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 Receives Irish Research Council Award
Irish Research Council Collaborative Alliances for Societal Challenges (COALESCE) Award
Date: Tuesday, 26 March 2019
ALL Member, Ronan Foley has new Article Published in the Journal of Housing Economics
"The impact of housing consumption value on the spatial distribution of welfare"
Date: Wednesday, 20 March 2019
ALL Institute Symposium: Ageing, Wellbeing and Assistive Technology among Super-agers in Japan
20/3/19 at Maynooth University. All Welcome
Date: Wednesday, 20 March 2019
ALL Member, Rosie Gowran Teaches Pre-Symposium Workshop at the Seating Symposium, Pittsburgh, PA USA
"Wheelchair Assessment & Provision: Bridging the Gap"
Date: Monday, 18 March 2019
ALL “Down Under”
Mac MacLachlan recently returned from New Zeland/Aotearoa and Australia.
Date: Monday, 18 March 2019
ALL Member, Ronan Foley Invited Research Visitor and Presenter in Seville, Spain
"Getting Published in Geography: Trends, Methods and Techniques"
Date: Monday, 18 March 2019
New Article by Katriona O'Sullivan
"Academic identity, confidence and belonging: The role of contextualised admissions and foundation years in higher education"
Date: Monday, 11 March 2019
ALL Member Delia Ferri Presents International Jean Monnet Summer School “The EU and Human Rights in a Time of Crisis ”
“Vulnerability and Human Rights in the European Union”
Date: Monday, 11 March 2019
Congratulations to ALL Co-Director, Deirdre Desmond for Involvement in Science Foundation Ireland Centre for Research Training
SFI Centre for Research Training in Advanced Networks for Sustainable Societies
Date: Friday, 08 March 2019
ALL Member, Rosie Gowran has New Journal Article Published in 'Disability and Rehabilitation: Assistive Technology'
"Developing country-specific wheelchair service provision strategic plans for Romania and the Philippines"
Date: Friday, 01 March 2019