Abstract
There is a global need to provide human resources for health in low- and middle-income countries. To increase access to care, task shifting has been implemented in community-based rehabilitation (CBR) programs where skills and responsibilities are transferred to local people with shorter and more focused training. Through realist review and synthesis, this research aimed to consolidate the literature when considering (a) what skills CBR workers are reportedly using and/or being trained in relating to mental health, (b) how different settings affect how these task shifting programs work, and (c) the evidence of effectiveness when community health workers come from within the community itself. A total of 11 databases (PubMed, ABI/Inform Global, CINAHL, Cochrane, Emerald, Google Scholar, PsycINFO, SAGE, Science Direct, Scopus, and Web of Science) were systematically searched for specific terms relating to mental health, CBR, and low- and middle-income country. A total of 27 publications were identified as fitting the criteria (4 qualitative, 20 quantitative including 10 randomized controlled trials, and 3 noninvestigatory editorials). Core skills have been identified along with themes that affect how programs work in particular contexts. The use of task shifting in this area may be a potentially viable option for increasing access to mental health care. This resulted in the development of a theory to explain the outcomes being observed. When Task-shifting mental health intervention skills collaboration, harnessing resources available within the community, and the provision of ongoing supervision interact to influence awareness gains, social bonding, the building of trust, and the development of skills and understanding within the community itself. This effects intervention buy-in, overall effectiveness and sustainability, mental health symptoms and local empowerment. These findings can be considered when developing training programs for CBR mental health workers, as well as policy and intervention program design. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
ALL Institute: Assisting Living & Learning
ToggleMac MacLachlan, Director, ALL Institute publishes new article in International Perspectives in Psychology
News
Job Opportunity: Administrative Officer of ALL Institute
3 years full time. Closing Date : 18-Aug-2020
Date: Wednesday, 05 August 2020
Job Vacancy: Post Doctoral Researcher in Electronic Engineering
Closing Date : 23-Aug-2020
Date: Tuesday, 04 August 2020
New Report by ALL Members Katriona O'Sullivan and Niamh Bird on Dreamspace Project
The Report is entitled: Microsoft DreamSpace:A Catalyst for Education Change
Date: Wednesday, 15 July 2020
Prof. Ferri Has Become a Member of the Scientific Committee of CesDirSan
The Research Centre, CesDirSan carries out interdisciplinary research and organizes events and workshops on health law
Date: Thursday, 09 July 2020
ALL Institute Contributes to New Article on Covid-19 and Individuals with Intellectual Disabilities
Article entitled: COVID-19 IDD: A global survey exploring the impact of COVID-19 on individuals with intellectual and developmental disabilities and their caregivers
Date: Wednesday, 08 July 2020
ALL Co-director, Delia Ferri and Charles O'Sullivan have blog post published on EUreka blog
Post entitled "Revamping EU Disability Policies post-COVID-19: The Role of the Conference on the Future of the EU"
Date: Wednesday, 01 July 2020
ALL Member, Katriona O'Sullivan Receives Grant from Microsoft Datacenter Community Empowerment Fund
The programme will deliver a computational thinking module to early school leavers attending youth reach while supporting these students to see college as an option for their future through college connect mentoring programme.
Date: Tuesday, 23 June 2020
ALL Co-director Delia Ferri Co-authors Article in European Journal Migration & Law with Charles O’Sullivan
Article entitled 'The Recast Reception Conditions Directive and the Rights of Asylum Seekers with Disabilities: Opportunities, Challenges and the Quest for Reform'
Date: Friday, 19 June 2020
ALL Institute is pleased to be leading the research component of the AT2030 Country Investment Fund
This fund will provide investments in up to 5 African countries to implement programs or services to improve access to assistive technologies.
Date: Wednesday, 17 June 2020
ALL member, Rosie Gowran has Article Published in Disability and Rehabilitation - ‘A national review of wheelchair services is called for’
The article is entitled: 'Wheelchair and seating assistive technology provision: a gateway to freedom'
Date: Monday, 08 June 2020