Toward building feasible, efficacious and sustainable treatments for depression in developing countries

Verdeli, Helen

doi:10.1002/da.20536

Cited by 10 publications

(10 citation statements)

References 11 publications

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“…As part of this curriculum, PIH/ZL has begun to adapt to the Haitian context manualized treatments, such as interpersonal psychotherapy, shown to be suitable for use by trained laypersons in low-income settings 58–61. The Haitian Ministry of Health leadership has been engaged at each step and has agreed to collaborate in a series of workshops with key government representatives and district officers.…”

Section: Strengthening the Health System For The Long Termmentioning

confidence: 99%

Mental Health Response in Haiti in the Aftermath of the 2010 Earthquake: A Case Study for Building Long-Term Solutions

Raviola

Eustache

Oswald

et al. 2012

Harvard Review of Psychiatry

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Significant challenges exist in providing safe, effective, and culturally sound mental health and psychosocial services when an unforeseen disaster strikes in a low-resource setting. We present here a case study describing the experience of a transnational team in expanding mental health and psychosocial services delivered by two health care organizations, one local (Zanmi Lasante) and one international (Partners in Health), acting collaboratively as part of the emergency response to the 2010 Haiti earthquake. In the year and a half following the earthquake, Zanmi Lasante and Partners in Health provided 20,000 documented individual and group appointments for mental health and psychosocial needs. During the delivery of disaster response services, the collaboration led to the development of a model to guide the expansion and scaling up of community-based mental health services in the Zanmi Lasante health care system over the long-term, with potential for broader scale-up in Haiti. This model identifies key skill packages and implementation rules for developing evidence-based pathways and algorithms for treating common mental disorders. Throughout the collaboration, efforts were made to coordinate planning with multiple organizations interested in supporting the development of mental health programs following the disaster, including national governmental bodies, nongovernmental organizations, universities, foreign academic medical centers, and corporations. The collaborative interventions are framed here in terms of four overarching categories of action: direct service delivery, research, training, and advocacy. This case study exemplifies the role of psychiatrists working in low-resource settings as public health program implementers and as members of multidisciplinary teams. (Harv Rev Psychiatry 2012;20:68–77.)

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Section: Strengthening the Health System For The Long Termmentioning

confidence: 99%

Mental Health Response in Haiti in the Aftermath of the 2010 Earthquake: A Case Study for Building Long-Term Solutions

Raviola

Eustache

Oswald

et al. 2012

Harvard Review of Psychiatry

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“…IPT, which focuses on the interpersonal context for depression and the relationship of current life events to mood, has demonstrated clinical efficacy (Weissman, Markowitz, & Klerman, 2000) among various groups, including Latino and African American adults (Miranda et al, 2005), low-income women with PTSD (Krupnick et al, 2008), and tribal villagers in Uganda (Bolton et al, 2007; Verdeli, 2008; Verdeli et al, 2003). Although the etiology of depression is complex, psychosocial contexts contribute to triggers for depressive episodes.…”

Section: The Context: the Iwankapiya (Healing) Studymentioning

confidence: 99%

Women finding the way: American Indian women leading intervention research in Native communities

Heart¹

2016

AIANMHR

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Although there is literature concentrating on cross-cultural approaches to academic and community partnerships with Native communities, few address the process and experiences of American Indian women leading federally funded and culturally grounded behavioral health intervention research in Native communities. This paper summarizes relevant literature on community-engaged research with Native communities, examines traditional roles and modern challenges for American Indian women, describes the culturally grounded collaborative process for the authors’ behavioral health intervention development with Native communities, and considers emergent themes from our own research experiences navigating competing demands from mainstream and Native communities. It concludes with recommendations for supporting and enhancing resilience.

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“…Task-sharing, stepped-care and community-based care models can be implemented alongside other strategies designed to increase the numbers of mental health workers, from assessment to actual treatment. However, all three require examination and testing [32, 39, 42, 66–69]. …”

Section: A Case Example: Mozambiquementioning

confidence: 99%

Closing the Mental Health Gap in Low-income Settings by Building Research Capacity: Perspectives from Mozambique

Sweetland

Oquendo

Sidat

et al. 2014

Annals of Global Health

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Neuropsychiatric disorders are the leading cause of disability worldwide, accounting for 22.7% of all years lived with disability (YLDs). Despite this global burden, fewer than 25% of affected individuals ever access mental health treatment; in low-income settings, access is much lower, though non-allopathic interventions through traditional healers are common in many venues. Three main barriers to reducing the gap between individuals who need and those who have access to mental health treatment include stigma and lack of awareness, limited material and human resources, and insufficient research capacity. We argue that investment in dissemination and implementation research is critical to face these barriers. Dissemination and implementation research can improve mental health care in low-income settings by facilitating the adaptation of effective treatment interventions to new settings, particularly when adapting specialist-led interventions developed in high-resource countries to settings with few, if any, mental health professionals. In Mozambique, the World Health Organization estimates only 0.04 psychiatrists per 100,000 population, representing 30 times less than the global median, and more than 150 times lower than the median in high income countries. Emerging evidence from other low-income settings suggests that lay providers can be trained to detect mental disorders and deliver basic psychotherapeutic and psychopharmacological interventions when supervised by an expert. Mozambique has both the political commitment and available resources for mental health, but inadequate research capacity and workforce limits the country’s ability to assess local needs, adapt and test interventions, and identify implementation strategies that can be used to effectively bring evidence-based mental health interventions to scale within the public sector. Global training and research partnerships are critical to building capacity, promoting bilateral learning between and among low- and high-income settings, ultimately reducing the mental health treatment gap worldwide. Through new research partnership between Universidade Eduardo Mondlane (Mozambique), Columbia University (USA), Vanderbilt University (USA), and Universidade Federal de São Paulo (Brazil), we are working towards a North-South and South-South collaboration to build research capacity in Mozambique and other Portuguese-speaking African countries.

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Toward building feasible, efficacious and sustainable treatments for depression in developing countries

Cited by 10 publications

References 11 publications

Mental Health Response in Haiti in the Aftermath of the 2010 Earthquake: A Case Study for Building Long-Term Solutions

Mental Health Response in Haiti in the Aftermath of the 2010 Earthquake: A Case Study for Building Long-Term Solutions

Women finding the way: American Indian women leading intervention research in Native communities

Closing the Mental Health Gap in Low-income Settings by Building Research Capacity: Perspectives from Mozambique

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