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The role of communities in mental Health care in low- and middle-income countries: a meta-review of components and competencies

Kohrt, Brandon A.; Asher, Laura; Bhardwaj, Anvita; Fazel, Mina; Jordans, Mark J.D.; Mutamba, Byamah B.; Nadkarni, Abhijit; Pedersen, Gloria A.; Singla, Daisy R.; Patel, Vikram

The role of communities in mental Health care in low- and middle-income countries: a meta-review of components and competencies Thumbnail


Authors

Brandon A. Kohrt

LAURA ASHER LAURA.ASHER@NOTTINGHAM.AC.UK
Clinical Associate Professor

Anvita Bhardwaj

Mina Fazel

Mark J.D. Jordans

Byamah B. Mutamba

Abhijit Nadkarni

Gloria A. Pedersen

Daisy R. Singla

Vikram Patel



Abstract

Community-based mental health services are emphasized in the World Health Organization’s Mental Health Action Plan, the World Bank’s Disease Control Priorities, and the Action Plan of the World Psychiatric Association. There is increasing evidence for effectiveness of mental health interventions delivered by non-specialists in community platforms in low- and middle-income countries (LMIC). However, the role of community components has yet to be summarized. Our objective was to map community interventions in LMIC, identify competencies for community-based providers, and highlight research gaps. Using a review-of-reviews strategy, we identified 23 reviews for the narrative synthesis. Motivations to employ community components included greater accessibility and acceptability compared to healthcare facilities, greater clinical effectiveness through ongoing contact and use of trusted local providers, family involvement, and economic benefits. Locations included homes, schools, and refugee camps, as well as technology-aided delivery. Activities included awareness raising, psychoeducation, skills training, rehabilitation, and psychological treatments. There was substantial variation in the degree to which community components were integrated with primary care services. Addressing gaps in current practice will require assuring collaboration with service users, utilizing implementation science methods, creating tools to facilitate community services and evaluate competencies of providers, and developing standardized reporting for community-based programs.

Citation

Kohrt, B. A., Asher, L., Bhardwaj, A., Fazel, M., Jordans, M. J., Mutamba, B. B., …Patel, V. (2018). The role of communities in mental Health care in low- and middle-income countries: a meta-review of components and competencies. International Journal of Environmental Research and Public Health, 15(6), Article 1279. https://doi.org/10.3390/ijerph15061279

Journal Article Type Article
Acceptance Date Jun 14, 2018
Online Publication Date Jun 16, 2018
Publication Date Jun 16, 2018
Deposit Date Jun 19, 2018
Publicly Available Date Jun 19, 2018
Journal International Journal of Environmental Research and Public Health
Electronic ISSN 1660-4601
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 15
Issue 6
Article Number 1279
DOI https://doi.org/10.3390/ijerph15061279
Keywords community; global health; low- and middle-income countries; mental disorders; meta-review; paraprofessionals; psychological treatments
Public URL https://nottingham-repository.worktribe.com/output/939104
Publisher URL http://www.mdpi.com/1660-4601/15/6/1279
Contract Date Jun 19, 2018

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