Annika C. Sweetland, DrPH
- Associate Professor of Clinical Sociomedical Sciences (in Psychiatry)

Overview
Dr. Annika Sweetland is an Associate Professor with dual appointments in the Department of Psychiatry at Columbia University Vagelos College of Physicians and Surgeons and the Department of Sociomedical Sciences at Mailman School of Public Health. For the past 20 years, she has been involved global mental health work in Latin America (Peru, Haiti, Brazil), Africa (Nigeria, Mozambique, South Africa) and the United States, with a topical focus on tuberculosis (TB) and depression. Most of her research focuses on how to increase access to mental health services in low resource settings by training lay providers (task-shifting) to deliver brief evidence-based interventions. She is Director of Research and Evaluation for the Columbia Community Mental Wellness Center and Co-Training Director of the NIMH-funded T32 Post-Doctoral Fellowship in Global Mental Health & Implementation Science (T32 MH096724; PI: Wainberg). She is Co-Founder and Co-Chair of the TB and Mental Health Working Group at the International Union Against TB and Lung Disease and lead consultant to the World Health Organization to develop guidance and training materials for TB and mental health integration. She has been a faculty instructor on three global implementation science training grants including two Fogarty-funded D43 Implementation Research Training grants to build research capacity in Mozambique and South Africa (D43 TW009675; PI: Wainberg & Oquendo; D43TW012497; PI: Medina-Marino) and one NIMH funded U19 mental health hub grant in Southern Africa (U19 MH113203; PI: Wainberg). She was PI of an NIMH-funded implementation science pilot study in Brazil which sought to explore whether using the principals of social network analysis could accelerate the scale up of a brief depression intervention, interpersonal counseling (IPC), among TB patients in primary care (K01 MH104514; PI: Sweetland) and is currently leading a large clinical trial in South Africa to assess the effectiveness and cost-effectiveness of implementing IPC for people with TB and depression to improve outcomes (R01AI148461; PI: Sweetland). She also leads two small qualitative studies: 1) examining how to address the complex multimorbidities of TB, HIV, and mental and substance use disorders in Mozambique and 2) exploring providers’ perspectives about integrating an evidence-based single session intervention in primary care in New York. Throughout her global mental health research career, she's subspecialized in implementation and dissemination science, cross-cultural measurement of psychiatric disorders, transcultural adaptation of evidence-based interventions, e-learning, mobile technology to enhance data driven health planning, and sustainable development.
Academic Appointments
- Associate Professor of Clinical Sociomedical Sciences (in Psychiatry)
Administrative Titles
- Co-Founder and Co-Chair, TB and Mental Health Working Group, International Union Against TB and Lung Disease
- Editorial Board, PLOS ONE
Languages
- Portuguese
- Spanish
Credentials & Experience
Education & Training
- BA, 1998 Psychology, Wesleyan University
- MSW, 2002 Social Work, University of California, Berkeley
- DrPH, 2010 Sociomedical Sciences, Columbia University, Mailman School of Public Health
- Fellowship: 2012 Columbia University, New York, NY
- Fellowship: 2015 Columbia University College of Physicians and Surgeons
Committees, Societies, Councils
Editorial Boards
PLOS-One
Honors & Awards
Gray Matters Fellowship, Department of Psychiatry, Columbia Vagelos College of Physicians & Surgeons
Research
Research Interests
- Cross-cultural measurement of psychiatric disorders
- Dissemination and implementation science
- Evidence-based training using educational technologies
- Global Health
- Global Mental Health
- Infectious Diseases
- Mental Health
- Tuberculosis and depression
Grants
The Effectiveness and Cost-Effectiveness of Implementing Evidence-Based Depression Treatment within the TB Care Platform in South Africa: A Hybrid Effectiveness-Implementation Trial, NIAID (R01AI148461; PI:Sweetland)
Exploring patients' and provider' perspectives on managing the complex multimorbidities of TB, HIV, common mental disorders and substance use disorders within primary care in Mozambique, Columbia Global Mental Health Council Grant
Harnessing the science of e-learning to increase access to mental health care in Brazil
Presidential Global Innovation Fund, Columbia University
Integrating evidence-based depression treatment in primary care: Tuberculosis in Brazil as a model
National Institute of Mental Health, K01 Career Development Award in Global Mental Health
Depression biomarkers in latent and active TB (Rio de Janeiro, Brazil)
Rio de Janeiro State Research Foundation (FAPERJ)/Columbia Global Centers - Rio de Janeiro
Mobile Community Mapping to Integrate Evidence-Based Depression Treatment in Primary Care in Brazil: A Pilot Project (Itaborai, Brazil)
Rio de Janeiro State Research Foundation (FAPERJ)/Columbia Global Centers - Rio de Janeiro
Selected Publications
- Collins, P., Sweetland, A. C., Wagenaar, B. (2020). Ending HIV and TB: What's Mental Health Got to Do with It? JAMA Health Forum. Available at: https://jamanetwork.com/channels/health-forum/fullarticle/2768717
- *Lee, Ga Eun; Scuffell, James; Galea, Jerome T; Shin, Sanghyuk S.; Magill, Elizabeth; Jaramillo, Ernesto MD; Sweetland, A. C. (2020) Impact of mental disorders on active tuberculosis treatment outcomes: a systematic review and meta-analysis. International Journal of Tuberculosis and Lung Disease, 24(12): 1279-1284.
