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Lay Health Worker Involvement in Evidence-Based Treatment Delivery: A Conceptual Model to Address Disparities in Care
Annual Review of Clinical Psychology ( IF 18.4 ) Pub Date : 2018-05-07 00:00:00 , DOI: 10.1146/annurev-clinpsy-050817-084825
Miya L. Barnett 1 , Anna S. Lau 2 , Jeanne Miranda 3
Affiliation  

Mobilizing lay health workers (LHWs) to deliver evidence-based treatments (EBTs) is a workforce strategy to address mental health disparities in underserved communities. LHWs can be leveraged to support access to EBTs in a variety of ways, from conducting outreach for EBTs delivered by professional providers to serving as the primary treatment providers. This critical review provides an overview of how LHW-supported or -delivered EBTs have been leveraged in low-, middle-, and high-income countries (HICs). We propose a conceptual model for LHWs to address drivers of service disparities, which relate to the overall supply of the EBTs provided and the demand for these treatments. The review provides illustrative case examples that demonstrate how LHWs have been leveraged globally and domestically to increase access to mental health services. It also discusses challenges and recommendations regarding implementing LHW-supported or -delivered EBTs.

中文翻译:


外行医务人员参与循证治疗:解决护理差异的概念模型

动员非专业卫生工作者(LHW)提供基于证据的治疗(EBT)是一种劳动力战略,旨在解决服务水平低下的社区中精神卫生方面的差距。可以利用LHW以各种方式支持对EBT的访问,从对专业提供者提供的EBT进行外展到作为主要治疗提供者。这份重要的评论概述了在低,中,高收入国家(HIC)如何利用LHW支持或交付的EBT。我们为LHW提出了一个概念模型,以解决服务差异的驱动因素,这与所提供的EBT的总体供应以及对这些待遇的需求有关。审查提供了说明性的案例实例,这些实例说明了如何在全球和国内利用LHW来增加获得精神卫生服务的机会。

更新日期:2018-05-07
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