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: Post-Doctoral Researcher in Department of Psychology/ ALL Institute for SHAPES Project
45 months fixed-term contract based at Maynooth University. Closing date 12/1/20
Date: Wednesday, 18 December 2019
Job Opportunity: Senior Post Doctoral Researcher in Department of Anthropology / ALL Institute, for SHAPES Project
36 months fixed-term contract based at Maynooth University. Closing date 10/1/20
Date: Wednesday, 18 December 2019
Dr. Delia Ferri and Dr. Noelle Higgins awarded Horizon 2020 Grant
Project Entitled: Rethinking Digital Copyright Law for a Culturally Diverse, Accessible, Creative Europe (ReCreating Europe)
Date: Friday, 13 December 2019
ALL Institute Member, Ikenna Ebuenyi has PhD Published
PhD Entitled 'Inclusive employment: understanding the barriers to and facilitators of employment for persons with mental disability in East Africa'
Date: Thursday, 12 December 2019
ALL Member, Dr. Delia Ferri Awarded Prestigious ERC Grant
The project is entitled: ‘Dancing - Protecting the Right to Culture of Persons with Disabilities and Enhancing Cultural Diversity through European Union Law: Exploring New Paths'
Date: Thursday, 12 December 2019
ALL Member, Delia Ferri and Co-author Andrea Broderick have New Book Published
Book is Entitled: International and European Disability Law and Policy
Date: Wednesday, 11 December 2019
Job Opportunity: Post-Doctoral Researcher in Department of Law/ ALL Institute, for SHAPES Project
24 months fixed-term contract based at Maynooth University. Closing date 20/1/20
Date: Monday, 09 December 2019
Launch of New IRC Project, APPLICABLE, in Malawi; jointly led by ALL Institute and University of Malawi
APPLICABLE: Assistive Product List Implementation Creating Enablement of inclusive SDGs.
Date: Friday, 06 December 2019
New ALL Promotional Video Released
https://youtu.be/BTqd62MC69o ALL Co-Directors describe the activities of the ALL Institute
Date: Wednesday, 04 December 2019
ALL Institute members at Launch of 'Innovate Now' in Kenya
Mac MacLachlan, Emma Smith, and Ikenna Ebuenyi participated in the launch of Innovate Now, an assistive technology innovation ecosystem
Date: Sunday, 01 December 2019