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Mental health stigma in Ukraine: cross-sectional survey Global Ment. Health (IF 1.803) Pub Date : 2021-03-22 Eleanor Quirke, Vitalii Klymchuk, Orest Suvalo, Ioannis Bakolis, Graham Thornicroft
Background and study objectives This study aimed to assess among Ukrainian adults: (1) knowledge of mental disorders; (2) attitudes towards people with mental health disorders, and to the delivery of mental health treatment within the community; and (3) behaviours towards people with mental disorders. Methodology A cross-sectional survey of Ukrainian adults aged 18–60 was conducted. Stigma-related
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Mental health integration in primary health services after the earthquake in Nepal: a mixed-methods program evaluation Global Ment. Health (IF 1.803) Pub Date : 2021-03-15 Ashley Leichner, Aemal Akhtar, Caoimhe Nic a Bhaird, Rebecca Wener, Shiromi M. Perera, Inka Weissbecker
Background In the aftermath of the devastating 2015 earthquakes in Nepal, three non-governmental organizations collaborated to develop a program responding to the immediate mental health and psychosocial support (MHPSS) needs in three severely affected districts: Dhading, Gorkha, and Sindhuli. The program was implemented between April 2015 and February 2017 and aimed to (i) strengthen health worker
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A community health volunteer delivered problem-solving therapy mobile application based on the Friendship Bench ‘Inuka Coaching’ in Kenya: A pilot cohort study Global Ment. Health (IF 1.803) Pub Date : 2021-03-10 Asmae Doukani, Robin van Dalen, Hristo Valev, Annie Njenga, Francesco Sera, Dixon Chibanda
Background Sub-Saharan Africa (SSA) has the largest care gap for common mental disorders (CMDs) globally, heralding the use of cost-cutting approaches such as task-shifting and digital technologies as viable approaches for expanding the mental health workforce. This study aims to evaluate the effectiveness of a problem-solving therapy (PST) intervention that is delivered by community health volunteers
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Conducting global mental health research: lessons learned from Kenya Global Ment. Health (IF 1.803) Pub Date : 2021-03-08 Akash R. Wasil, Tom L. Osborn, Katherine E. Venturo-Conerly, Christine Wasanga, John R. Weisz
Mental health disorders are prevalent among youth and adolescents in low- and middle-income countries, and access to evidence-based treatments is poor. Although there is a great need for high-quality research to serve young people in low- and middle-income countries, there is limited guidance available for researchers who wish to conduct such work. Here, we describe our process of conducting school-based
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Assessment of service provider competency for child and adolescent psychological treatments and psychosocial services in global mental health: evaluation of feasibility and reliability of the WeACT tool in Gaza, Palestine Global Ment. Health (IF 1.803) Pub Date : 2021-02-22 M. J. D. Jordans, A. Coetzee, H. F. Steen, G. V. Koppenol-Gonzalez, H. Galayini, S. Y. Diab, S. A. Aisha, B. A. Kohrt
Background There is a scarcity of evaluated tools to assess whether non-specialist providers achieve minimum levels of competency to effectively and safely deliver psychological interventions in low- and middle-income countries. The objective of this study was to evaluate the reliability and utility of the newly developed Working with children – Assessment of Competencies Tool (WeACT) to assess service
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Two-year treatment effects of the common elements treatment approach (CETA) for reducing intimate partner violence and unhealthy alcohol use in Zambia Global Ment. Health (IF 1.803) Pub Date : 2021-02-19 Jeremy C. Kane, Nancy Glass, Paul A. Bolton, John Mayeya, Ravi Paul, Mwamba Mwenge, Laura K. Murray
Background Intimate partner violence (IPV) and unhealthy alcohol use are common yet often unaddressed public health problems in low- and middle-income countries. In a randomized trial, we found that the common elements treatment approach (CETA), a multi-problem, flexible, transdiagnostic intervention, was effective in reducing IPV and unhealthy alcohol use among couples in Zambia at a 12-month post-baseline
