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NIMH » Asia Pacific Research for Mental Health Services (ASPIRE-MHS)

Project Overview
Asia Pacific Research for Mental Health Services (ASPIRE-MHS) is a network of researchers, service providers, and policy makers in Myanmar, Papua New Guinea, Timor-Leste, Vietnam, Australia, and the United States. Working together, their goals are 1) to expand regional research capacity in implementation science, and 2) to evaluate the strategies and costs associated with bringing to scale a transdiagnostic psychotherapy program for common mental disorders. The scale-up implementation study is being conducted in Myanmar. Capacity-building activities are occurring in Myanmar, Papua New Guinea, Timor-Leste, and Vietnam.
Implementation Research Study
The implementation research study is designed to identify effective organizational strategies for integrating an evidence-based mental health intervention into care across different types of provider agencies in Myanmar. The intervention is the Common Elements Treatment Approach (CETA), which is a transdiagnostic intervention that can be used by non-mental health professionals to treat individuals with depression, anxiety, posttraumatic stress or any combination of these disorders. Multiple trials, including among Myanmar adults, have established the effectiveness of CETA for use in low-resource settings that rely on non-mental health specialist providers working within a supervised system. CETA uses principles of cognitive-behavior therapy, including engagement, psychoeducation, anxiety management, behavioral activation, cognitive restructuring, imaginal/gradual exposure, in vivo exposure, suicide/homicide assessment and planning, and cognitive-behavioral therapy for substance abuse.

East-timor , Vietnam , Republic-of , Australia , Papua-new-guinea , United-states , Timor , Timor-leste , Asia-pacific-research-for-mental-health-services , Implementation-research-study , Research-capacity-building

NIMH » Youth Functioning and Organizational Success for West African Regional Development (Youth FORWARD)

(Youth FORWARD) is a mental health services research/implementation science initiative involving local governments, non-governmental organizations, the World Bank, and academic institutions. Its dual focus is the science of scaling up mental health care for high-risk youth in Sierra Leone and Liberia, and the expansion of local capacity to conduct and use further research. An implementation study is taking place in Sierra Leone. Capacity-building activities are occurring in Sierra Leone and Liberia.
Implementation Research Study
The implementation study is designed to assess the integration of a transdiagnostic mental health intervention based on common practice elements derived from both cognitive-behavioral therapy and group interpersonal therapy—called the Youth Readiness Intervention (YRI)—into the Youth Employment Scheme, a national youth employment program funded by the Government of Sierra Leone with support from the World Bank. The YRI comprises six evidence-based common practice elements used in trauma-informed care for youth exposed to violence and loss (psychoeducation, emotion regulation/relaxation skills, cognitive restructuring, behavioral activation, building interpersonal skills, and problem solving). The study compares two approaches for implementing YRI: an Interagency Collaborative Team approach versus a conventional training and supervision strategy. The two approaches are compared in terms of costs and impact on fidelity and sustained delivery.

Liberia , United-states , Sierra-leone , Theresa-betancourt , Implementation-research-study , Research-capacity-building , Interagency-collaborative-team , World-bank , Youth-functioning , Organizational-success , West-african-regional-development , Principal-investigator

NIMH » Scaling Up Mental Health Interventions in Latin America

Project Overview
Scaling Up Mental Health Interventions in Latin America is a partnership to advance the use of mobile behavioral health technology for delivering mental health care and thereby reducing the mental health treatment gap in Colombia. The primary focus is on depression, with a secondary focus on problematic alcohol and other substance abuse. An implementation study is being conducted in Colombia. Research capacity-building activities are taking place in Colombia, Chile, and Peru.
Implementation Research Study
The implementation study is designed to assess the effectiveness of scaling up Square2 - a technology-enhanced service delivery model for treating comorbid depression and substance abuse in primary care. The team is refining and testing a service delivery model in multiple healthcare sites in urban and rural Colombia. Outcomes include implementation- and patient-level outcomes. The implementation outcomes are capacity to provide evidence-based mental health resources, acceptability of the model for healthcare service delivery, and impact on costs of care per individual. The patient-level outcomes are behavioral health, quality of life, and functioning.

Colombia , Chile , United-states , Peru , America , American , Lisa-marsch , Carlos-gomez-restrepo , Implementation-research-study , Research-capacity-building , Scaling-up-mental-health-interventions , Principal-investigator

NIMH » School Health Implementation Network: Eastern Mediterranean Region (SHINE)

Project Overview
School Health Implementation Network: Eastern Mediterranean Region (SHINE) is a collaborative network involving four countries in the World Health Organization’s Eastern Mediterranean Region (WHO-EMRO). Its principal focus is scaling up school-based mental health services. An implementation study is taking place in Pakistan, and capacity-building activities are occurring in Pakistan, Egypt, Jordan, and Iran.
Implementation Research Study
The implementation study is designed to assess the effectiveness of both an intervention and an implementation strategy. The study is embedded in Pakistan’s scale up of the WHO-EMRO evidence-based, manualized School Mental Health Intervention. The study compares two implementation methods – conventional versus technology-assisted delivery of teacher training, guidance of child intervention, and monitoring of outcomes. It also models the costs of implementing the technology-assisted model and develops a rapid replication toolkit for adaptation and scale up to diverse settings.

