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 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
ALL Director, Prof. Mac MacLachlan in Japan
ALL Director Mac MacLachlan visits WHO Centre for Health Development, Kobe, Japan, to discuss research and development issues related to Assistive Technology.
Date: Tuesday, 26 June 2018
ALL Member Dr. Ana Maria Sanchez Rodriguez has Book Chapter Published
Rodríguez, A. M. S. (2018). Contesting Neoliberalism: Bringing in Economic and Social Rights to End Violence against Women in Mexico. In G. MacNaughton & D. F. Frey (Eds.), Economic and Social Rights in a Neoliberal World (pp. 173): Cambridge University Press.
Date: Tuesday, 26 June 2018
ALL Member Delia Ferri hosts second Jean Monnet Summer School “The EU and Human Rights in a time of crisis”
The opening and closing sessions will host respectively Prof. Michael O’Flaherty (Director of the EU Fundamental Rights Agency) and Ms Emily O’Reilly (European Ombudsman),
Date: Saturday, 23 June 2018
Katriona O'Sullivan, ALL Member has New Book Chapters Published
"Responding to the Global Access Challenge: Expanding College and Career Opportunities for Students from Low-SES Communities in Ireland." "Migrating Innovations Across National Boundaries: Starting Early Access Interventions in the United Kingdom."
Date: Thursday, 14 June 2018
ALL Member Dr. Ana Maria Sanchez Rodriguez at 11th Conference of States Parties, New York
Dr. Sanchez Rodriguez participated with the Humanity and Inclusion delegation in the 11th session of the Conference of States Parties (COSP) to the Convention on the Rights of Persons with Disabilities (CRPD)
Date: Tuesday, 12 June 2018
New Article by ALL Member Delia Ferri in 'Societies' Journal
Web Accessibility for People with Disabilities in the European Union: Paving the Road to Social Inclusion
Date: Tuesday, 12 June 2018
ALL Member Dr. Ana Maria Sanchez Rodriguez at Law and Society, Toronto 2018
“The 2030 Agenda: Understanding Economic and Social Rights for persons with disabilities”
Date: Thursday, 07 June 2018
ALL Members Dr Seán Commins and Dr. Richard Roche Have New Article Published in Ageing Research Reviews
Autobiographical memory, the ageing brain and mechanisms of psychological interventions
Date: Thursday, 31 May 2018