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
Ronan Foley, ALL Member on RTE's Brainstorm
"Into the blue space: the joys of outdoor swimming"
Date: Thursday, 03 January 2019
ALL Member Joanne McVeigh and ALL Director Mac MacLachlan Publish New Article in Marine Policy
"A silver wave? Filipino shipmates’ experience of merchant seafaring"
Date: Tuesday, 01 January 2019
Unai Diaz, ALL Member has Article Published in Psicologia Educativa
"Virtual Reality-based Assessment and Rating Scales in ADHD Diagnosis"
Date: Tuesday, 01 January 2019
Unai Diaz, ALL Member publishes chapter in new book: Mind, Brain and Technology
"Virtual School Environments for Neuropsychological Assessment and Training"
Date: Thursday, 20 December 2018
ALL Members Joanne McVeigh and Mac MacLachlan Publish New Article in Maritime Studies
"Perceptions of Well-Being, Resilience and Stress Amongst a Sample of Merchant Seafarers and Superintendents"
Date: Monday, 17 December 2018
ALL Member Ana Maria Sanchez Rodriguez - Research Trip to Lao
Ana attending a variety of events in Lao as well as conducting interviews and focus groups with DPOs, INGOs and HI staff
Date: Friday, 14 December 2018
Rudi Villing and Paula Alexandra Silva, ALL Members have new article published in PLOS One
Design and development of a gait training system for Parkinson’s disease
Date: Wednesday, 12 December 2018
ALL Member Laura Coffey has 2 New Articles Published
"Perceptions and experiences of diabetic foot ulceration and foot care in people with diabetes: A qualitative meta‐synthesis." & "Integrating self-management into daily life following primary treatment: head and neck cancer survivors’ perspectives."
Date: Saturday, 08 December 2018
ALL Member, Derek Barter Responsible for Higher Education Lifelong Learning in Ireland Network (HELLIN) Conference 2018
'Transitions in Lifelong Learning and Higher Education'
Date: Friday, 07 December 2018
APA Highlights Paper from ALL Institute as a Spotlight on its Webpage
"How can we increase access to mental health care in low- and middle- income communities?"
Date: Friday, 07 December 2018