Community-based mental health intervention skills: Task shifting in low- and middle-income settings.

Author(s):  
Lauren Deimling Johns ◽  
Jessica Power ◽  
Malcolm MacLachlan
2007 ◽  
Vol 65 (2) ◽  
pp. 319-330 ◽  
Author(s):  
Christina Getrich ◽  
Shirley Heying ◽  
Cathleen Willging ◽  
Howard Waitzkin

2015 ◽  
Vol 2 ◽  
Author(s):  
K. J. Sikkema ◽  
A. C. Dennis ◽  
M. H. Watt ◽  
K. W. Choi ◽  
T. T. Yemeke ◽  
...  

People living with HIV (PLWH) experience greater psychological distress than the general population. Evidence from high-incomes countries suggests that psychological interventions for PLWH can improve mental health symptoms, quality of life, and HIV care engagement. However, little is known about the effectiveness of mental health interventions for PLWH in low- and middle-income countries (LMICs), where the large majority of PLWH reside. This systematized review aims to synthesize findings from mental health intervention trials with PLWH in LMICs to inform the delivery of mental health services in these settings. A systematic search strategy was undertaken to identify peer-reviewed published papers of intervention trials addressing negative psychological states or disorders (e.g. depression, anxiety) among PLWH in LMIC settings. Search results were assessed against pre-established inclusion and exclusion criteria. Data from papers meeting criteria were extracted for synthesis. Twenty-six papers, published between 2000 and 2014, describing 22 unique interventions were identified. Trials were implemented in sub-Saharan Africa (n = 13), Asia (n = 7), and the Middle East (n = 2), and addressed mental health using a variety of approaches, including cognitive-behavioral (n = 18), family-level (n = 2), and pharmacological (n = 2) treatments. Four randomized controlled trials reported significant intervention effects in mental health outcomes, and 11 preliminary studies demonstrated promising findings. Among the limited mental health intervention trials with PLWH in LMICs, few demonstrated efficacy. Mental health interventions for PLWH in LMICs must be further developed and adapted for resource-limited settings to improve effectiveness.


2021 ◽  
pp. 1103-1119
Author(s):  
Donatilla Mukamana ◽  
Lisa López Levers ◽  
Kenya Johns ◽  
Darius Gishoma ◽  
Yvonne Kayiteshonga ◽  
...  

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kaustubh Joag ◽  
Laura Shields-Zeeman ◽  
Nandita Kapadia-Kundu ◽  
Rama Kawade ◽  
Madhumitha Balaji ◽  
...  

2021 ◽  
Vol 15 (3) ◽  
pp. 155798832110184
Author(s):  
Tatiana Tchouankam ◽  
Paul Estabrooks ◽  
Anthony Cloyd ◽  
Maxine Notice ◽  
Maria Teel-Williams ◽  
...  

African Americans (AAs) are 20% more likely to develop serious psychological distress compared to Whites but are less likely to use mental health services. The study objective was to evaluate the effectiveness of recruitment strategies to engage AA fathers in a mental health intervention. Using the community-based participatory research (CBPR) approach, a community-academic partnership (CAP) developed and implemented direct and indirect referral strategies to engage AA fathers in a mental health intervention. Direct referral strategies focused on community partner identification of potentially eligible participants, providing information about the study (i.e., study flyer), and referring potential participants to the study. Indirect referrals included posting flyers in local businesses frequented by AA men, radio advertisements, and social media posts from community organizations. From January to October 2019, 50 direct and 1388 indirect referrals were documented, yielding 24 participants screened and 15 enrolled. Of all participants screened, 58% were referred through indirect referral, 38% were referred directly by community partners, and 4% of the participants were referred through both direct and indirect referrals. Twenty percent of those exposed to the direct referral methods and 1% of those exposed to the indirect referral methods were enrolled. The indirect referrals accounted for 60% of enrollment, whereas the direct referrals accounted for 33.3% of enrollment. Collaborating with the community partners to engage hard-to-reach populations in mental health studies allowed for broad dissemination of recruitment methods, but still resulted in low participant accrual. Additional focus on increasing direct referral methods appears to be a fruitful area of CBPR.


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