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: 10006849
• 负责人: ATIF RAHMAN
• 金额: $ 11.73万
• 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/10006849
• 关键词: Address; Affect; Child; Child Mental Health; Collaborations; Communication; Communities; Consultations; Country; Egypt; Ensure; Evaluation; Family; Health; Health Policy; Institution; Instruction; International; Intervention; Iran; Jordan; Knowledge; Leadership; Learning; Mediterranean Region; Mental Health; Methods; Monitor; National Institute of Mental Health; Outcome; Output; Pakistan; Phase; Policies; Policy Maker; Process; Province; Research; Research Infrastructure; Research Personnel; Resources; S Phase; Schools; Science; Site; Structure; Supervision; Tablets; Technology; Testing; Theory of Change; Training; Translating; Work; World Health Organization; base; clinical implementation; cohort; effectiveness implementation study; evidence base; experience; health plan; implementation research; innovation; member; programs; scale up; service delivery; service programs; skills; social; teacher

Project summary: 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.

项目摘要： 估计全球10-20％的儿童受到心理健康问题的影响。 被确定为WHO东部地中海地区的优先事项（Who Emro） 与国际和地区专家和利益相关者进行磋商，他们开发了 所有成员都认可了基于证据的手动学校心理健康） 国家，包括巴基斯坦，整个联邦和省级卫生部门已经制定了计划 大规模逐步划分国家实施。 必须在WHO EMRO咨询中添加以实现计划，包括可持续交付 质量培训和监督的常规监控； 计划质量和国际改编在各种区域环境中 巴基斯坦的研究嵌入了国家意义。 挑战，应用可扩展技术以及经过盛大测试的社会和创新 巴基斯坦。 在巴基斯坦这个地区，基于社区的贫困和具有挑战性的环境。 能力建设将嵌入项目中，重点是儿童心理健康 力量4个EMRO国家的有针对性研究人员和政策制定者的能力 （巴基斯坦，伊朗，约旦和埃及）致： 1）开发了生成，应用和有效传播研究以帮助实施的技能 基于学校的儿童心理健康干预措施； 2）理解，解释和应用基于科学的方法和信息以发展儿童心理 卫生政策和计划； 3）利用他们的技能来建立儿童心理健康和国家的政策及其政策 整个地区。 由两个阶段组成的研究组成部分将嵌入分阶段的规模上 EMRO SMHI的实施将在巴基斯坦进行 旁遮普省的研究基础设施，分区Kallar Syedan​​和Gujar Khan 与巴基斯坦卫生部和WCC-IOP合作的研究团队一起学习和协助ISS 扩大计划通过整合我们的技术和社会创新。 利益相关者为指导和支持可测试的汇编“变革理论”开发“变革理论” 关于对扩展过程最重要的结构，协作和知识的假设 创新。 有效性实施研究比较了实体SMHI的两种方法。 使用混合方法，我们将比较章程培训，监督，服务交付和计划 使用基于平板电脑的技术辅助平台进行监视，该平台整合了这些重要的 功能。平台使用容易适应的视频和音频模块 向老师级联个人主义的知识和技能指导，因此他们又可以苹果通用和 针对儿童及其家人的心理健康问题的有针对性的策略 该平台的使用将导致临床和实施结果的改善。