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 Partners in New Global Assistive Technology Initiative
The ALL Institute is delighted to announce that it is a member of a consortium led by the Global Disability Innovation Hub (Link) that has received €12m from UK Aid - Britain’s Department of International Development
Date: Wednesday, 25 July 2018
Dr. Unai Diaz-Orueta Symposium Presentation at the Mid-Year International Neuropsychological Society Meeting in Prague
"Process-based approach to neuropsychological assessment: from screening tools to comprehensive assessment"
Date: Wednesday, 18 July 2018
ALL Member, Dr. John Owuor, Presenting at Conference, Athens, Greece
5th IASSIDD Europe Congress Diversity & Belonging: Celebrating Difference
Date: Wednesday, 18 July 2018
ALL Member Fleur Boot Facilitates CRE Programme on Intellectual Disability and Assistive technology
Bengaluru, India
Date: Saturday, 14 July 2018
Dr. Unai Diaz-Orueta Gives Workshop at the University of Deusto, Bilbao Invited by Basque-Navarrese Society of Neuropsychology
"Neuropsychological Assessment of Older People: the relevance of a process-based approach"
Date: Wednesday, 11 July 2018
New Article: Fleur Boot, John Owuor and Mac MacLachlan, ALL Members publish in Journal of Intellectual Disability Research
Access to assistive technology for people with intellectual disabilities: a systematic review to identify barriers and facilitators
Date: Tuesday, 10 July 2018
ALL Member Dr. Unai Diaz-Orueta Invited Speaker at the Summer Course series in the University of the Basque Country
Topic: "Cognitive ageing: current and future challenge (in collaboration with the clinical neuropsychologists Dr. Iban Onandia (University of the Basque Country) and Mr. Javier Oltra-Cucarella (University of Alicante).
Date: Monday, 09 July 2018
New Article Published: ALL Director Mac MacLachlan in Disability and Rehabilitation
"The perceived needs-access gap for health services among persons with disabilities in a rural area within South Africa"
Date: Friday, 29 June 2018
ALL Institute Director Mac MacLachlan presents a paper at Tokyo University
Symposium on Older People and Assistive Technology, referencing recent publications on Assistive Technology Policy and Systems Thinking for Assistive Technology
Date: Thursday, 28 June 2018
ALL Director, Mac MacLachlan at the National Rehabilitation Centre for Persons with Disability, Japan
ALL Institute Director, Mac MacLachlan and Prof Eilish McAuliffe (UCD) visited Takenobu Inoue, Director of the Dept of Assistive Technology, at the National Rehabilitation Centre for Persons with Disability, in Saitama, Japan; with whom they are working on a joint project.
Date: Wednesday, 27 June 2018