Efficacy of psychosocial interventions for mental health outcomes in low-income and middle-income countries: an umbrella review

Barbui, Corrado; Purgato, Marianna; Abdulmalik, Jibril; Acartürk, Ceren; Eaton, Julian; Gastaldon, Chiara; Gureje, Oye; Hanlon, Charlotte; Jordans, Mark J. D.; Lund, Crick; Nosè, Michela; Ostuzzi, Giovanni; Papola, Davide; Tedeschi, Federico; Tol, Wietse A.; Turrini, Giulia; Patel, Vikram; Thornicroft, Graham

doi:10.1016/s2215-0366(19)30511-5

Cited by 190 publications

(164 citation statements)

References 75 publications

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“…Furthermore, the quality of care received by many people, in particular those affected by severe mental disorders and disabilities, was poor in all countries and was often associated with abuses of their fundamental human rights (Patel et al, 2012). This is despite the existence of a range of cost-effective interventions in mental health care in LMICs (Tol et al, 2011;van Ginneken et al, 2013;Purgato et al, 2018aPurgato et al, , 2018bBarbui et al, 2020).…”

Section: The Need For Task-shiftingmentioning

confidence: 99%

“…Teachers and other educational support staff have been an important resource for child mental health care (Dybdahl, 2001;Gordon et al, 2008;Shen et al, 2018) and for the delivery of prevention interventions (Ager et al, 2011). The task-shifting approach is being used across a wide range of mental conditions in LMICs and has increasing evidence of being effective (van Ginneken et al, 2013update in progress), though still only a small percentage of psychological interventions in LMICs actually include nonspecialists as providers (Barbui et al, 2020) (Fig. 2).…”

Section: The Need For Task-shiftingmentioning

confidence: 99%

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Promotion, prevention and treatment interventions for mental health in low- and middle-income countries through a task-shifting approach

Purgato

Uphoff

Singh

et al. 2020

Epidemiol Psychiatr Sci

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Recently, mental health and ill health have been reframed to be seen as a continuum from health to ill health, through the stages of being asymptomatic ‘at risk’, to experiencing ‘mental distress’, ‘sub-syndromal symptoms’ and finally ‘mental disorders’. This new conceptualisation emphasised the importance of mental health promotion and prevention interventions, aimed at reducing the likelihood of future disorders with the general population or with people who are identified as being at risk of a disorder. This concept generated discussion on the distinction between prevention and treatment interventions, especially for those mental health conditions which lie between psychological distress and a formal psychiatric diagnosis. The present editorial aims to clarify the definition of promotion, prevention and treatment interventions delivered through a task-shifting approach according to a global mental health perspective.

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Section: The Need For Task-shiftingmentioning

confidence: 99%

Section: The Need For Task-shiftingmentioning

confidence: 99%

Promotion, prevention and treatment interventions for mental health in low- and middle-income countries through a task-shifting approach

Purgato

Uphoff

Singh

et al. 2020

Epidemiol Psychiatr Sci

Self Cite

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“…WSH against women can have overwhelming effects on women's safety, health, well-being, and, ultimately, their participation in the work [2,6]. Grossly, the consequences of WSH can be emotional, psychological, professional, and health-related [6,10], which incur costs globally, and too much cost in low and middle countries (LMICs) [11]. Besides, it needs well-established social assets, including social networks and tailored reproductive health knowledge, to decrease the risk among the vulnerable [12].…”

Section: Introductionmentioning

confidence: 99%

Perception, Experiences, Risks, and Effects of Sexual Harassment Among Women Working in Hospitality Workplaces of Bahir Dar City, Northwest Ethiopia: A Qualitative Study

Worke¹,

Debelew²,

Koricha³

2020

Preprint

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Background: Sexual harassment is a public health problem that depends on gender, context, and perceivers ideology. Though it grasped attention worldwide, the perception, experience, risk, and effects of sexual harassment on victims are still uncertain. Mainly, in hospitality workplaces, women employees are disproportionately victims of sexual harassment. However, the issue is at an early stage in low and middle-income countries and Ethiopia in particular. Thus, this study was aimed to explore the perception, experience, perceived risks, and effects of sexual harassment against women working in the hospitality workplaces.Methods: We conducted an exploratory qualitative study from January 1 to August 30, 2019. Data were collected from women employees, managers, cashiers, and customers. We applied a semi-structured focus group and in-depth interview discussion guides. Women employees were selected using the snowball method, and we recruited the key informants purposefully until the data theoretically saturated. Key informants who were supposed to give adequate information to study objectives were selected. The selection process of the key informants was based on their responsibility concerning women working in hospitality workplaces. Data were analyzed via the thematic analysis approach with the help of ATLAS ti version 8.4.24 software package. Results: Forty-five women, five managers, four cashiers, and four customers were included in the study. Perceptions, experiences, perceived risk factors, and consequences of workplace sexual harassment were identified. The majority of the participants lack awareness about workplace sexual harassment. The experiences were verbal, physical, visual, and gender-related forms of sexual harassment. The perceived risk factors of sexual harassment were organization related, customer-related, and victim-related. The consequences were work-related, health-related, and financial and family undermining.Conclusions: Sexual harassment is poorly understood but widely experienced by women working in hospitality workplaces. It was also caused by multiple factors and affected both organizations and individuals. Awareness creation campaigns, pre-service education, and in-service training, prevention, and rehabilitation of the victims are needed. Likewise, organizational policies and strategies should have to be developed and implemented.

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“…Interventions delivered by non-specialists, also referred to as lay counselors, have been shown to be effective for a variety of mental health problems in LMICs9,14 (Barbui et al, 2020;Singla et al, 2017). Such interventions have been shown to be effective for depression and anxiety when delivered in groups15 or one-on-one16.…”

Section: Introductionmentioning

confidence: 99%

Preferences toward digital and non-digital mental health treatment delivery formats: A survey of Indian college students

Wasil¹,

Malhotra²,

Tuteja³

et al. 2020

Preprint

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Digital mental health treatments have the potential to expand access to services in low- and middle-income countries (LMICs), but the uptake of interventions has been limited. Furthermore, the attitudes of those in LMICs toward intervention formats are rarely studied. In this study, Indian college students were asked to rate a variety of treatment delivery formats on three domains: a) perceived helpfulness, b) availability, and c) willingness to try. We found that 95% of individuals were willing to try one-on-one therapy with a professional, 56% were willing to try one-on-one therapy with a lay counselor, participants were less willing to try group interventions than one-on-one interventions, and <50% were willing to try digital self-help interventions. Additionally, there was a strong association between willingness to try and ratings of helpfulness (r=0.61). Ratings were not associated with gender, age, or depressive symptoms. Our findings suggest that one barrier limiting the uptake of digital interventions in LMICs is that individuals do not perceive them as helpful. Efforts to disseminate information about non-traditional intervention delivery formats and their benefits are warranted.

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Efficacy of psychosocial interventions for mental health outcomes in low-income and middle-income countries: an umbrella review

Cited by 190 publications

References 75 publications

Promotion, prevention and treatment interventions for mental health in low- and middle-income countries through a task-shifting approach

Promotion, prevention and treatment interventions for mental health in low- and middle-income countries through a task-shifting approach

Perception, Experiences, Risks, and Effects of Sexual Harassment Among Women Working in Hospitality Workplaces of Bahir Dar City, Northwest Ethiopia: A Qualitative Study

Preferences toward digital and non-digital mental health treatment delivery formats: A survey of Indian college students

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