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Utilizing a church-based platform for mental health interventions: exploring the role of the clergy and the treatment preference of women with depression Global Ment. Health (IF 1.803) Pub Date : 2021-02-19 Theddeus Iheanacho, Ujunwa Callista Nduanya, Samantha Slinkard, Amaka Grace Ogidi, Dina Patel, Ijeoma Uchenna Itanyi, Farooq Naeem, Donna Spiegelman, Echezona E. Ezeanolue
Background Training lay people to deliver mental health interventions in the community can be an effective strategy to mitigate mental health manpower shortages in low- and middle-income countries. The healthy beginning initiative (HBI) is a congregation-based platform that uses this approach to train church-based lay health advisors to conduct mental health screening in community churches and link
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Development of the mental health cultural adaptation and contextualization for implementation (mhCACI) procedure: a systematic framework to prepare evidence-based psychological interventions for scaling Global Ment. Health (IF 1.803) Pub Date : 2021-02-19 Manaswi Sangraula, Brandon A. Kohrt, Renasha Ghimire, Pragya Shrestha, Nagendra P. Luitel, Edith van’t Hof, Katie Dawson, Mark J. D. Jordans
Background Because of the high burden of untreated mental illness in humanitarian settings and low- and middle-income countries, scaling-up effective psychological interventions require a cultural adaptation process that is feasible and acceptable. Our adaptation process incorporates changes into both content and implementation strategies, with a focus on local understandings of distress and treatment
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Behavioral impairment and cognition in Thai adolescents affected by HIV Global Ment. Health (IF 1.803) Pub Date : 2021-02-09 Payal B. Patel, Andrew Belden, Ryan Handoko, Thanyawee Puthanakit, Stephen Kerr, Pope Kosalaraksa, Pradthana Ounchanum, Suparat Kanjanavanit, Linda Aurpibul, Chaiwat Ngampiyasakul, Wicharn Luesomboon, Claude A. Mellins, Kathleen Malee, Jintanat Ananworanich, Robert Paul
Background Cognitive and behavioral impairment are common in children living with perinatally acquired HIV (pHIV) and children exposed to HIV in utero but uninfected (HEU). Methods We sought to determine the prevalence of adverse behavioral symptomatology using a Thai-translated and validated version of the SNAP-IV questionnaire and assess cognitive function utilizing the Children's Color Trails Test
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Incidence of catastrophic healthcare expenditure and its main determinants in Mexican households caring for a person with a mental disorder Global Ment. Health (IF 1.803) Pub Date : 2021-01-11 Lina Diaz-Castro, Héctor Cabello-Rangel, Carlos Pineda-Antúnez, Alejandra Pérez de León
Background There are few studies on the impact of out-of-pocket mental health care expenditures and sociodemographic factors on the probability of Mexican households to incur catastrophic healthcare expenditures (CHE). Objective The goal of the present study was to estimate the incidence of CHE and its main determinants among the households of persons with mental disorders (MD) in Mexico. Methods A
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An analysis of funding patterns in development assistance for mental health: who, when, what, and where Global Ment. Health (IF 1.803) Pub Date : 2021-01-08 Rebecca S. F. Gribble, Bernhard H. Liese, Marisha N. Wickremsinhe
Background Mental health has recently gained increasing attention on global health and development agendas, including calls for an increase in international funding. Few studies have previously characterized official development assistance for mental health (DAMH) in a nuanced and differentiated manner in order to support future funding efforts. Methods Data from the Organisation for Economic Cooperation
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Acceptability and feasibility of using actigraphy to assess habitual physical activity and sleep parameters in men and women living in rural communities in conflict-affected Eastern Democratic Republic of Congo Global Ment. Health (IF 1.803) Pub Date : 2020-11-20 Lisa J. Wood, Mervyn Christian, Nancy Perrin, Alfred Backikenge Mirindi, Jean Heri Banywesize, Clovis Murhula Mitima, Arsene Kajabika Binkurhorwa, Eric Mitima Ntqali, Gisele Ntakwinja Mushengezi, Mitima Mpanano Remy, Nancy Glass
