A5054103230- Mental Health Treatment and Access
- Migration, Health and Trauma
- Primary Care and Health Outcomes
- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Mental Health and Psychiatry
- Health disparities and outcomes
- Resilience and Mental Health
- Child and Adolescent Psychosocial and Emotional Development
- Schizophrenia research and treatment
- COVID-19 and Mental Health
- Child Abuse and Trauma
- HIV Research and Treatment
- Health Policy Implementation Science
- Parental Involvement in Education
- Psychiatric care and mental health services
- Racial and Ethnic Identity Research
- Health and Conflict Studies
- Coastal and Marine Management
- Healthcare Quality and Management
- Poverty, Education, and Child Welfare
- Family Caregiving in Mental Illness
- Suicide and Self-Harm Studies
- Family Support in Illness
- Bipolar Disorder and Treatment
Harvard University
2024-2025
Broad Institute
2025
Boston University
2019-2023
Boston Medical Center
2019-2023
Massachusetts General Hospital
2020-2021
Loyola University Chicago
2017-2021
University School
2019
Affecting nearly 10% of men globally, alcohol use disorders (AUDs) represent a significant public health burden. Existing work, including from Ukraine, suggests that living in conflict settings may exacerbate the risk AUDs. However, there is dearth evidence regarding misuse, as well knowledge factors associated with misuse patterns, settings. The aim this qualitative study was to investigate explanatory models among conflict-affected Ukraine. Purposive and snowball sampling were used recruit...
Substance use is common among individuals with psychotic disorders, but limited research exists on the variations in substance across countries Africa. This study aims to investigate frequency of alcohol, tobacco, cannabis, and khat consumption bipolar disorder (BD) schizophrenia (SCZ) four African countries: South Africa, Ethiopia, Kenya, Uganda. We utilized data from Neuropsychiatric Genetics Populations-Psychosis project, a large case-control which will soon have genetic over 42,000...
Background About 80% of the nearly 2 billion people experiencing psychiatric conditions worldwide do not have access to quality, affordable mental health care. In Africa, there are 0.004 psychiatrists per 10,000 people, with shortage exacerbated by a limited number postgraduate psychiatry training opportunities. As 2018, were only two in Liberia. Methods This paper aims offer framework for developing (i.e., residency) resource-constrained settings disseminate best practices and lessons...
Abstract Background and Hypothesis Psychosis-associated diagnostic codes are increasingly being utilized as case definitions for electronic health record (EHR)-based algorithms to predict detect psychosis. However, data on the validity of psychosis-related is limited. We evaluated positive predictive value (PPV) International Classification Diseases (ICD) Study Design Using EHRs at 3 systems, ICD comprising primary psychotic disorders mood with psychosis were grouped into 5 higher-order...
Traumatic events and ensuing stress are not widely studied in individuals with severe mental illness (SMI) despite their increased vulnerability to both. Far less is known about traumatic posttrauma reactions people SMI low-resourced settings.To address this gap knowledge, our study focused on trauma its effects for caregivers rural Ethiopia. Study aims were identify that considered by stakeholders; characterize the health of such events; discern symptoms most relevant SMI.Qualitative...
The Health Impacts of Artificial Reef Advancement (HIARA; in the Malagasy language, "together") study cohort was set up December 2022 to assess economic and nutritional importance seafood for coastal population living along Bay Ranobe southwestern Madagascar. Over course research, which will continue until at least 2026, primary question we seek answer is whether creation artificial coral reefs can rehabilitate fish biomass, increase catch, positively influence fisher livelihoods, community...
Low- and middle-income countries have few mental health professionals, efforts to increase access treatment are a global priority. A key gap is the lack of integration psychotherapy interventions as part accessible evidence-based care. Current recommendations suggest that treatments, including psychotherapy, into existing primary care pathways may serve means address this disparity. Understanding cultural contextual factors affect process critical step in identifying necessary adaptations....
This mixed-methods study examined the socioemotional experiences of 57 alumni language support programs (i.e., English as a second language, bilingual education) to identify effects being learners (ELs). Findings revealed need for multicultural sensitivity ELs, bullying episodes, social exclusion, and not disclosing negative experiences. Participants valued opportunities meet diverse peers, appreciated teacher support, viewed source motivation achieve. with greater numbers were less...
Recommendations for best practice are useful in guiding the ethical and effective of psychology. Global mental health, which works to improve health treatment access on a worldwide scale, is growing field with many opportunities psychologists, though such recommendations have not been articulated. Using grounded theory approach, this qualitative study recruited interviewed psychologists identified as leaders field. Findings included broad categories related overarching variables...
Media exposure is a risk factor and parental monitoring protective against adolescent alcohol tobacco use. Music-related media, however, are underexplored. The National Survey of Parents Youth was utilized to examine music-related media as for cigarette Multilevel modeling demonstrated that music related higher levels lower substance Parental attenuated the effect radio on Further investigation music, monitoring, use needed.
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Psychosocial support in education that is provided during emergencies frequently aims to children's resilience, but strong, contextual measures of resilience are short supply Eastern Europe. In this article, our aim describe the development and psychometric properties first measure for war-affected adolescents Ukraine. We used qualitative methods identify main cultural characteristics resiliency then these constructs develop measure. exploratory structural equation modeling extract five...
Shortcomings in schools' efforts to serve English learners (ELs) are often both a function of the continuing scarcity teacher education and ability schools implement high-quality professional development (PD) successfully prepare effective teachers for this marginalized student population. Scant literature addresses processes initiating EL-focused PD, as well effectiveness PD at school-wide level. In study, survey data collected from designing delivering were examined ascertain what makes...
Abstract Objective Increasing access to quality, evidence-based mental health treatments, including psychotherapy, is a global priority. Knowledge of factors associated with delivery settings critical ensure that new practices are appropriate and effectively adapted for novel settings. Understanding perceived needs training interest in ongoing education one key factor. This qualitative study aimed identify perspectives on contemporary psychotherapies, training, existing barriers facilitators...
Abstract Background This study describes the trauma experiences of people with severe mental illness (SMI) in Ethiopia and presents a model how SMI exposure interact to reduce functioning quality life this setting. Methods A total 53 participants living working rural district southern were interviewed: 18 SMI, 21 caregivers, 14 primary health care providers. Results Many reported that traumatic stressful events led exacerbated symptoms, increased caregiver stress distress. In addition,...
Early detection of psychosis is critical for improving outcomes. Algorithms to predict or detect using electronic health record (EHR) data depend on the validity case definitions used, typically based diagnostic codes. Data psychosis-related codes limited. We evaluated positive predictive value (PPV) International Classification Diseases (ICD) psychosis.
Understanding how and when a new evidence-based clinical intervention becomes standard practice is crucial to ensure that healthcare delivered in alignment with the most up-to-date knowledge. However, rigorous methods are needed determine normalized of care. To address this gap, study qualitatively explores how, when, why change within organizations.
Abstract Background Understanding how and when a new evidence-based clinical intervention becomes standard practice is crucial to ensure that healthcare delivered in alignment with the most up-to-date knowledge. However, rigorous methods are needed determine normalized of care. To address this gap, study qualitatively explores how, when, why change within organizations. Methods We used purposive sampling recruit leaders who worked quality improvement and/or implementation science diverse...