STRENGTHENING HUMAN RESOURCES
THROUGH DEVELOPMENT OF CANDIDATE
CORE COMPETENCIES FOR MENTAL,
NEUROLOGICAL, AND SUBSTANCE USE
DISORDERS IN SUB-SAHARAN AFRICA
WORKSHOP SUMMARY
A Collaboration of the Forum on Neuroscience and Nervous System Disorders
and the African Science Academy Development Initiative
Diana E. Pankevich, Theresa M. Wizemann,
Patricia A. Cuff, and Bruce M. Altevogt,
Rapporteurs
Board on Health Sciences Policy
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
THE NATIONAL ACADEMIES PRESS
Washington, D.C.
THE NATIONAL ACADEMIES PRESS • 500 Fifth Street, NW • Washington, DC 20001
NOTICE: The workshop that is the subject of this summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
This project was supported by contracts between the National Academy of Sciences and the Alzheimer’s Association; CeNeRx Biopharma; the Department of Health and Human Services’ National Institutes of Health (NIH, Contract No. N01-OD-4-2139) through the National Eye Institute, National Institute of Mental Health, National Institute of Neurological Disorders and Stroke, National Institute on Aging, National Institute on Alcohol Abuse and Alcoholism, National Institute on Drug Abuse, and NIH Blueprint for Neuroscience Research; Department of Veterans Affairs; Eli Lilly and Company; Fast Forward, LLC; Foundation for the National Institutes of Health; GE Healthcare, Inc.; GlaxoSmithKline, Inc.; Johnson & Johnson Pharmaceutical Research and Development, LLC; Lundbeck Research USA; Merck Research Laboratories; The Michael J. Fox Foundation for Parkinson’s Research; the National Science Foundation (Contract No. OIA-0753701); One Mind for Research; Pfizer Inc.; the Society for Neuroscience; and Wellcome Trust. The views presented in this publication are those of the editors and attributing authors and do not necessarily reflect the view of the organizations or agencies that provided support for this project.
International Standard Book Number-13: 978-0-309-28606-0
International Standard Book Number-10: 0-309-28606-9
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Suggested citation: IOM (Institute of Medicine). 2013. Strengthening human resources through development of candidate core competencies for mental, neurological, and substance use disorders in sub-Saharan Africa: Workshop summary. Washington, DC: The National Academies Press.
THE NATIONAL ACADEMIES
Advisers to the Nation on Science, Engineering, and Medicine
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.
The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.
The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.
The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.
PLANNING COMMITTEE ON STRENGTHENING HUMAN RESOURCES FOR MENTAL, NEUROLOGICAL, AND SUSBTANCE USE DISORDERS IN SUB-SAHARAN AFRICA1
PAMELA Y. COLLINS (Co-Chair), The Office for Research on Disparities and Global Mental Health
SEGGANE MUSISI (Co-Chair), Makerere University Medical School
VIKRAM PATEL (Co-Chair), London School of Hygiene & Tropical Medicine
STEVEN HYMAN, The Broad Institute
SYLVIA KAAYA, Muhimbili University College of Health and Allied Sciences
WALTER J. KOROSHETZ, National Institute for Neurological Disorders and Stroke
ALAN I. LESHNER, American Association for the Advancement of Science
DAVID NDETEI, African Mental Health Foundation
ADESOLA OGUNNIYI, University of Ibadan
SOLOMON RATAEMANE, University of Limpopo
SHEKHAR SAXENA, World Health Organization
JOHN WILLIAMS, Wellcome Trust
IOM Staff
BRUCE M. ALTEVOGT, Project Director
PATRICIA A. CUFF, Senior Program Officer
DIANA E. PANKEVICH, Program Officer
ELIZABETH K. THOMAS, Senior Program Assistant (until November 2012)
___________________
1 Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.
INSTITUTE OF MEDICINE FORUM ON NEUROSCIENCE AND NERVOUS SYSTEM DISORDERS1
STEVEN HYMAN (Chair), The Broad Institute
SUSAN AMARA, Society for Neuroscience
MARC BARLOW, GE Healthcare, Inc.
