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
Participate in Survey 'ApartTogether'
ApartTogether aims to understand the psycho-social impact of the COVID-19 Pandemic on migrants and refugees.
Date: Monday, 08 June 2020
ALL member Ikenna Ebuenyi has new article published in International Journal of Mental Health Systems
Article entitled "Perspectives of mental healthcare providers on pathways to improved employment for persons with mental disorders in two lower middle-income countries"
Date: Wednesday, 27 May 2020
ALL Institute member, Ana Maria Sánchez Rodríguez, presented at the Law and Society 2020 First Virtual Conference
The title of her presentation was: “Resistance to Dominance Notions of Development in Disability Activism in the Global South: The Lao PDR Case”.
Date: Wednesday, 27 May 2020
ALL Member, Trevor Vaugh on RTE's Home School Hub
Trevor is 'delighted to bring a little bit of Human-Centered Design to the children of Ireland this morning on #HomeSchoolHub!'
Date: Friday, 22 May 2020
ALL Member and CAROLINE Fellow, Ana Maria Sanchez Rodriguez Contributes to Covid 19 Report with Women Enabled International
Article entitled: "COVID-19 at the Intersection of Gender and Disability: Findings of a Global Survey"
Date: Wednesday, 20 May 2020
Postdoctoral Researcher Vacancy (SHAPES Project)
Closing Date: Sunday, 7th June 2020.
Date: Tuesday, 19 May 2020
ALL Member, Rebecca Murphy has Article published on Website Headstuff
Article entitled 'Protection From A Pandemic | A Reprieve For The Privileged'
Date: Tuesday, 12 May 2020
ALL Member, Katriona O'Sullivan has New Article Published in European Journal of Special Needs Education
The article is entitled 'The DreamSpace STEM-21CLD model as an aid to inclusion of pupils with special education needs'
Date: Tuesday, 12 May 2020
IDA-MU Doctoral Scholarship Opportunity
Doctoral Scholarship in Monitoring of Disabled People’s Organisations (DPOs) Participation in Development Programmes and Policies Closing date for applications: 21st June 2020
Date: Tuesday, 12 May 2020
Dr Katriona O’Sullivan has new publication in the European Journal of Special Needs Education
Paper entitled “The DreamSpace STEM-21CLD model as an aid to inclusion of pupils with special education needs”
Date: Tuesday, 12 May 2020