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Ethical
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Dismantling power differentials between researchers and vulnerable populations
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▪CBPR to ensure community engagement, co-learning, and involvement
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▪Community advisory boards to reinforce and enrich investigation
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Ensuring appropriateness, sensitivity and relevance in local contexts
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▪Employ an ecological approach to investigate individual, family, and community influences
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▪Mixed-methods to establish culturally meaningful and valid assessments
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▪Focus group discussions to refine items and determine cultural appropriateness
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▪Develop locally derived measures in close consultation with local staff and community members
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Addressing risk of harm cases
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▪Anticipate risk of harm cases and develop rigorous protocols to ensure participant safety, appropriate referrals, and follow-up
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Capacity/Sustainability
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Developing long-term, stable partnerships
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▪Develop a capacity-building core to develop and deliver innovative, locally relevant training and technical assistance programs
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Establishing systems of follow-up
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Supporting rather than overburdening professionals
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Logistical
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Adapting to unforeseen, adverse circumstances
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▪Anticipate and plan for them. When that fails, accept the challenge presented, make appropriate adaptations to the research process and consider opportunities
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Conceptualizations and Assessment of Mental Health in Diverse Cultures and Contexts
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Assessing mental health problems, especially in the absence of validated screening tools
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▪Involve local teams in qualitative data collection to understand stigma and co- morbidity and to examine protective processes linked to resilient outcomes
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Addressing stigma around mental health
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▪Use mixed methods models to select, adapt, or create measures of mental health and related constructs
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Addressing co-morbidity
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▪Use psychometric methods to subject tools to rigorous validation, testing and refinement
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