MARK BEAR, Massachusetts Institute of Technology
KATJA BROSE, Neuron
DANIEL BURCH, PPDi
C. THOMAS CASKEY, Baylor College of Medicine
TIMOTHY COETZEE, Fast Forward, LLC
EMMELINE EDWARDS, NIH Neuroscience Blueprint
MARTHA FARAH, University of Pennsylvania
RICHARD FRANK, GE Healthcare, Inc.
DANIEL GESCHWIND, University of California, Los Angeles
HANK GREELY, Stanford University
MYRON GUTMANN, National Science Foundation
RICHARD HODES, National Institute on Aging
THOMAS INSEL, National Institute of Mental Health
PHILLIP IREDALE, Pfizer Global Research and Development
DANIEL JAVITT, Nathan S. Kline Institute for Psychiatric Research
FRANCES JENSEN, University of Pennsylvania School of Medicine
STORY LANDIS, National Institute of Neurological Disorders and Stroke
ALAN LESHNER, American Association for the Advancement of Science
HUSSEINI MANJI, Johnson & Johnson Pharmaceutical Research and Development, Inc.
DAVID MICHELSON, Merck Research Laboratories
RICHARD MOHS, Lilly Research Laboratories
ALEXANDER OMMAYA, U.S. Department of Veterans Affairs
ATUL PANDE, GlaxoSmithKline, Inc.
STEVEN PAUL, Weill Cornell Medical College
TODD SHERER, The Michael J. Fox Foundation for Parkinson’s Research
PAUL SIEVING, National Eye Institute
JUDITH SIUCIAK, Foundation for the National Institutes of Health
MARC TESSIER-LEVIGNE, The Rockefeller University
WILLIAM THIES, Alzheimer’s Association
NORA VOLKOW, National Institute on Drug Abuse
KENNETH WARREN, National Institute on Alcohol Abuse and Alcoholism
JOHN WILLIAMS, Wellcome Trust
STEVIN ZORN, Lundbeck USA
CHARLES ZORUMSKI, Washington University School of Medicine
IOM Staff
BRUCE M. ALTEVOGT, Forum Director
DIANA E. PANKEVICH, Program Officer
SHEENA M. POSEY, Research Associate
RACHEL J. KIRKLAND, Senior Program Assistant
ANDREW POPE, Director, Board on Health Sciences Policy
___________________
1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.
INSTITUTE OF MEDICINE BOARD ON AFRICAN SCIENCE ACADEMY DEVELOPMENT1
ENRIQUETA BOND (Chair), Burroughs Wellcome Fund
JO IVEY BOUFFORD, New York Academy of Medicine
MICHAEL CLEGG, University of California, Irvine
PRINCETON LYMAN, Georgetown University
NARCISO MATOS, Foundation for Community Development
CHEIKH MBACKÉ, Hewlett Foundation
ROMAIN MURENZI, TWAS–The Academy of Sciences for the Developing World
VENKATESH NARAYANAMURTI, Harvard School of Engineering and Applied Sciences
IOM Staff
PATRICIA A. CUFF, Liaison to the Uganda National Academy of Sciences
CHRISTIAN ACEMAH, Associate Program Officer
ANGELA CHRISTIAN, Program Associate
JAMES BANIHASHEMI, Financial Officer
PATRICK KELLEY, Director, Board on Global Health
___________________
1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.
Reviewers
This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:
Jonathan Burns, University of KwaZulu-Natal
Marcelo Cruz, Global Network for Research on Mental and Neurological Health
Natalia Kanem, The Lloyd Best Institute of the West Indies
Ana-Claire Meyer, University of California, San Francisco
Angelina Kakooza Mwesige, Makerere University School of Medicine
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Donald Silberberg, The University of Pennsylvania Medical Center. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with in-
Contents
WHY FOCUS ON DEPRESSION, PSYCHOSIS, EPILEPSY AND ALCOHOL USE?
OVERVIEW OF THE 2009 JOINT IOM AND UNAS WORKSHOP
STATUS OF MNS DISORDERS IN SUB-SAHARAN AFRICA
CHALLENGES FACING MNS CARE PROVIDERS IN SSA
CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS
THE PROCESS OF UPDATING AND INTEGRATING CORE COMPETENCIES
A Summary of Candidate Core Competencies
