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Dissemination and Implementation Research in Low and Middle Income Countries

April 2, 2013
12:30PM - 01:30PM

Smilow Center for Translational Research Room 12-146AB,
3400 Civic Center Blvd
Philadelphia, 19104

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Categories: Seminar

This presentation will give a brief overview of implementing evidence-based practices in global health and global mental health research. Specifically, it will address challenges and lessons learned around monitoring and evaluation (M&E) implementation in low and middle income countries (LMIC). Various implementation strategies that have been used in studies in LMIC will be outlined, such as the Apprenticeship Model of Training lay workers. Implementation evaluations from multiple studies will be reviewed including: a) client and counselor perspectives of implementing an evidence based mental health treatment for children in Zambia, and b) two randomized controlled trials of a Common Elements Treatment Approach for adult torture survivors in Southern Iraq and the Thailand-Burma border. Discussion will include future directions for implementation science and bi-directional learning with global and domestic D&I research.

 

Dr. Laura Murray, PhD, is a clinical psychologist and an Assistant Scientist at Johns Hopkins University Bloomberg School of Public Health in the Department of Mental Health. Dr. Murray is part of the Applied Mental Health Research Group that uses a validated methodology (both qualitative and quantitative) on the Design, Implementation, Monitoring and Evaluation of programs. This group strives to infuse evidence-based assessments, treatments and evaluations into existing programs by international aid organizations. Dr. Murray has a specialty in evidence-based interventions for children, adolescents and families, particularly in the area of trauma and traumatic grief. She has also developed a version of a Common Elements Treatment Approach for use in low-and middle- income countries (LMIC), specifically training lay persons. Dr. Murray’s specific area of interest is researching the implementation processes of mental health work in low-resource countries. Some of Dr. Murray’s funded projects include: a) examining the implementation and feasibility of a trauma-focused evidence-based treatment in Zambia (NIMH K23), b) a randomized clinical trial of TF-CBT and psychosocial counseling in Zambia (NICHD, RO1), c) researching the dissemination and implementation process of mental health treatments in low-resource countries (USAID), d) implementing a common elements intervention for adult survivors of torture in both Southern Iraq and the Thailand/Burma border – both of which include a RCT (USAID), and e) developing a manual for the inter-correlation of Mental Health and HIV in low-resource countries (USAID). She works closely with local organizations and populations to train on treatment models, appropriately adapt them for the culture and setting, and examine training and supervision models needed for implementation and sustainability in LMIC.