Latin America Treatment & Innovation Network in Mental Health (LATIN-MH)

拉丁美洲治疗

• 批准号: 8932739
• 负责人: Ricardo Araya
• 金额: $ 55.81万
• 依托单位: FUNDACAO FACULDADE DE MEDICINA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-26 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8932739
• 关键词: Address; American; Automobile Driving; Brazil; Car Phone; Caring; Centers of Research Excellence; Central America; Chronic; Chronic Disease; Clinic; Collaborations; Colombia; Communication; Communities; Community Health Systems; Comorbidity; Consultations; Country; Depressed mood; Development; Diabetes Mellitus; Discipline; Disease; Distance Learning; Ecuador; Effectiveness; Effectiveness of Interventions; Elements; Ensure; Europe; Fostering; Foundations; Future; Grant; Guatemala; Health; Health Alliance; Healthcare; Human Resources; Hypertension; Individual; Institutes; Institution; International; Intervention; Latin America; Learning; Life; Link; Medical; Mental Depression; Mental Health; Mental disorders; Mentors; Methods; Modeling; Nurses' Aides; Outcome; Panama; Patients; Penetration; Peru; Pilot Projects; Policies; Policy Making; Population; Primary Health Care; Psyche structure; Qualifying; Recording of previous events; Research; Research Methodology; Research Personnel; Research Project Grants; Research Training; Resources; Scientist; Solid; South America; Technology; Testing; Time; Training; Training Programs; Universities; Vertebral column; Vision; Washington; Work; base; chronic depression; cohort; cost; evidence base; experience; global health; health training; improved; innovation; interest; member; nutrition; physical conditioning; programs; scale up; social; sound; treatment program; web site

This proposal aims to establish a regional hub for mental health research and training addressing the comorbidity between mental and chronic diseases, aiming to decrease the treatment gap for mental disorders among people with physical disorders in LA & C. These aims will be achieved through: 1. Development of a research agenda focused on developing an intervention for the identification and treatment of depression among people attending programs for chronic diseases. This intervention will involve two key elements: a) improved recognition and b) improved psycho-social management of depression in diverse health care settings in LA & C. It will be mostly delivered through the use of mobile phones, with minimal assistance from primary care auxiliary nurses, with substantial task-shifting. The main emphasis is on patients helping themselves through using resources that are currently delivered on a one-to-one basis by specialized human resources. The intervention will be tested in primary care clinics in Sao Paulo, Brazil, and in secondary care clinics in Lima, Peru. Pilot studies will take place in Guatemala, Colombia and Ecuador. 2. To build increased mental health research capacity in the region through a research training program delivered by a network involving the University of Sao Paulo in Brazil, the Latin American network for the Global Alliance for Chronic Disease, and Universities of Washington and Bristol. The strategy will include: 1) greater prominence to South-South collaboration; 2) focus on a multiplying strategy starting with the strengthening of a solid research hub and gradual expansion to other sub-centers in a large mutually supportive research network; and 3) more efficient methods of delivering training with improved accessibility. The capacity building component prioritizes training in research methodologies that can generate sound evidence on the best strategies to reduce this gap, allowing 'hands-on' training for researchers. In both components due importance is given to issues related to scaling up and policy making, including the creation of a highly qualified advisory board and consultation with a range of stakeholders throughout the life of the project.

该建议旨在建立一个针对精神和慢性疾病之间合并症的区域枢纽，旨在减少LA＆C中身体疾病患者的精神障碍的治疗差距。这些目标将通过以下方式实现：1。将研究议程的侧重于针对抑郁和治疗抑郁症的人进行抑郁和治疗计划的抑郁症，以使人们的抑郁症的抑郁和治疗。该干预措施将涉及两个关键要素：a）改善识别和b）在LA＆C的各种医疗保健环境中对抑郁症的心理社会管理的改善。它将主要通过使用手机来提供，而初级保健辅助护士的帮助很少，并进行了大量的任务转移。主要重点是患者通过使用目前由专门人力资源一对一交付的资源来帮助自己。该干预措施将在巴西圣保罗的初级保健诊所和秘鲁利马的二级护理诊所进行测试。试点研究将在危地马拉，哥伦比亚和厄瓜多尔进行。 2。通过一个涉及巴西圣保罗大学的网络，拉丁美洲慢性病联盟网络以及华盛顿和布里斯托尔大学提供的网络提供的研究培训计划，并建立了该地区的心理健康研究能力。该策略将包括：1）南南合作更加突出； 2）专注于从加强稳定的研究中心开始并逐步扩展到大型互支持性研究网络中其他子中心的乘法策略； 3）更有效地提供培训的方法，并提高可访问性。能力建设组成部分优先考虑研究方法的培训，这些培训可以为减少这一差距的最佳策略提供可靠的证据，从而为研究人员提供“动手”培训。在这两个组件中，都应应对与扩展和政策制定有关的问题的重要性，包括成立高素质的顾问委员会以及在项目一生中与一系列利益相关者进行咨询。