United-states , Egypt , United-kingdom , Iran , Pakistan , Jordan , Larry-wissow , Atif-rahman , World-health-organization-eastern-mediterranean-region , Implementation-research-study , School-mental-health-intervention , Research-capacity-building

NIMH » Suicide Prevention and Implementation Research Initiative (SPIRIT)

Project Overview
SPIRIT is a research partnership that aims to bridge the gap between scientific evidence and practice in suicide prevention and mental health interventions in India and Bangladesh. SPIRIT will be implemented by the Indian Law Society, Pune, India; in collaboration with Trimbos Institute, Netherlands; Sneha Suicide Prevention Centre, Chennai, India; Gujarat Institute for Mental Health & Hospital for Mental Health, Ahmedabad, Gujarat, India; and the Bangladesh Center for Communication Programs, Bangladesh. The project is supported by the Department of Health and Family Welfare, Government of Gujarat, and funded by the National Institute of Mental Health. The project has received approval from the Health Ministry Screening Committee of the Government of India.

Mahesana , Gujarat , India , Ahmedabad , Bangladesh , Netherlands , Chennai , Tamil-nadu , Pune , Maharashtra , Soumitra-pathare , Lakshmi-vijayakumar

NIMH » Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence Based Practices in sub-Saharan Africa (PRIDE SSA)

Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence Based Practices in sub-Saharan Africa (PRIDE SSA)

South-africa , Malawi , United-states , Mozambique , Zambia , Brazil , Botswana , Milton-wainberg , Maria-oquendo , Mental-health-implementation-program , Ministry-of-health , Partnerships-in-research-to

NIMH » Enabling Translation of Science to Service to Enhance Depression Care (ESSENCE)

Enabling Translation of Science to Service to Enhance Depression Care (ESSENCE)

Madhya-pradesh , India , Bangladesh , Afghanistan , Nepal , Vikram-patel , Rahul-shidhaye , India-national-health-mission , Science-to-service , Specialist-health-workers-ashas , Health-activists , Healthy-activity-program

NIMH » Partnership in Implementation Science for Geriatric Mental Health (PRISM)

Mental
Health (PRISM) project integrates implementation research for scaling up sustainable, evidence-based mental health interventions with research capacity-building activities for East Asia. The mental health implementation research hub, based in Thailand and including China, will focus on reducing the treatment gap and support for community-residing older adults, with a particular focus on elders with Alzheimer’s disease and related dementias in Specific aims are to: (1) empirically test a culturally adapted
Getting-To-Outcomes (GTO) implementation support model aimed at enhancing the delivery of an evidence-based physical exercise intervention for narrowing the treatment gap for older persons with behavioral and psychological symptoms of dementia in Thailand; (2) build individual and institutional capacity for the implementation of mental health intervention research in Thailand and China; (3) improve Thai and Chinese policy makers’ capacity for using research for evidence informed decision making; and (4) develop a knowledge base for shared learning among stakeholders within each country and with other countries through NIMH and other regional NIMH hubs.

China , Thailand , Thai , Chinese , Hongtu-chen , Komatra-chuengsatiansup , Implementation-research-study , Research-capacity-building , Implementation-science , Geriatric-mental-health , Principal-investigator , Sue-levkoff

NIMH » Southern African Research Consortium for Mental Health Integration (S-MhINT)

Project Overview
The Southern African Research Consortium for Mental health INTegration (S-MhINT) is a research and capacity-building consortium that aims to use implementation science to strengthen regional mental health integration into primary health, antenatal, and chronic care platforms in under-resourced. The S-MhINT is made up of three core components including the Administrative Core, Scale-Up Study and Capacity Building. The Administrative Core aims to establish and engage a trans-disciplinary research consortium of academics, government representatives and non-governmental organizations in South Africa, Mozambique and Tanzania to address the burden of common mental disorders in primary health care settings. The Administrative Core will manage all operations including developing monitoring systems for all S-MhINT activities and milestones, and a process evaluation of the partnership.

Tanzania , South-africa , Mozambique , Amajuba , Eastern-cape , Mpumalanga , Kwazulu-natal , Kwazulu , Ehlanzeni , Natal , Inge-petersen , Arvin-bhana

NIMH » Sub-Saharan Africa Regional Partnership for Mental Health Capacity Building (SHARP)

Project Overview
Sub-Saharan Africa Regional Partnership (SHARP) for Mental Health Capacity Building aims to make a critical contribution to closing the mental health treatment gap in sub-Saharan Africa.
SHARP represents a partnership of research, academic, non-profit organizations and Ministry of Health representatives in Malawi and Tanzania with an exceptional track record of impactful research and translation of research into practice. The overall objective of SHARP is to expand mental health treatment in the region through high-quality implementation science research; development of research and implementation capacity among governmental, academic, and non-governmental partners; and enhancement of dialogue between those partners.
Implementation Research Study

Tanzania , Malawi , Jones-masiye , Mina-hosseinipour , Mental-health-capacity-building , Implementation-research-study , Research-capacity-building , Ministry-of-health , Saharan-africa-regional-partnership , Sub-saharan-africa-regional-partnership , Principal-investigator , Brian-pence