- *Sweetland, A. C., Galea, J., Shin, S. S., Driver, C., Dlodlo, R. A., Karpati, A., Wainberg, M. L. (2019) Integrating TB and Mental Health Services: Global Receptivity of National TB Program Directors. International Journal of Tuberculosis and Lung Disease. 23(5):600-605.
- Carlson C, Sweetland A, Wainberg M. (2018). Ethical challenges in global mental health clinical trials.Lancet Psychiatry, 5(11):866-867.
- *Sweetland AC, Jaramillo E, Wainberg ML, Chowdhary N, Oquendo MA, Medina-Marino A, Dua T. (2018) Tuberculosis: an opportunity to integrate mental health services in primary care in low-resource settings.Lancet Psychiatry, 5(12):952-954.
- *Sweetland, A. C., Kritski, A., Oquendo, M. A., Sublette, M. E., Norcini Pala, A., Bastista Silva, L. R., Karpati, A., Silva, E. C., Moraes, M. O., Lapa e Silva, J. R., Wainberg, M. L. (2017). Addressing the TB-depression syndemic to end the TB epidemic. International Journal Against TB and Lung Disease. 21(8): 852-861.
- *Sweetland, A., Oquendo, M. A., Carlson, C., Magidson, J. F., Wainberg, M. L. (2016) Mental health research in the global era: Training the next generation, Academic Psychiatry, 40(4), 715-720.
- *Sweetland, A., Oquendo, M., Vermund, S., Fortunato, P., Sidat, M, Duarte, C., Arbuckle, M., Wainberg, M. (2014). Closing the mental health treatment gap by building research capacity in low-income settings: Mozambique as a case example. Annals of Global Health. 80(2): 126-33.
- *Sweetland, A., Oquendo, M., Wickramaratne, P., Weissman, M., Wainberg, M. (2014). Depression: A silent driver of the tuberculosis epidemic. World Psychiatry, 13(3):325-326.
- *Sweetland, A., Belkin, G. & Verdeli, H. (2014). Measuring depression and anxiety in sub-Saharan Africa. Depression & Anxiety, 31(3):223-32.
- Acha, J., Sweetland, A. , Guerra, D., Chalco, K., Castillo, H., Palacios, E. (2007). Psychosocial support groups for patients with MDR-TB: Five years of experience, Global Public Health, 2(4):404-417.
For a complete list of publications, please visit PubMed.gov
Global Health Activities
Effectiveness and cost-effectiveness of integrating depression and TB treatment in South Africa (1R01AI148461-01A1), South Africa: Dr. Sweetland is Principal Investigator of a NIAID funded hybrid type I effectiveness-implementation trial that will increase understanding of the effectiveness and cost-effectiveness of integrating a brief evidence-based treatment for major depressive disorder (MDD) within the tuberculosis (TB) care platform in South Africa. Findings from this R01 are likely to inform policy and treatment guidelines for the integrated management of TB and MDD in low- and middle-income countries globally.
Global Mental Health Research Fellowship: Interventions That Make a Difference (5T32MH096724-10), Global: Dr. Sweetland is Co-Training Director of this NIMH funded Post-Doctoral Research Fellowship in Global Mental Health.
PALOP (Portuguese-Speaking African Countries) Mental Health Implementation Research Training, Mozambique: Dr. Sweetland is Faculty Instructor on this NIMH/Fogarty funded