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
Congratulations to ALL member, Rebecca Maguire on being Awarded New Foundations Grant by Irish Research Council
The project will be carried out in collaboration with Multiple Sclerosis Ireland, where we will work to develop a framework for service evaluation. This will help to ensure that services are meeting the needs of users.
Date: Sunday, 10 May 2020
Congratulations to ALL member Richard Roche for being Awarded Irish Research Council Award
A reminiscence-plus-walking intervention for older adults with Alzheimer’s Disease, partnering with the Alzheimer Society of Ireland
Date: Wednesday, 06 May 2020
3 New Job Opportunities on ERC Project DANCING
Two post-doctoral researchers (1 in Law, 1 in Sociology or Cognate discipline) and a project manager
Date: Thursday, 30 April 2020
ALL Institute collaborates on HRB-funded project on Covid 19
“Impact of Covid 19 on Individuals with Intellectual and Developmental Disabilities and Caregivers”
Date: Thursday, 30 April 2020
ALL Member, Trevor Vaugh involved in RTE's Big Life Fix
RTÉ's Big Life Fix, challenges a group of leading designers, engineers, computer programmers and technology experts to create inventions that will transform people’s lives.
Date: Wednesday, 29 April 2020
ALL Co-Director, now Clinical Lead for Disability in the Irish Health Service (HSE)
Prof Mac MacLachlan is being seconded from Maynooth University to the HSE for 50% of his time in this new role.
Date: Tuesday, 28 April 2020
Answer our brief survey on the impact of COVID19 on Assistive Technology use and provision that we are doing with the WHO GATE initiative!
Available in all 6 UN languages https://maynoothpsychology.eu.qualtrics.com/jfe/form/SV_6qXYSvhxyithEC9
Date: Wednesday, 01 April 2020
ALL member, Delia Ferri recently promoted to Professor.
We are also delighted to welcome Prof. Ferri as a Co-Director of the ALL Institute
Date: Monday, 30 March 2020
Opportunities for PhD Students to Join SFI Centre for Research Training in Advanced Networks for Sustainable Societies
The SFI Centre is training 120 PhD students in four annual cohorts of 30 students across the five partner universities including Masynooth University
Date: Friday, 20 March 2020
Maynooth Men's Shed Short Film
Filmed by ALL member, David Prendergast
Date: Wednesday, 26 February 2020