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Research in Mental health and funding opportunities

Research in Mental health and funding opportunities. KNH/UON Mental health Symposium 27.03.2014 Dr. Muthoni Mathai. Objectives. Relevance of MH research in Kenya Intervention studies To address the gap in specialised MH researchers- funding opportunities for MH research

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Research in Mental health and funding opportunities

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  1. Research in Mental health and funding opportunities KNH/UON Mental health Symposium 27.03.2014 Dr. MuthoniMathai University of Nairobi ISO 9001:2008 1 Certified http://www.uonbi.ac.ke

  2. Objectives Relevance of MH research in Kenya Intervention studies To address the gap in specialised MH researchers- funding opportunities for MH research CHS structures for research Mental health linked project and resource centre

  3. Introduction Psychological wellbeing is a fundamental aspect of health Cross cutting priority areas in our setting HIV/AIDS Alcohol and Substance use disorders GBsV and other forms of Psychotrauma Depression and several NCD Maternal Depression and Child health outcomes

  4. Mental health Research

  5. Research gaps in MH An analysis of the research capacity of the department reveals significant gaps when compared to other departments. Dept of Psychiatry- 10 year period approx 50 publications Dept the Department of Obstetrics and Gynecology at UON within a 5 year time period 100 publications . Dissertations:- 2002 and 2011, 66 dissertations. only 8 publications.

  6. Mental health research gap 1. Gap in specialised MH workers 2. Gap in research skills 3. financial gaps 4. Time

  7. Research capacity Out of the Approximately 80 psychiatrists only about 15 are within the zone to do research. UON and KNH Moi and KU Other MH Workers: Social workers, Clinical Psychologists and Counselling psychologists masters and PhDs. Research predominantly prevalence studies Intervention studies ?- within the context of PhDs WPA conference intervention studies from Uganda- 12

  8. Why Intervention studies Specialised MH workers do not have the capacity to meet Kenya’s Mental health gap We must be able to integrate MH at the PHC level. What tools do we give the Primary health care workers- Pharmacology and Psychosocial interventions ? What psychosocial interventions can be transferred to the PHC level?

  9. Collaborative care and “Task sharing” A solution to the gaps in care develop skills in the identification and treatment of MH dis. among health care workers (non mental health) in a variety of health care settings. Supported by consulting mental health specialists.

  10. Task Shifting defined more as a transfer of tasks from health workers with a higher qualifications to those who have fewer qualifications.

  11. Financial gaps LMIC need local research in order to develop Interventions that are appropriate to the context Research however, particularly in Mental health is not considered a priority within the milliards of other health problems Research costs Money

  12. Funding opportunites for MH research National Institute of health- Funding components National institute of Mental health National Institute on Drug abuse (NIDA) National Institute on Alcohol Abuse and Alcoholism (NIAAA) National Institute of Child Health and Human Development (NICHD) PEPFAR – HIV/AIDS Others: Grand Challenges Canada- Global mental Health (GCC) Department for International Development UK (DFID) Wellcome trust. http://www.wellcome.ac.uk/

  13. Limitations Successfully aplying for funding is not only time consuming, it requires training and a well structured system that has supporting mechanisms

  14. MEPI

  15. PRIME K Programmatic NIH grant awarded to the UON CHS in 2010 Proposal entitled “Strengthening Medical Education for Improved Health Outcomes in Kenya”. To be implemented by the PaRtnership for Innovative Medical Education in Kenya (PRIME- K) Consortium of University of Nairobi, University of Washington (UW) and University of Maryland Baltimore (UMB). PI – Prof J. Kiarie (dept Of Obs/Gyn)

  16. Mental Health- linked project The Mental health research training project is a NIH funded CHS project linked to PRIME-K 2nd year of implementation It is a Collaboration between University of Nairobi and University of Washington

  17. Implementing Schools Multidisciplinary project School of Medicine (dept of Psychiatry) School of Public Health School of nursing School of Pharmacy

  18. Overall objective Build mental health research capacity in Kenya in order to improve both psychiatric and general health outcomes

  19. Specific Objectives Aim 1: Research Capacity Building at UON Multidisciplinary Aim 2: Research capacity building among postgraduates and mental Health workers- decentralised sites Aim 3: Establish a mental health research resource centre

  20. Thematic areas The project has been working on 3 priority areas based on identified mental health needs • Gender based violence/PTSD • Maternal Mental Health and Child Outcomes • Substance use disorders and HIV Ongoing grant writing activities in the 3 thematic areas

  21. Mental health Workshop

  22. Implementation method UON in collaboration with UW offers to students and faculty 1. A two-week grant writing and research methods training workshop at UON- 1st workshop - 2013- February and 2nd October 2. An ongoing face to face and online research mentoring- 3. Seed funding for conducting mental health research 4. Membership in an ongoing collaborative thematic research group

  23. Mental health research support and resource centre A mental health resource centre has been set up at the department of Mental Health at KNH. 5 computers have been procured for the facility, internet, e-learning materials, books etc A fulltime research coordinator to run the centre A fulltime manager for the project is stationed at the centre The Resource Center has become a hub for students and faculty consultations.

  24. Opening of resource centre- October 2013

  25. Skills Training Observation room PRIME K in collaboration with dept of Mental health at KNH has developed an observation room for skills training in mental health Training in Psychotherapy and counseling Mental health assessments

  26. Acknowledgements All members of MH-Linked project UON and UW Co-PI DeepaRao (UW) UON Co- investigators: Margaret Makanyengo, Manasi Kumar, Mary Kuria, Anne Obondo, Violet Kimani, Beatrice Amugune, David Bukusi, MirriamWagoro UW Co-investigators: JurgenUnutzer, Ann Vander Stoep, Debra Kaysen, Dennis Donovan, Prof Kiarie , Prof Machoki and the PRIME- K Team Funding / Support: Funding for this work came from the National Institute of Mental Health (NIMH)through award number 4R25MH099132.

  27. The University of Nairobi Vision: A world-class university committed to scholarly excellence University of Nairobi ISO 9001:2008 27 Certified http://www.uonbi.ac.ke

  28. THANK YOU

  29. The University of Nairobi • Vision: A world-class university committed to scholarly excellence University of Nairobi ISO 9001:2008 29 Certified http://www.uonbi.ac.ke

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