Supporting and Sustaining Nonspecialists to Deliver Mental Health Interventions in Low- and Middle-Income Countries: An Umbrella Review

Bunn, Mary; Gonzalez, Nicole; Falek, Idan; Weine, Stevan; Acri, Mary

doi:10.4103/intv.intv_47_20

Cited by 11 publications

(14 citation statements)

References 87 publications

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“…A task-sharing approach involving non-specialists in MH service provision through training and supervision can address unmet MH needs in low-resource areas [ 33 ]. In many countries, non-specialists, such as peers with comparable socio-cultural, linguistic, and life experiences, deliver community-level MH support within and outside existing health systems [ 34 – 37 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

Koly,

Saba,

Christopher

et al. 2024

BMC Health Serv Res

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Introduction Bangladesh is a developing country where 11% of the population has at least one disability, but no community-level mental health service is available. There is limited evidence of the burden of mental health issues and health-seeking behaviour among this population. This study assessed the feasibility of a training intervention for persons with disabilities, where peer support providers provided community-based disability-inclusive mental health services. Methods Four stakeholder groups participated in this qualitative study: peer responders (trained persons with disabilities), trainers, representatives of organisations of persons with disabilities and disability-specific organisations, and officials of international and national non-governmental organisations. Two types of qualitative interviews were used to collect data, and thematic analysis techniques were utilised. Result Stakeholders perceived the peer responder training programme as acceptable for persons with disabilities to develop themselves as peer support providers, with potential benefits including increased mental health literacy, ensuring accessible mental health services, and improving the well-being of persons with disabilities. Potential challenges included receiving training and delivering services. Increased training duration, more fieldwork, supervision opportunities, and refresher training were recommended to mitigate training challenges. Financial support and formal community recognition were deemed necessary for training delivery. Conclusion The peer responder training programme was feasible to ensure accessible mental health services for persons with disabilities, build a workforce to screen for mental health conditions, and provide appropriate referrals. A multi-sectoral collaboration of government and non-governmental institutions is recommended to policy advocates to expand the peer responder training programme in the mainstream mental healthcare system.

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Section: Introductionmentioning

confidence: 99%

Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

Koly,

Saba,

Christopher

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…A task-sharing approach involving non-specialists in MH service provision through training and supervision can address unmet MH needs in low-resource areas [33]. In many countries, non-specialists, such as peers with comparable socio-cultural, linguistic, and life experiences, deliver community-level MH support within and outside existing health systems [34][35][36][37].…”

Section: Introductionmentioning

confidence: 99%

“…In Bangladesh, MH-seeking behaviour is notably low (12%), with a 92.3% treatment gap in the overall population, higher than in neighbouring India, Pakistan,. There is no conclusive research on the MH-seeking behaviour of persons with disabilities in Bangladesh.A task-sharing approach involving non-specialists in MH service provision through training and supervision can address unmet MH needs in low-resource areas [33]. In many countries, non-specialists, such as peers with comparable socio-cultural, linguistic, and life experiences, deliver community-level MH support within and outside existing health systems [34][35][36][37].…”

mentioning

confidence: 99%

Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

Koly

Saba

Christopher

et al. 2023

Preprint

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Introduction: Bangladesh is a developing country where 11% of the population has at least one disability, but no community-level mental health service is available. There is limited evidence of the burden of mental health issues and health-seeking behaviour among this population. This study assessed the feasibility of a training intervention for persons with disabilities, where peer support providers provided community-based disability-inclusive mental health services. Methods: Four stakeholder groups participated in this qualitative study: peer responders (trained persons with disabilities), trainers, representatives of organisations of persons with disabilities and disability-specific organisations, and officials of international and national non-governmental organisations. Two types of qualitative interviews were used to collect data, and thematic analysis techniques were utilised. Result: Stakeholders perceived the peer responder training programme as acceptable for persons with disabilities to develop themselves as peer support providers, with potential benefits including increased mental health literacy, ensuring accessible mental health services, and improving the well-being of persons with disabilities. Potential challenges included receiving training and delivering services. Increased training duration, more fieldwork, supervision opportunities, and refresher training were recommended to mitigate training challenges. Financial support and formal community recognition were deemed necessary for training delivery. Conclusion: The peer responder training programme was feasible to ensure accessible mental health services for persons with disabilities, build a workforce to screen for mental health conditions, and provide appropriate referrals. A multi-sectoral collaboration of government and non-governmental institutions is recommended to policy advocates to expand the peer responder training programme in the mainstream mental healthcare system.

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“… 11 , 12 Existing supervision mechanisms for health workers in many LMICs have been critiqued as unsupportive, irregular, and demotivating. 13 , 14 Some challenges that limit supervision opportunities in LMICs include a lack of mental health specialists to conduct supervision, 3 high supervision costs, 1 poor training opportunities for nonspecialists, 9 inadequate supervision-focused training for specialists, 15 , 16 reliance on face-to-face supervision methods resulting in the irregularity of supervision, 17 and crucially, a lack of guidelines that provide structure to supervision. 18 These critical supervision-related issues can impact the fidelity of experimental interventions in clinical trials and the broader adoption of mental health interventions outside the clinical trials.…”

Section: Introductionmentioning

confidence: 99%

A Supervision Framework for Task-Shared Mental Health Workers: Implications for Clinical Trials and Beyond

Rabie,

Poudyal,

King

et al. 2023

Glob Health Sci Pract

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Supporting and Sustaining Nonspecialists to Deliver Mental Health Interventions in Low- and Middle-Income Countries: An Umbrella Review

Cited by 11 publications

References 87 publications

Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

A Supervision Framework for Task-Shared Mental Health Workers: Implications for Clinical Trials and Beyond

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