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
ALL Institute to Contribute a Module to New Inter-University Masters in Digital Health Transformation in 2020
MSc in Digital Health Transformation: Managing the transformation of healthcare ecosystems with emerging digital technologies
Date: Monday, 09 September 2019
ALL Member, Ana María Sanchez Rodrigues Participated at 8th Annual Conference of ALTER, European Society for Disability Research in Cologne, Germany
Ana María presented on “Disability Research methods, conveying from a human rights model and critical disability studies”
Date: Thursday, 05 September 2019
ALL Institute Endorses the Bologna Declration
Unlocking Human Potential: A Call for Action to Improve Access to Quality Assistive Technology for Realising Fundamental Human Rights and Achieving the Sustainable Development Goals in a Fully Inclusive Manner
Date: Tuesday, 27 August 2019
ALL Members Contribute to GReAT Conference Proceedings
Global perspectives on assistive technology: Proceedings of the GReAT Consultation 2019
Date: Thursday, 22 August 2019
ALL Institute Representatives Attended the GReAT Consultation 2019 at the WHO in Geneva
Global Report on effective access to Assistive Technology
Date: Thursday, 22 August 2019
ALL Member, Rosie Gowran has Article Published in International Seating Symposium Proceedings
Bridge the Gap with People’s Perspectives on Wheelchair Provision
Date: Tuesday, 16 July 2019
ALL Member, Paula Alexandra has Presentation Published in Conference Proceedings of HCII: International Conference on Human-Computer Interaction
"Are We Ready to Dance at Home?: A Review and Reflection of Available Technologies"
Date: Tuesday, 16 July 2019
ALL Member, Ronan Foley, in Australia and Aotearoa/ New Zealand
"Modelling relationships between health and green-blue infrastructures: a multi-scale cross-sectional Irish study" "From remote to intimate sensing. Invited paper for discussion session on Post-Humanist Geographies of Health" "From policy to paralysis. An archaeology of hospital planning in Ireland" "Valuing Blue Space for Health & Wellbeing: Capturing place-based perspectives"
Date: Wednesday, 03 July 2019
New Article by ALL Members, John Owuor and Mac MacLachlan, in Journal of Applied Research in Intellectual Disabilities
Promoting community participation and equality for people with intellectual disabilities using assistive technology
Date: Monday, 01 July 2019
A Symposium for & by ALL Institute "Inclusion 2.0: Addressing Inequity & Exclusion within Inclusive Policies & Practices"
Guest Speaker, Beth Ferri talks on "Inclusion 2.0: Addressing Inequity & Exclusion within Inclusive Policies & Practices"
Date: Thursday, 20 June 2019