Background The goals of this study were to (1) determine the feasibility and acceptability of using actigraphy to objectively measure sleep quality and habitual physical activity in rural Democratic Republic of Congo (DRC) and (2) examine the relationship between sleep parameters, self-report symptoms, daytime physical activity, and physical function, including the ability to work. Method Thirty individuals
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Measuring mental health and well-being of South African undergraduate students Global Ment. Health (IF 1.803) Pub Date : 2020-12-01 Irma Eloff, Marien Graham
Background Increased investment in optimal student mental health and well-being has been noted by universities around the world. Studies show the need for contextually relevant, granular understandings of specific aspects of student mental health and well-being. Methods A survey was conducted at two time points – at the beginning and end of the academic year – at a large, urban university in South
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Factors influencing medical students and psychiatry residents in Ghana to consider psychiatry as a career option – a qualitative study Global Ment. Health (IF 1.803) Pub Date : 2020-11-03 Vincent I.O Agyapong, Amanda Ritchie, Kacy Doucet, Gerald Agyapong-Opoku, Reham Shalaby, Marianne Hrabok, Thaddeus Ulzen, Akwasi Osei
Background Currently, Ghana has 14 actively practicing psychiatrists and about 26 psychiatric residents for a population of over 28 million people. Previous research suggests a lack of interest by Ghanaian medical students and medical graduates in considering psychiatry as a career option. Objectives To examine the perception of medical students and psychiatry residents in Ghana about the barriers
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The prevalence of mental health problems in sub-Saharan adolescents living with HIV: a systematic review Global Ment. Health (IF 1.803) Pub Date : 2020-10-26 A.S. Dessauvagie, A. Jörns-Presentati, A.-K. Napp, D.J. Stein, D. Jonker, E. Breet, W. Charles, R. L. Swart, M. Lahti, S. Suliman, R. Jansen, L.L. van den Heuvel, S. Seedat, G. Groen
Despite the progress made in HIV treatment and prevention, HIV remains a major cause of adolescent morbidity and mortality in sub-Saharan Africa. As perinatally infected children increasingly survive into adulthood, the quality of life and mental health of this population has increased in importance. This review provides a synthesis of the prevalence of mental health problems in this population and
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Disability, violence, and mental health among Somali refugee women in a humanitarian setting Global Ment. Health (IF 1.803) Pub Date : 2020-10-29 Mazeda Hossain, Rachel Pearson, Alys McAlpine, Loraine Bacchus, Sheru W. Muuo, Stella K Muthuri, Jo Spangaro, Hannah Kuper, Giorgia Franchi, Ricardo Pla Cordero, Sarah Cornish-Spencer, Tim Hess, Martin Bangha, Chimaraoke Izugbara
Background There is limited evidence on the relationship between disability, experiences of gender-based violence (GBV), and mental health among refugee women in humanitarian contexts. Methods A cross-sectional analysis was conducted of baseline data (n = 209) collected from women enrolled in a cohort study of refugee women accessing GBV response services in the Dadaab refugee camps in Kenya. Women
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Pandemic anxiety and its correlates among young doctors working frontline in Pakistan Global Ment. Health (IF 1.803) Pub Date : 2020-09-30 Alina Rashid, Kanza Faisal
Background The study explores the challenges and threats young doctors in Pakistan working frontline toward the pandemic face, and how it translates into their personal and social lives. Methods Thirteen resident doctors working frontline with COVID-19 cases were approached and interviewed in-depth until the point of data saturation. Interpretative phenomenological analysis was used as a method for
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The treatment of mental illness in faith-based and traditional healing centres in Ghana: perspectives of service users and healers Global Ment. Health (IF 1.803) Pub Date : 2020-10-14 Jessica E. Lambert, Fred Nantogmah, Adam Yahaya Dokurugu, Hanan Alhassan, Sandow Stanislaus Azuure, Peter Badimak Yaro, Jeanette Kørner
Background The maltreatment of people with mental illness in Ghana's traditional and faith-based healing centres, including shackling, flogging, and forced fasting, has been documented by numerous sources. Such treatment is potentially traumatising and may exacerbate mental health problems. Despite widespread use, few studies have focused on experiences and characteristics of people who seek traditional
