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 Member, Ciarán Mac an Bhaird Wins MU Teaching Award
The Maynooth University Staff Recognition Awards were celebrated at a ceremony in Phoenix on Thursday, 30th May
Date: Thursday, 30 May 2019
ALL Institute Member, Ana Maria Sánchez Rodríguez, organized the first workshop on scaling for disability people’s organisations in Lao
The event was organized with the support of Humanity and Inclusion in LAO PDR and the Lao Disabled People’s (LDPA)
Date: Friday, 24 May 2019
ALL Member, Dr. Delia Ferri has New Article Published in Cambridge Yearbook of European Legal Studies
Article entitle 'The Social Dimension of EU State Aid Law and Policy'
Date: Tuesday, 21 May 2019
ALL Member, Katriona O'Sullivan in the Irish Times
Irish Times Article: "Long division: Are we doing enough to narrow the inequality gap in Irish schools? A gaping chasm remains in outcomes between our poorest schools and others"
Date: Tuesday, 14 May 2019
Ronan Foley, ALL Member Presents at 2 Conferences in Ireland this Spring
"Green and Blue Spaces and Health: A Health-led Approach" "Valuing Blue Space for Health & Wellbeing: Indoor and Outdoor Perspectives"
Date: Tuesday, 14 May 2019
Dreamspace leads to a dream partnership!
Katriona O'Sullivan from the ALL Institute, has been awarded a research grant from Microsoft Ireland to establish the educational impact of Dreamspace
Date: Friday, 10 May 2019
ALL Co-director Deirdre Desmond to Represent ALL at the Irish Association of Prosthetists and Orthotists Education Day
‘Caring beyond the device: tools for wellbeing in P&O’ in Athlone
Date: Thursday, 11 April 2019
ALL Member, Deirdre Desmond to be Keynote Speaker at ISPO Conference, 2019 in Japan
Topic of Keynote: "Complex Entanglements: People and Assistive Technologies"
Date: Thursday, 11 April 2019
Job Opportunity for Post-Doc on AT2030 Project
12 month position, with the All Institute working on policy and systems development for assistive technologies in Kenya
Date: Friday, 05 April 2019
Newest ALL Member, Rebecca Murphy, at University of Accra, Ghana
For Perform2Scale Consortium Meeting
Date: Monday, 01 April 2019