Scaling up community-delivered mental health support and care: A landscape analysis
IntroductionThe mental health crisis has caused widespread suffering and has been further exacerbated by the COVID-19 pandemic. Marginalized groups are especially affected, with many concerns rooted in social determinants of mental health. To stem this tide of suffering, consideration of approaches...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.992222/full |
| _version_ | 1811301465329762304 |
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| author | Saher Siddiqui Angelika Morris Daniel J. Ikeda Satchit Balsari Satchit Balsari Laura Blanke Miriam Pearsall Roxanna Rodriguez Shekhar Saxena Benjamin F. Miller Benjamin F. Miller Vikram Patel Vikram Patel John A. Naslund |
| author_facet | Saher Siddiqui Angelika Morris Daniel J. Ikeda Satchit Balsari Satchit Balsari Laura Blanke Miriam Pearsall Roxanna Rodriguez Shekhar Saxena Benjamin F. Miller Benjamin F. Miller Vikram Patel Vikram Patel John A. Naslund |
| author_sort | Saher Siddiqui |
| collection | DOAJ |
| description | IntroductionThe mental health crisis has caused widespread suffering and has been further exacerbated by the COVID-19 pandemic. Marginalized groups are especially affected, with many concerns rooted in social determinants of mental health. To stem this tide of suffering, consideration of approaches outside the traditional biomedical model will be necessary. Drawing from task-sharing models of mental health care that have been pioneered in low-resource settings, community-initiated care (CIC) represents a potentially promising collection of approaches. This landscape analysis seeks to identify examples of CIC that have been implemented outside of the research context, with the aim of identifying barriers and facilitators of scale up.MethodsA narrative review approach was used for this landscape analysis in which the PubMed database was searched and further supplemented with Google Scholar. Promising programs were then discussed over multiple rounds of meetings with the research team, consisting of collaborators with varied experiences in mental health. Using the selection criteria and feedback derived from group meetings, a final list of programs was identified and summarized according to common characteristics and features.ResultsThe initial PubMed search yielded 16 results, supplemented by review of the first 100 entries in Google Scholar. Through 5 follow-up meetings among team members, consensus was reached on a final list of 9 programs, which were grouped into three categories based on similar themes and topics: (1) approaches for the delivery of psychosocial interventions; (2) public health and integrative approaches to mental health; and (3) approaches for addressing youth mental health. Key facilitators to scale up included the importance of sustainable financing and human resources, addressing social determinants and stigma, engaging diverse stakeholders, leveraging existing health infrastructure, using sustainable training models, ensuring cultural relevance and appropriateness, and leveraging digital technologies.DiscussionThis landscape analysis, though not an exhaustive summary of the literature, describes promising examples of efforts to scale up CIC outside of the research context. Going forward, it will be necessary to mobilize stakeholders at the community, health system, and government levels to effectively promote CIC. |
| first_indexed | 2024-04-13T07:10:30Z |
| format | Article |
| id | doaj.art-b50e53edd9654ae68afa9bdb2085b02d |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-13T07:10:30Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-b50e53edd9654ae68afa9bdb2085b02d2022-12-22T02:56:54ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-12-011010.3389/fpubh.2022.992222992222Scaling up community-delivered mental health support and care: A landscape analysisSaher Siddiqui0Angelika Morris1Daniel J. Ikeda2Satchit Balsari3Satchit Balsari4Laura Blanke5Miriam Pearsall6Roxanna Rodriguez7Shekhar Saxena8Benjamin F. Miller9Benjamin F. Miller10Vikram Patel11Vikram Patel12John A. Naslund13Harvard University, Cambridge, MA, United StatesDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United StatesHarvard Medical School, Boston, MA, United StatesDepartment of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United StatesDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesWell Being Trust, Oakland, CA, United StatesWell Being Trust, Oakland, CA, United StatesWell Being Trust, Oakland, CA, United StatesDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesWell Being Trust, Oakland, CA, United StatesDepartment of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA, United StatesDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United StatesDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United StatesIntroductionThe mental health crisis has caused widespread suffering and has been further exacerbated by the COVID-19 pandemic. Marginalized groups are especially affected, with many concerns rooted in social determinants of mental health. To stem this tide of suffering, consideration of approaches outside the traditional biomedical model will be necessary. Drawing from task-sharing models of mental health care that have been pioneered in low-resource settings, community-initiated care (CIC) represents a potentially promising collection of approaches. This landscape analysis seeks to identify examples of CIC that have been implemented outside of the research context, with the aim of identifying barriers and facilitators of scale up.MethodsA narrative review approach was used for this landscape analysis in which the PubMed database was searched and further supplemented with Google Scholar. Promising programs were then discussed over multiple rounds of meetings with the research team, consisting of collaborators with varied experiences in mental health. Using the selection criteria and feedback derived from group meetings, a final list of programs was identified and summarized according to common characteristics and features.ResultsThe initial PubMed search yielded 16 results, supplemented by review of the first 100 entries in Google Scholar. Through 5 follow-up meetings among team members, consensus was reached on a final list of 9 programs, which were grouped into three categories based on similar themes and topics: (1) approaches for the delivery of psychosocial interventions; (2) public health and integrative approaches to mental health; and (3) approaches for addressing youth mental health. Key facilitators to scale up included the importance of sustainable financing and human resources, addressing social determinants and stigma, engaging diverse stakeholders, leveraging existing health infrastructure, using sustainable training models, ensuring cultural relevance and appropriateness, and leveraging digital technologies.DiscussionThis landscape analysis, though not an exhaustive summary of the literature, describes promising examples of efforts to scale up CIC outside of the research context. Going forward, it will be necessary to mobilize stakeholders at the community, health system, and government levels to effectively promote CIC.https://www.frontiersin.org/articles/10.3389/fpubh.2022.992222/fullcommunity initiated caretask sharingcommunity health workerlay health workermental healthsocial determinants |
| spellingShingle | Saher Siddiqui Angelika Morris Daniel J. Ikeda Satchit Balsari Satchit Balsari Laura Blanke Miriam Pearsall Roxanna Rodriguez Shekhar Saxena Benjamin F. Miller Benjamin F. Miller Vikram Patel Vikram Patel John A. Naslund Scaling up community-delivered mental health support and care: A landscape analysis Frontiers in Public Health community initiated care task sharing community health worker lay health worker mental health social determinants |
| title | Scaling up community-delivered mental health support and care: A landscape analysis |
| title_full | Scaling up community-delivered mental health support and care: A landscape analysis |
| title_fullStr | Scaling up community-delivered mental health support and care: A landscape analysis |
| title_full_unstemmed | Scaling up community-delivered mental health support and care: A landscape analysis |
| title_short | Scaling up community-delivered mental health support and care: A landscape analysis |
| title_sort | scaling up community delivered mental health support and care a landscape analysis |
| topic | community initiated care task sharing community health worker lay health worker mental health social determinants |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.992222/full |
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