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
New Vacancy: Project Manager for SHAPES Project
48 months fixed-term contract based at ALL Institute, Maynooth University. Closing date 5/1/20
Date: Saturday, 30 November 2019
Dr. Silvia Favalli visits the ALL Institute
Silvia's Poject is Entitled: Building an Inclusive Digital Society for Vulnerable Persons: The Role of Social Media Tools in a Disability Human Rights Perspective”
Date: Friday, 22 November 2019
4th ALL Symposium with Guest Speaker Prof. Peter Blanck
4th ALL Symposium, ‘Building an Inclusive Society through Accessibility: International Perspectives, Challenges and Lessons’.
Date: Thursday, 21 November 2019
Maynooth University to lead €21 million European Commission funded SHAPES health research project – the largest ever Horizon 2020 health grant led by an Irish university
Maynooth is one of 36 partners across 14 European countries in the SHAPES consortium The SHAPES acronym stands for Smart and Healthy Ageing through People Engaging in supportive Systems and aims to foster a positive approach to ageing
Date: Monday, 11 November 2019
Launch of SHAPES project
SHAPES- Smart and Healthy Ageing through People Engaging in supportive Systems
Date: Monday, 11 November 2019
Ana María Sánchez Rodríguez, CAROLINE Fellow and ALL member at LSHTM, The London School of Hygiene & Tropical Medicine, UK
Anna participated in the ICED International Conference on Disability Inclusive Development
Date: Wednesday, 06 November 2019
ALL Member, Ciarán Mac an Bhaird has New Article Published in 'Teaching Mathematics and its Applications'
Article is Entitled 'Mathematics instructors’ awareness of accessibility barriers for disabled students'
Date: Thursday, 31 October 2019
Ana María Sánchez Rodríguez, CAROLINE Fellow and ALL member, participated at the Sexual Violence Research Initiative Forum (SVRI) 2019, Cape Town, South Africa
Ana María presented in the panel on “People with disabilities and gender-based violence programmes”
Date: Friday, 25 October 2019
4th ALL Symposium-Building an Inclusive Society through Accessibility: International Perspectives, Challenges and Lessons
Building an Inclusive Society through Accessibility: International Perspectives, Challenges and Lessons. Symposium to be held on 21/11/19
Date: Monday, 21 October 2019
Launch of College Connect Programme
College Connect is a new project supporting access, and widening participation of groups under-represented in higher education in the MEND cluster
Date: Wednesday, 16 October 2019