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Justice for George Floyd and a reckoning for global mental health Global Ment. Health (IF 1.803) Pub Date : 2020-09-28 Stevan Weine, Brandon A. Kohrt, Pamela Y. Collins, Janice Cooper, Roberto Lewis-Fernandez, Samuel Okpaku, Milton L. Wainberg
In the wake of George Floyd's killing by police in Minneapolis and the global response inspired by Black Lives Matter, it is time for the field of global mental health to reexamine how we have acknowledged and addressed racism in our institutions, our research, and our mental health services. In solidarity with street level responses, this is an important opportunity to understand and collaboratively
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Changes in prevalence of mental disorders among internally displaced persons in central Sudan: a 1-year follow-up study. Global Ment. Health (IF 1.803) Pub Date : 2020-09-07 Zienat Sanhori,Edvard Hauff,Arne H Eide,Ibrahimu Mdala,Abdullah Abdelrahman,Cathrine Brunborg,Lars Lien
Background Sudan has one of the largest numbers of internally displaced persons (IDPs) in the world, estimated at five million. The main cause of displacement was the civil war. Attention to the health and in particular the mental health of IDPs has been lacking. That includes limited population longitudinal data describing the “natural” fluctuations of mental morbidity among these groups. The aim
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Effectiveness of a peer-led adolescent mental health intervention on HIV virological suppression and mental health in Zimbabwe: protocol of a cluster-randomised trial. Global Ment. Health (IF 1.803) Pub Date : 2020-08-28 Silindweyinkosi Chinoda,Abigail Mutsinze,Victoria Simms,Rhulani Beji-Chauke,Ruth Verhey,Joanna Robinson,Taryn Barker,Owen Mugurungi,Tsitsi Apollo,Epiphany Munetsi,Dorcas Sithole,Helen A Weiss,Dixon Chibanda,Nicola Willis
Background Adolescents living with HIV (ALHIV) experience a high burden of mental health disorder which is a barrier to antiretroviral therapy adherence. In Zimbabwe, trained, mentored peer supporters living with HIV (Community Adolescent Treatment Supporters – CATS) have been found to improve adherence, viral suppression and psychosocial well-being among ALHIV. The Friendship Bench is the largest
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Justice for George Floyd and a reckoning for global mental health. Global Ment. Health (IF 1.803) Pub Date : 2020-08-26 Stevan Weine,Brandon A Kohrt,Pamela Y Collins,Janice Cooper,Roberto Lewis-Fernandez,Samuel Okpaku,Milton L Wainberg
In the wake of George Floyd's killing by police in Minneapolis and the global response inspired by Black Lives Matter, it is time for the field of global mental health to reexamine how we have acknowledged and addressed racism in our institutions, our research, and our mental health services. In solidarity with street level responses, this is an important opportunity to understand and collaboratively
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Erratum: Measuring functional disability in children with developmental disorders in low-resource settings: validation of Developmental Disorders-Children Disability Assessment Schedule (DD-CDAS) in rural Pakistan. Global Ment. Health (IF 1.803) Pub Date : 2020-08-03 Syed Usman Hamdani,Zill-E Huma,Lawrence Wissow,Atif Rahman,Melissa Gladstone
Background Developmental disorders (DDs) in children are a priority condition and guidelines have been developed for their management within low-resource community settings. However, a key obstacle is lack of open access, reliable and valid tools that lay health workers can use to evaluate the impact of such programmes on child outcomes. We adapted and validated the World Health Organization's Disability
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Expressions of psychological distress in Sierra Leone: implications for community-based prevention and response. Global Ment. Health (IF 1.803) Pub Date : 2020-07-29 Rebecca Horn,Simeon S Sesay,Mamadu Jalloh,Amjata Bayoh,Joan B Lavally,Alastair Ager
Background Over recent decades there has been considerable mental health research in Sierra Leone but little on local conceptualisations of mental health conditions. Understanding these is crucial both for identifying the experienced needs of the population and utilising relevant community-based resources to address them. This study took a grounded approach to identify the ways in which adults in Sierra
