Pathways towards scaling up Problem Management Plus in Turkey: a theory of change workshop
Abstract Background A considerable evidence base has been produced in recent years highlighting the effectiveness of brief scalable psychological interventions for people living in communities exposed to adversity. However, practical guidance on how to scale up these interventions to wider populatio...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | Conflict and Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13031-020-00278-w |
| _version_ | 1819146947159654400 |
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| author | Daniela C. Fuhr Ceren Acarturk Ersin Uygun Michael McGrath Zeynep Ilkkursun Sadaf Kaykha Egbert Sondorp Marit Sijbrandij Peter Ventevogel Pim Cuijpers Bayard Roberts on behalf of the STRENGTHS consortium |
| author_facet | Daniela C. Fuhr Ceren Acarturk Ersin Uygun Michael McGrath Zeynep Ilkkursun Sadaf Kaykha Egbert Sondorp Marit Sijbrandij Peter Ventevogel Pim Cuijpers Bayard Roberts on behalf of the STRENGTHS consortium |
| author_sort | Daniela C. Fuhr |
| collection | DOAJ |
| description | Abstract Background A considerable evidence base has been produced in recent years highlighting the effectiveness of brief scalable psychological interventions for people living in communities exposed to adversity. However, practical guidance on how to scale up these interventions to wider populations does not exist. In this paper we report on the use of Theory of Change (ToC) to plan the scale up of the World Health Organization’s flagship low intensity psychological intervention “Problem Management Plus” (PM+) for Syrian refugees in Turkey. Methods We conducted a one-day ToC workshop in Istanbul. ToC is a participatory planning process used in the development, implementation and evaluation of projects. It is similar to driver diagrams or logic models in that it offers a tool to visually present the components needed to reach a desired long-term outcome or impact. The overall aim of ToC is to understand the change process of a complex intervention and to map out causal pathways through which an intervention or strategy has an effect. Results Twenty-four stakeholders (including governmental officials, mental health providers, officials from international/national non-governmental organisations, conflict and health researchers) participated in the ToC workshop. A ToC map was produced identifying three key elements of scaling up (the resource team; the innovation and the health system; and the user organisation) which are represented in three distinct causal pathways. Context-specific barriers related to the health system and the political environment were identified, and possible strategies for overcoming these challenges were suggested. Conclusion ToC is a valuable methodology to develop an integrated framework for scaling up. The results highlight that the scaling up of PM+ for Syrian refugees in Turkey needs careful planning and investment from different stakeholders at the national level. Our paper provides a theoretical foundation of the scaling up of PM+, and exemplifies for the first time the use of ToC in planning the scaling up of an evidence-based psychological intervention in global mental health. |
| first_indexed | 2024-12-22T13:22:01Z |
| format | Article |
| id | doaj.art-eadf9cb5e9a0423a8ac92f297e9bdfa5 |
| institution | Directory Open Access Journal |
| issn | 1752-1505 |
| language | English |
| last_indexed | 2024-12-22T13:22:01Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Conflict and Health |
| spelling | doaj.art-eadf9cb5e9a0423a8ac92f297e9bdfa52022-12-21T18:24:27ZengBMCConflict and Health1752-15052020-05-011411910.1186/s13031-020-00278-wPathways towards scaling up Problem Management Plus in Turkey: a theory of change workshopDaniela C. Fuhr0Ceren Acarturk1Ersin Uygun2Michael McGrath3Zeynep Ilkkursun4Sadaf Kaykha5Egbert Sondorp6Marit Sijbrandij7Peter Ventevogel8Pim Cuijpers9Bayard Roberts10on behalf of the STRENGTHS consortiumDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine; Public Health and PolicyDepartment of Psychology, Koc University IstanbulRefugee Mental Health Branch Outpatient Clinic of Bakirkoy Mental Health Training and Research Hospital, University of Health SciencesDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine; Public Health and PolicyDepartment of Psychology, Koc University IstanbulWar Trauma FoundationKIT Royal Tropical InstituteDepartment of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health research institute, Vrije Universiteit AmsterdamPublic Health Section, United Nations High Commissioner for RefugeesDepartment of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health research institute, Vrije Universiteit AmsterdamDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine; Public Health and PolicyAbstract Background A considerable evidence base has been produced in recent years highlighting the effectiveness of brief scalable psychological interventions for people living in communities exposed to adversity. However, practical guidance on how to scale up these interventions to wider populations does not exist. In this paper we report on the use of Theory of Change (ToC) to plan the scale up of the World Health Organization’s flagship low intensity psychological intervention “Problem Management Plus” (PM+) for Syrian refugees in Turkey. Methods We conducted a one-day ToC workshop in Istanbul. ToC is a participatory planning process used in the development, implementation and evaluation of projects. It is similar to driver diagrams or logic models in that it offers a tool to visually present the components needed to reach a desired long-term outcome or impact. The overall aim of ToC is to understand the change process of a complex intervention and to map out causal pathways through which an intervention or strategy has an effect. Results Twenty-four stakeholders (including governmental officials, mental health providers, officials from international/national non-governmental organisations, conflict and health researchers) participated in the ToC workshop. A ToC map was produced identifying three key elements of scaling up (the resource team; the innovation and the health system; and the user organisation) which are represented in three distinct causal pathways. Context-specific barriers related to the health system and the political environment were identified, and possible strategies for overcoming these challenges were suggested. Conclusion ToC is a valuable methodology to develop an integrated framework for scaling up. The results highlight that the scaling up of PM+ for Syrian refugees in Turkey needs careful planning and investment from different stakeholders at the national level. Our paper provides a theoretical foundation of the scaling up of PM+, and exemplifies for the first time the use of ToC in planning the scaling up of an evidence-based psychological intervention in global mental health.http://link.springer.com/article/10.1186/s13031-020-00278-wScaling upTheory of changeMental healthRefugeesLow-intensity psychological intervention |
| spellingShingle | Daniela C. Fuhr Ceren Acarturk Ersin Uygun Michael McGrath Zeynep Ilkkursun Sadaf Kaykha Egbert Sondorp Marit Sijbrandij Peter Ventevogel Pim Cuijpers Bayard Roberts on behalf of the STRENGTHS consortium Pathways towards scaling up Problem Management Plus in Turkey: a theory of change workshop Conflict and Health Scaling up Theory of change Mental health Refugees Low-intensity psychological intervention |
| title | Pathways towards scaling up Problem Management Plus in Turkey: a theory of change workshop |
| title_full | Pathways towards scaling up Problem Management Plus in Turkey: a theory of change workshop |
| title_fullStr | Pathways towards scaling up Problem Management Plus in Turkey: a theory of change workshop |
| title_full_unstemmed | Pathways towards scaling up Problem Management Plus in Turkey: a theory of change workshop |
| title_short | Pathways towards scaling up Problem Management Plus in Turkey: a theory of change workshop |
| title_sort | pathways towards scaling up problem management plus in turkey a theory of change workshop |
| topic | Scaling up Theory of change Mental health Refugees Low-intensity psychological intervention |
| url | http://link.springer.com/article/10.1186/s13031-020-00278-w |
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