Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitators
Abstract Background This work aimed to identify studies of interventions seeking to address mental health inequalities, studies assessing the economic impact of such interventions and factors which act as barriers and those that can facilitate interventions to address inequalities in mental health c...
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | Systematic Reviews |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13643-020-01333-6 |
| _version_ | 1819298211087515648 |
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| author | Laura-Louise Arundell Helen Greenwood Helen Baldwin Eleanor Kotas Shubulade Smith Kasia Trojanowska Chris Cooper |
| author_facet | Laura-Louise Arundell Helen Greenwood Helen Baldwin Eleanor Kotas Shubulade Smith Kasia Trojanowska Chris Cooper |
| author_sort | Laura-Louise Arundell |
| collection | DOAJ |
| description | Abstract Background This work aimed to identify studies of interventions seeking to address mental health inequalities, studies assessing the economic impact of such interventions and factors which act as barriers and those that can facilitate interventions to address inequalities in mental health care. Methods A systematic mapping method was chosen. Studies were included if they: (1) focused on a population with: (a) mental health disorders, (b) protected or other characteristics putting them at risk of experiencing mental health inequalities; (2) addressed an intervention focused on addressing mental health inequalities; and (3) met criteria for one or more of three research questions: (i) primary research studies (any study design) or systematic reviews reporting effectiveness findings for an intervention or interventions, (ii) studies reporting economic evaluation findings, (iii) primary research studies (any study design) or systematic reviews identifying or describing, potential barriers or facilitators to interventions. A bibliographic search of MEDLINE, HMIC, ASSIA, Social Policy & Practice, Sociological Abstracts, Social Services Abstracts and PsycINFO spanned January 2008 to December 2018. Study selection was performed according to inclusion criteria. Data were extracted and tabulated to map studies and summarise published research on mental health inequalities. A visual representation of the mapping review (a mapping diagram) is included. Results Overall, 128 studies met inclusion criteria: 115 primary studies and 13 systematic reviews. Of those, 94 looked at interventions, 6 at cost-effectiveness and 36 at barriers and facilitators. An existing taxonomy of disparities interventions was used and modified to categorise interventions by type and strategy. Most of the identified interventions focused on addressing socioeconomic factors, race disparities and age-related issues. The most frequently used intervention strategy was providing psychological support. Barriers and associated facilitators were categorised into groups including (not limited to) access to care, communication issues and financial constraints. Conclusions The mapping review was useful in assessing the spread of literature and identifying highly researched areas versus prominent gaps. The findings are useful for clinicians, commissioners and service providers seeking to understand strategies to support the advancement of mental health equality for different populations and could be used to inform further research and support local decision-making. Systematic review registration Not applicable. |
| first_indexed | 2024-12-24T05:26:15Z |
| format | Article |
| id | doaj.art-4eb63d24193244cfa0f4f6ba92adbe42 |
| institution | Directory Open Access Journal |
| issn | 2046-4053 |
| language | English |
| last_indexed | 2024-12-24T05:26:15Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Systematic Reviews |
| spelling | doaj.art-4eb63d24193244cfa0f4f6ba92adbe422022-12-21T17:13:20ZengBMCSystematic Reviews2046-40532020-05-019112110.1186/s13643-020-01333-6Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitatorsLaura-Louise Arundell0Helen Greenwood1Helen Baldwin2Eleanor Kotas3Shubulade Smith4Kasia Trojanowska5Chris Cooper6Department of Clinical, Educational and Health Psychology, University College LondonNational Collaborating Centre for Mental Health (NCCMH), Royal College of PsychiatristsNational Collaborating Centre for Mental Health (NCCMH), Royal College of PsychiatristsYork Economics Consortium, University of YorkNational Collaborating Centre for Mental Health (NCCMH), Royal College of PsychiatristsNational Collaborating Centre for Mental Health (NCCMH), Royal College of PsychiatristsDepartment of Clinical, Educational and Health Psychology, University College LondonAbstract Background This work aimed to identify studies of interventions seeking to address mental health inequalities, studies assessing the economic impact of such interventions and factors which act as barriers and those that can facilitate interventions to address inequalities in mental health care. Methods A systematic mapping method was chosen. Studies were included if they: (1) focused on a population with: (a) mental health disorders, (b) protected or other characteristics putting them at risk of experiencing mental health inequalities; (2) addressed an intervention focused on addressing mental health inequalities; and (3) met criteria for one or more of three research questions: (i) primary research studies (any study design) or systematic reviews reporting effectiveness findings for an intervention or interventions, (ii) studies reporting economic evaluation findings, (iii) primary research studies (any study design) or systematic reviews identifying or describing, potential barriers or facilitators to interventions. A bibliographic search of MEDLINE, HMIC, ASSIA, Social Policy & Practice, Sociological Abstracts, Social Services Abstracts and PsycINFO spanned January 2008 to December 2018. Study selection was performed according to inclusion criteria. Data were extracted and tabulated to map studies and summarise published research on mental health inequalities. A visual representation of the mapping review (a mapping diagram) is included. Results Overall, 128 studies met inclusion criteria: 115 primary studies and 13 systematic reviews. Of those, 94 looked at interventions, 6 at cost-effectiveness and 36 at barriers and facilitators. An existing taxonomy of disparities interventions was used and modified to categorise interventions by type and strategy. Most of the identified interventions focused on addressing socioeconomic factors, race disparities and age-related issues. The most frequently used intervention strategy was providing psychological support. Barriers and associated facilitators were categorised into groups including (not limited to) access to care, communication issues and financial constraints. Conclusions The mapping review was useful in assessing the spread of literature and identifying highly researched areas versus prominent gaps. The findings are useful for clinicians, commissioners and service providers seeking to understand strategies to support the advancement of mental health equality for different populations and could be used to inform further research and support local decision-making. Systematic review registration Not applicable.http://link.springer.com/article/10.1186/s13643-020-01333-6Mental healthInequalitiesEqualityMapping reviewHealth economicsQualitative research |
| spellingShingle | Laura-Louise Arundell Helen Greenwood Helen Baldwin Eleanor Kotas Shubulade Smith Kasia Trojanowska Chris Cooper Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitators Systematic Reviews Mental health Inequalities Equality Mapping review Health economics Qualitative research |
| title | Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitators |
| title_full | Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitators |
| title_fullStr | Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitators |
| title_full_unstemmed | Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitators |
| title_short | Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitators |
| title_sort | advancing mental health equality a mapping review of interventions economic evaluations and barriers and facilitators |
| topic | Mental health Inequalities Equality Mapping review Health economics Qualitative research |
| url | http://link.springer.com/article/10.1186/s13643-020-01333-6 |
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