Adaptation and assessment of a common element treatment protocol designed to improve mental health in forcibly displaced populations

旨在改善被迫流离失所者心理健康的共同要素治疗方案的调整和评估

基本信息

批准号：
10448956
负责人：
Haley Carroll
金额：
$ 18.77万
依托单位：
BOSTON MEDICAL CENTER
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：
2022-04-01 至 2027-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10448956
关键词：
Address Affect Aftercare Anxiety Area Attitude Behavior Therapy Belief Birds COVID-19 Caring Characteristics Client Clinical Clinical Management Collaborations Communities Complex Conflict (Psychology)Crime Elements Enabling Factors Environment Evidence based treatment Focus Groups Freedom Goals Health system Influentials Interdisciplinary Study International Migrations Intervention Intervention Studies Intervention Trial Interview Knowledge Label Language Latin America Life Mental Depression Mental Health Mental Health Services Mental disorders Mentors Mentorship Migrant Modeling National Institute of Mental Health Nature Outcome Perception Persons Peru Politics Population Population Growth Post-Traumatic Stress Disorders Poverty Predisposing Factor Prevalence Problem Solving Professional counselor Protocols documentation Provider Public Health Qualitative Methods Qualitative Research Randomized Recording of previous events Reinforcing Factor Research Research Personnel Research Support Research Training Risk Risk Factors Scientist Services Social support Stigmatization Supervision Target Populations Testing Thinking Training Training Activity Treatment Protocols Underserved Population Venezuela Venezuelan Waiting Lists Work burden of illness care seeking career career development climate change design displaced person experience follow-up food shortage help-seeking behavior implementation science improved information gathering marginalized population member migration multidisciplinary pilot trial programs psychoeducation recruit skills social stigma

项目摘要

ABSTRACT With support from my primary mentor Dr. Borba, my co-mentors Drs. Freier, Dorsey, and Gelaye, and my collaborator Dr. Bird, I propose a comprehensive interdisciplinary research and training plan focused on developing my expertise in clinical intervention research and qualitative assessment of cross cultural adaptations of mental health treatments for people who have migrated due to forced displacement. The proposed study investigates the potential avenues of treatment for mental health disorders that arise due to forced displacement in people from Venezuela who have migrated to Peru. My research program goal is to be an independent researcher and examine mental health treatment for the purpose of understanding treatment seeking and retention for mental disorders in stigmatized and marginalized populations, such as forcibly displaced peoples. Preliminary findings from Venezuelans who have migrated into Peru due to the recent Venezuelan exodus suggest that there are risk factors for mental health particular to the migration journey context. Thus, this proposal utilizes qualitative methods to examine, and subsequently target, context specific migration factors that facilitate treatment seeking and retention for forcibly displaced populations in Peru with mental disorders. Framed within implementation science this proposal will include in person interviews with people who have been forcibly displaced from Venezuela and migrated into Peru. These interviews will be leveraged to adapt the Common Elements Treatment Approach, a transdiagnostic intervention, for the unique challenges of forced displacement. In collaboration with my mentors, I have developed a comprehensive training plan that will prepare me with the requisite skill set for a research career in global mental health. My training and career development goals are to cultivate skills in: (1) qualitative methods, (2) cross cultural adaptations of mental health treatments, and (3) analysis of clinical interventions. These skills will allow me to become an independent scientist focused on global mental health.

抽象的在我的主要导师 Borba 博士的支持下，我的共同导师 Drs.弗雷尔、多西和盖拉耶，还有我的合作者伯德博士，我提出了一个全面的跨学科研究和培训计划，重点关注发展我在临床干预研究和跨文化定性评估方面的专业知识对因被迫流离失所而移徙的人进行心理健康治疗的调整。这拟议的研究调查了因以下原因引起的精神健康障碍的潜在治疗途径移民到秘鲁的委内瑞拉人被迫流离失所。我的研究计划目标是独立研究人员检查心理健康治疗以了解治疗寻找和保留受侮辱和边缘化人群的精神障碍，例如强迫流离失所的人民。对因最近的疫情而移民到秘鲁的委内瑞拉人的初步调查结果委内瑞拉的逃亡表明，移民旅程中存在心理健康风险因素语境。因此，该提案利用定性方法来检查并随后针对特定背景促进秘鲁被迫流离失所人口寻求治疗和保留的移民因素精神障碍。在实施科学的框架内，该提案将包括对被迫从委内瑞拉流离失所并移民到秘鲁的人们。这些采访将利用通用要素治疗方法（一种跨诊断干预措施）来适应独特的治疗方法被迫流离失所的挑战。在与导师的合作下，我制定了一套全面的培训计划将为我提供全球心理健康研究职业所需的技能。我的培训和职业发展目标是培养以下方面的技能：(1) 定性方法，(2) 跨文化心理健康治疗的调整；(3) 临床干预措施的分析。这些技能将使我能够成为专注于全球心理健康的独立科学家。