省卫生部门已制定了分阶段在全国实施的计划规模化。为了实现这些计划，必须解决利益攸关方在世卫组织欧洲区域办事处磋商中提出的一些实施挑战，包括可持续地提供大规模的高质量培训和监督；结果的常规监测；确保计划质量的机制；以及在不同区域环境中实施干预措施的调整。我们将在巴基斯坦开展嵌入 EMRO SMHI 国家实施的研究，以应对这些挑战，应用在巴基斯坦开发和可行性测试的可扩展技术和社会创新。这是建立在巴基斯坦该地区资源匮乏且充满挑战的社区环境中成功实施类似项目的多年经验的基础上的。该项目将纳入能力建设，重点关注儿童心理健康。这将涉及加强 4 个 EMRO 国家（巴基斯坦、伊朗、约旦和埃及）目标研究人员和政策制定者群体的能力，以： 1) 培养生成、应用和有效传播研究成果的技能，以帮助实施基于学校的干预措施为了儿童的心理健康； 2) 理解、解释和应用基于科学的方法和信息来制定儿童心理健康政策和计划； 3) 利用他们的技能来建设本国和整个地区的儿童心理健康研究和政策能力。该研究部分由两个阶段组成，将纳入巴基斯坦分阶段扩大实施 EMRO SMHI 的范围。研究将在巴基斯坦旁遮普省拥有成熟研究基础设施的 Kallar Syedan​​ 和 Gujar Khan 分区进行。研究团队将与巴基斯坦卫生部和 WCC-IoP 合作，通过整合我们的技术和社会创新来研究和协助其扩大计划。我们的工作将首先让利益相关者参与制定全面的“变革理论”，以指导扩大规模并支持关于对扩大创新过程最重要的结构、合作和知识的可检验假设。在下一阶段，研究团队将与 WCC-IoP 合作进行混合有效性实施研究，比较两种实施 EMRO SMHI 的方法。我们将使用混合方法，将传统的培训、监督、服务提供和项目监控与集成这些基本功能的基于平板电脑的技术辅助平台进行比较。该平台使用易于适应的视频和音频模块，为教师提供级联个性化知识和技能指导的结构，以便他们反过来应用通用和有针对性的策略来解决儿童及其家庭的心理健康问题。我们假设该平台的使用将改善临床和实施结果。

项目成果

Addressing the Consequences of the COVID-19 Lockdown for Children's Mental Health: Investing in School Mental Health Programs.

• DOI: 10.1176/appi.ps.202000597
• 发表时间: 2021-06
• 期刊: Psychiatric services (Washington, D.C.)
• 作者: Hamoda HM;Chiumento A;Alonge O;Hamdani SU;Saeed K;Wissow L;Rahman A
• 通讯作者: Rahman A

Technology-Assisted Teachers' Training to Promote Socioemotional Well-Being of Children in Public Schools in Rural Pakistan.

• DOI: 10.1176/appi.ps.202000005
• 发表时间: 2021-01-01
• 期刊: Psychiatric services (Washington, D.C.)
• 作者: Hamdani SU;Zill-e-Huma;Warraitch A;Suleman N;Muzzafar N;Minhas FA;F.R.C.Psych;Nizami AT;F.C.P.S.;Sikander S;F.C.P.S.;Pringle B;Hamoda HM;Wang D;Rahman A;Wissow LS
• 通讯作者: Wissow LS

Scaling-up school mental health services in low resource public schools of rural Pakistan: the Theory of Change (ToC) approach.

• DOI: 10.1186/s13033-021-00435-5
• 发表时间: 2021-01-12
• 期刊: International journal of mental health systems
• 影响因子: 3.6
• 作者: Hamdani SU;Huma ZE;Suleman N;Warraitch A;Muzzafar N;Farzeen M;Minhas FA;Rahman A;Wissow LS
• 通讯作者: Wissow LS

Identifying pathways for large-scale implementation of a school-based mental health programme in the Eastern Mediterranean Region: a theory-driven approach.

• DOI: 10.1093/heapol/czaa124
• 发表时间: 2020-11-01
• 期刊: Health policy and planning
• 影响因子: 3.2
• 作者: Alonge O;Chiumento A;Hamoda HM;Gaber E;Huma ZE;Abbasinejad M;Hosny W;Shakiba A;Minhas A;Saeed K;Wissow L;Rahman A
• 通讯作者: Rahman A