1. Mental Health Research Training for Improved Health Outcomes in Kenya- An Overview Presenter: Muthoni Mathai Snr Lecturer Dept of Psychiatry SOM/CHS/ UON Date: 13.10.2014 University of Nairobi ISO 9001:2008 1 Certified http://www.uonbi.ac.ke

2. Objective The objective of this presentation is to: Welcome you to this Workshop Give an overview of the of mental health- linked project Outline the goals and expectations of the workshop

3. Introduction The Mental health research training project is linked to PRIME-K a Medical Education Partnership Initiative Project of the CHS/UON It is a funded by the National Institute of Mental Health (NIMH), a Component funding Organization of the National Institute of Health (NIH USA) It is a Collaboration between University of Nairobi and University of Washington 3 rd year of implementation

4. Background Information MEPI PRIME-K

5. MEPI

6. MEPI funding NIH funded project to non-US medical schools in Africa partnering with US institutions College of Health Sciences/UON was one of the recipients of the grant (2010) with University of Washington and University of Maryland as partners

7. Grantees

8. PRIME- K The MEPI Kenya project- PaRtnership for Innovative Medical Education in Kenya (PRIME- K) Objective: “Strengthening Medical Education for Improved Health Outcomes in Kenya”. PI – Prof J. Kiarie (dept Of Obs/Gyn) http://www.uonbi.ac.ke/projects/pimek/

9. Background Mission: To Improve Health of Kenyans Through Research and Training

10. Decentralized Partner Institutions Mbagathi District Hospital Garissa Provincial General Hospital Naivasha District Hospital Coast Provincial General Hospital Kisii General Hospital Nyeri Provincial General Hospital Kakamega Provincial General Hospital Machakos District Hospital Kitui District Hospital Karatina District Hospital Busia District Hospital

11. Medical students- Karatina

12. Medical students- Kitui

13. Linked Awards Follow-up funding opportunities from NIH brought on board 2 more projects Maternal and Newborn Child Health- MNCH Mental health Linked award

14. Mental health research training project A collaboration between University of Nairobi and University of Washington Implementing Schools School of Medicine (dept of Psychiatry) School of Public Health School of nursing School of Pharmacy

15. Collaborating institutions/organisations MOH- division of Mental health (former) KNH- Department of mental health PSC/GBVRC/ Youth clinic/CCC Mathari mental Hospital NACADA- National Authority for the Campaign against Alcohol and Drug Abuse KEMRI Kenyatta University Maside Muliro University SAPTA (Support for Addictions Prevention and Treatment in Africa)

16. Director of MH at project WS

17. Organisational structure Mutliple PI UON (M. Mathai) UW (D. Rao) Thematic Lead SUD/HIV Thematic Lead GBV/PT Thematic Lead MMH-CH

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

19. Specific Objectives- AIM 1 AIM 1: Improve mental health research capacity at UON by training faculty- Multidisciplinary AIM 2: Training postgraduates in mental health research- multidisciplinary and mentored Extending to health workers in decentralized sites in year 3 AIM 3: Establish a mental health research resource centre based at UON and supported by UON and UW faculty

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

21. Mental health Workshop

22. 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

23. Thematic group members SUD/HIV W. Kuria D. Bukusi A. Obondo B. Amugune B. Sinkele Y. Olando D. Donovan GBV/PT M. Mathai M. Makanyengo V. Kimani D. Rao D. Kaysen MMH-CH M. Kumar A. Mbwayo M. Wagoro A. Vander Stoep

24. Substance abuse and HIV group Faculty of UON and UW, students of UON, SAPTA, KNH CCC Proposal: The outcomes of “Steps to Healthy Living intervention on patients on ART with AUD To be Submitted to NIH/NIDA

25. Gender based violence and Psychotrauma Base- GBVRC KNH Faculty of UON and UW & Students- Cl Psychology, Mmed Psych, MPH Proposals- Primary intervention in IPV- to be submitted for funding by SVRI Proposal- to evaluate services offered at the GBVRC and developing an intervention- patient tracking to improve uptake and follow-up

26. Maternal mental health and child health outcomes Faculty of UON and UW Also working with department of Paediatrics/ needs support from Obs/gyn Students- Cl. Psychology, Mmed Psych & MPH Proposal- Interpersonal therapy (IPT) and 'Promoting First relationships' training for intervention in maternal depression School Mental Health- proposals sent to Grand Challenges Canada

27. 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- George Khamati A fulltime manager for the project is stationed at the centre- Anne Mbwayo

28. Opening of resource centre- October 2013

29. Summary We are offering Collaboration and Support in Mental health research- CHS and at decentralized sites Competencies in research methods Multidisciplinary/ trans-disciplinary Mentoring and Seed grants for PG students in MH research at CHS Mentoring and funding small research projects at the decentralized sites Collaboration in projects that have a psychosocial component Work with PRIME-K AIM 3 to support research in Mental health at the decentralized sites

30. Participants goals and expectations

31. Workshop goals and expectations Strengthening collaboration with Major stakeholders in mental health: Child health, Maternal Health and Non communicable Diseases Extend the relevance of research beyond the University settings to involve Health Workers in the counties- Decentralized PRIME-K sites Collect baseline data on Mental health priority Areas in Kenya- multisite study Each of the participants or groups- will leave this place on Saturday having written a sound proposal that can go to ethics

32. Participants Mental health workshop

33. Acknowledgements All members of MH-Linked project UON and UW Co-PI Deepa Rao (UW) UON Co- investigators: Margaret Makanyengo, Manasi Kumar, Mary Kuria, Anne Obondo, Violet Kimani, Beatrice Amugune, David Bukusi, Mirriam Wagoro UW Co-investigators: Jurgen Unutzer, Ann Vander Stoep, Debra Kaysen, Dennis Donovan, Prof Kiarie, Prof Machoki and the PRIME- K Team All the postgraduate students of CHS who have been working with us in this project Funding / Support: Funding for this work came from the National Institute of Mental Health (NIMH)through award number 4R25MH099132.

34. Vision: A world-class university committed to scholarly excellence The University of Nairobi University of Nairobi ISO 9001:2008 34 Certified http://www.uonbi.ac.ke