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Patient-level predictors of detection of depressive symptoms, referral, and uptake of depression counseling among chronic care patients in KwaZulu-Natal, South Africa. Global Ment. Health (IF 1.803) Pub Date : 2020-07-21 Christopher G Kemp,Ntokozo Mntambo,Max Bachmann,Arvin Bhana,Deepa Rao,Merridy Grant,James P Hughes,Jane M Simoni,Bryan J Weiner,Sithabisile Gugulethu Gigaba,Zamasomi Prudence Busisiwe Luvuno,Inge Petersen
Background Integration of depression treatment into primary care could improve patient outcomes in low-resource settings. Losses along the depression care cascade limit integrated service effectiveness. This study identified patient-level factors that predicted detection of depressive symptoms by nurses, referral for depression treatment, and uptake of counseling, as part of integrated care in KwaZulu-Natal
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Measuring functional disability in children with developmental disorders in low-resource settings: validation of Developmental Disorders-Children Disability Assessment Schedule (DD-CDAS) in rural Pakistan. Global Ment. Health (IF 1.803) Pub Date : 2020-07-13 Syed Usman Hamdani,Zill-E Huma,Lawrence Wissow,Atif Rahman,Melissa Gladstone
Background Developmental disorders (DDs) in children are a priority condition and guidelines have been developed for their management within low-resource community settings. However, a key obstacle is lack of open access, reliable and valid tools that lay health workers can use to evaluate the impact of such programmes on child outcomes. We adapted and validated the World Health Organization's Disability
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Barriers and facilitators of child and guardian attendance in task-shifted mental health services in schools in western Kenya. Global Ment. Health (IF 1.803) Pub Date : 2020-06-30 Rosemary D Meza,Sharon Kiche,Caroline Soi,Alya N Khairuzzaman,Cristian J Rivera Nales,Kathryn Whetten,Augustine I Wasonga,Cyrilla Amanya,Shannon Dorsey
Background Globally, nearly 140 million children have experienced the death of one or both parents, and as a result many experience higher rates of mental health problems. Trauma-focused cognitive behavioral therapy (TF-CBT) delivered by lay counselors has been shown to improve mental health outcomes for children experiencing traumatic grief due to parental loss; however, challenges with treatment
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The impact of leprosy on the mental wellbeing of leprosy-affected persons and their family members - a systematic review. Global Ment. Health (IF 1.803) Pub Date : 2020-06-09 Pmw Somar,M M Waltz,W H van Brakel
Leprosy has long-term consequences related to impairment and stigma. This includes a major impact on mental health. This study aims to consolidate current evidence regarding the mental health impact of leprosy on affected persons and their family members. In addition, determinants influencing mental health outcomes among leprosy-affected persons and effective interventions are examined. A keyword-based
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Strengthening parenting in conflict-affected communities: development of the Caregiver Support Intervention. Global Ment. Health (IF 1.803) Pub Date : 2020-06-02 Kenneth E Miller,Heba Ghalayini,Maguy Arnous,Fadila Tossyeh,Alexandra Chen,Myrthe van den Broek,Gabriela V Koppenol-Gonzalez,Joy Saade,Mark J D Jordans
Background There is robust evidence that compromised parenting, stemming from persistently high stress, mediates the impact of war and displacement on children's mental health and psychosocial wellbeing. Parenting interventions generally prioritize the acquisition of parenting knowledge and skills, while under-attending to parental stress and distress. This paper describes the development of the Caregiver
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Suicide on Facebook-the tales of unnoticed departure in Bangladesh. Global Ment. Health (IF 1.803) Pub Date : 2020-05-26 Tanjir Rashid Soron,Sheikh Mohammed Shariful Islam
Facebook has transformed social communication and offers the opportunity to share personal thoughts to people including suicide ideas, plans and attempts. Suicide after Facebook posts has been reported in different parts of the world and it has become a potential area of research for suicide prevention. The analysis of Facebook posts prior to suicide or Facebook live streaming may help in understanding
