Reducing psychological distress and depression in humanitarian emergencies: An essential role for nonspecialists

Naslund, John A.; Karyotaki, Eirini

doi:10.1371/journal.pmed.1003625

Cited by 1 publication

(1 citation statement)

References 21 publications

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“…Task sharing is a capacity-building strategy of mental health care and psychosocial support delivery by community members within their own communities that has been widely adopted to overcome mental health specialist shortages, barriers to help seeking, and approachability of services [19]. There is growing evidence supporting the feasibility, effectiveness, and quality of implementation (e.g., provider competency, intervention fidelity) of mental health and psychosocial interventions delivered through a task sharing model [20][21][22][23]. While the majority of studies employing a task sharing model have implemented an in-person model of intervention delivery, there has been an emerging body of research exploring digitally assisted task sharing models [24].…”

Section: Introductionmentioning

confidence: 99%

Task Sharing and Remote Delivery of Brief Interpersonal Counseling for Venezuelan Migrants and Refugees Living in Peru during the COVID-19 Pandemic: A Mixed-Methods Pilot Study

Greene,

Muro,

Kane

et al. 2024

IJERPH

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Refugees and migrants experience an elevated risk for mental health problems and face significant barriers to receiving services. Interpersonal counseling (IPC-3) is a three-session intervention that can be delivered by non-specialists to provide psychological support and facilitate referrals for individuals in need of specialized care. We piloted IPC-3 delivered remotely by eight Venezuelan refugee and migrant women living in Peru. These counselors provided IPC-3 to Venezuelan refugee and migrant clients in Peru (n = 32) who reported psychological distress. Clients completed assessments of mental health symptoms at baseline and one-month post-intervention. A subset of clients (n = 15) and providers (n = 8) completed post-implementation qualitative interviews. Results showed that IPC-3 filled a gap in the system of mental health care for refugees and migrants in Peru. Some adaptations were made to IPC-3 to promote its relevance to the population and context. Non-specialist providers developed the skills and confidence to provide IPC-3 competently. Clients displayed large reductions in symptoms of depression (d = 1.1), anxiety (d = 1.4), post-traumatic stress (d = 1.0), and functional impairment (d = 0.8). Remote delivery of IPC-3 by non-specialists appears to be a feasible, acceptable, and appropriate strategy to address gaps and improve efficiency within the mental health system and warrants testing in a fully powered effectiveness study.

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Section: Introductionmentioning

confidence: 99%

Task Sharing and Remote Delivery of Brief Interpersonal Counseling for Venezuelan Migrants and Refugees Living in Peru during the COVID-19 Pandemic: A Mixed-Methods Pilot Study

Greene,

Muro,

Kane

et al. 2024

IJERPH

View full text Add to dashboard Cite

show abstract

Reducing psychological distress and depression in humanitarian emergencies: An essential role for nonspecialists

Abstract: John Naslund and Eirini Karyotaki discuss Mark Jordans and colleagues’ accompanying research study on therapy for people with psychological distress in Nepal.

Cited by 1 publication

References 21 publications

Task Sharing and Remote Delivery of Brief Interpersonal Counseling for Venezuelan Migrants and Refugees Living in Peru during the COVID-19 Pandemic: A Mixed-Methods Pilot Study

Task Sharing and Remote Delivery of Brief Interpersonal Counseling for Venezuelan Migrants and Refugees Living in Peru during the COVID-19 Pandemic: A Mixed-Methods Pilot Study

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