1. Joining the Research Team in Global Mental Health
Erin P. Finley, PhD MPH
Anthropology in/of Global Mental Health
Emory University
April 30, 2016

2. What team(s) do we want to be on?
Public Health
Clinical Trials (including RCTs and Comparative Effectiveness)
Program Evaluation
Quality Improvement
Health Services Research
Implementation Research

3. Health Services Research
Multidisciplinary study of how social factors, financing systems, organizational structures and processes, health technologies, and personal behaviors…
Affect access to health care, quality of health care, cost of health care, health and well-being
Among individuals, families, organizations, institutions, communities, populations.
Academy for Health Services Research and Health Policy, 2000

4. Health Services Research

5. Implementation Research
Efficacy
Does it work in a study?
Effectiveness
Does it work in the real world?
Implementation
How to spread best practices?

6. Fisher, Shortell, Savitz, JAMA 2016

8. Implementation Research
Efficacy
Does it work in a study?
Effectiveness
Does it work in the real world?
Implementation
How to spread best practices?
Hybrids

9. Why Anthropology Matters
Anthropology has rigorous ethnography
Anthropology understands context
Anthropology has great theory
Anthropology turns a critical lens back on health systems
Closser and Finley 2016

10. Anthropology at the Table
Communicate in accessible language
Work on problems with obvious relevance
Ground our work in rigorous, transparent methodology
Get the facts right
Be mindful of anthropological biases
Provide recommendations for action
Closser and Finley, 2016

11. Part II Autonomy/dignity vs. individual/community well-being
Making ethics and values explicit
Asking powerful questions
Learning to problem-solve
Therapeutic alliances

12. EMPOWER Implementation Core
*Adapted from Kilbourne et al., 2007; ^Simpson et al., 2013; Adaptation by Hamilton et al., 2015

13. Dynamic Sustainability Framework
Chambers, Glasgow & Stange, 2013

14. Why do we want to be at the table
Why do we want to be at the table? What do we need to/need to do to get there and stay there?

15. Questions
Where are anthropologists and anthropological well-integrated into contemporary health research?
Where are the gaps in anthropologists’ current involvement in contemporary health research?
What are the biggest challenges for anthropologists looking to contribute to contemporary health research?
Toward the goal of making anthropological approaches a more standard part of health research – how can we more effectively communicate and demonstrate the benefits of anthropology across disciplines and stakeholders in global mental health?
Why do we want to be at the table? What do we need to get there and stay there?