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, David Prendergast Keynote Speaker at HRB Grant Holders Conference 2019
Keynote speech entitled 'Ethnography, Technology Design, and the Future of Ageing-in-Place'
Date: Friday, 08 February 2019
ALL Members Joanne McVeigh, Mac MacLachlan and Philip Hyland Publish New Article in Frontiers
"Identifying Predictors of Stress and Job Satisfaction in a Sample of Merchant Seafarers Using Structural Equation Modeling"
Date: Tuesday, 05 February 2019
ALL Member, Fleur Boot and ALL Director, Mac MacLachlan Publish New Article in Disability and Rehabilitation: Assistive Technology
"Are there differences in factors influencing access and continued use of assistive products for people with intellectual disabilities living in group homes?"
Date: Monday, 28 January 2019
All Member, Dr. Delia Ferri has New Article Published in European Labour Law Journal
Article entitled: "Daouidi v Bootes Plus SL and the Concept of ‘Disability’ in EU Anti-Discrimination Law"
Date: Sunday, 27 January 2019
ALL Director, Mac MacLachlan and ALL Member, Joanne McVeigh have Chapter Published in New Book, The SAGE Handbook of Applied Social Psychology
Malcolm MacLachlan, Joanne McVeigh, Tessy Huss, Hasheem Mannan "Macropsychology: Challenging and Changing Social Structures and Systems to Promote Social Inclusion", The SAGE Handbook of Applied Social Psychology (2019)
Date: Saturday, 26 January 2019
ALL Member, Deirdre Desmond has New Article Published in Archives of Physical Medicine and Rehabilitation
"Comprehensive Neuropsychological Assessment of Cognitive Functioning of Adults With Lower Limb Amputation in Rehabilitation"
Date: Thursday, 24 January 2019
Gaming for Peace. Final Conference 10-11/1/19
Michael Cooke, ALL Member
Date: Thursday, 24 January 2019
ALL Member, Laura Coffey to Chair Psychology, Health and Medicine Conference
The conference takes place at Maynooth University 22/3/19
Date: Friday, 11 January 2019
Katriona O'Sullivan Publishes New Article in Cogitatio
"Who Goes to College via Access Routes? A Comparative Study of Widening Participation Admission in Selective Universities in Ireland and England"
Date: Thursday, 10 January 2019