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Caregiving burden and mental health problems among family caregivers of people with dementia in rural Uganda. Global Ment. Health (IF 1.803) Pub Date : 2020-05-26 Herbert E Ainamani,Paul E Alele,Godfrey Z Rukundo,Samuel Maling,Edith K Wakida,Celestino Obua,Alexander C Tsai
Background Alzheimer's disease and related dementias are associated with increasing health burden in low- and middle-income countries. Less well-recognized is the potential health burden experienced by other affected individuals, such as family caregivers. In this study, we sought to profile the burden of care and its association with symptoms of depression and anxiety among informal caregivers of
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Contextualizing and pilot testing the Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) to primary healthcare workers in Kilifi, Kenya. Global Ment. Health (IF 1.803) Pub Date : 2020-05-18 Mary A Bitta,Symon M Kariuki,Anisa Omar,Leonard Nasoro,Monica Njeri,Cyprian Kiambu,Linnet Ongeri,Charles R J C Newton
Background Little data exists about the methodology of contextualizing version two of the Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) in resource-poor settings. This paper describes the contextualisation and pilot testing of the guide in Kilifi, Kenya.Methods Contextualisation was conducted as a collaboration between the KEMRI-Wellcome Trust Research Programme (KWTRP) and Kilifi
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Philanthropy for global mental health 2000-2015. Global Ment. Health (IF 1.803) Pub Date : 2020-05-06 Valentina Iemmi
Background Mental disorders are the leading cause of years lived with disability worldwide. While over three-quarters of people with mental disorders live in low- and middle-income countries (LMICs) and effective low-cost interventions are available, resource commitments are extremely limited. This paper seeks to understand the role of philanthropy in this area and to inform discussions about how to
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Interpersonal violence and mental health: a social justice framework to advance research and practice. Global Ment. Health (IF 1.803) Pub Date : 2020-05-06 W A Tol
This editorial paper accompanies a special series in the journal Global Mental Health focused on the topic of interpersonal violence and mental health. This series included 24 papers reporting on data from 31 countries, published between 2017 and 2019. This accompanying paper provides a short summary of findings in the special series and reflects on next steps in research and practice. Collectively
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Mental health research capacity building in sub-Saharan Africa: the African Mental Health Research Initiative Global Ment. Health (IF 1.803) Pub Date : 2020-03-03 Dixon Chibanda, Melanie Abas, Rosemary Musesengwa, Chris Merritt, Katherine Sorsdahl, Walter Mangezi, Chiwoza Bandawe, Frances Cowan, Ricardo Araya, Exnevia Gomo, Lorna Gibson, Helen Weiss, Charlotte Hanlon, Crick Lund
Mental, neurological and substance use (MNS) disorders are a leading, but neglected, cause of morbidity and mortality in sub-Saharan Africa. The treatment gap for MNS is vast with only 10% of people with MNS disorders in low-income countries accessing evidence-based treatments. Reasons for this include low awareness of the burden of MNS disorders and limited evidence to support development, adaptation
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Implementation outcomes and strategies for depression interventions in low- and middle-income countries: a systematic review Global Ment. Health (IF 1.803) Pub Date : 2020-03-02 Bradley H. Wagenaar, Wilson H. Hammett, Courtney Jackson, Dana L. Atkins, Jennifer M. Belus, Christopher G. Kemp
Background We systematically reviewed implementation research targeting depression interventions in low- and middle-income countries (LMICs) to assess gaps in methodological coverage.Methods PubMed, CINAHL, PsycINFO, and EMBASE were searched for evaluations of depression interventions in LMICs reporting at least one implementation outcome published through March 2019.Results A total of 8714 studies
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Mental health disorders and utilization of mental healthcare services in United Nations personnel Global Ment. Health (IF 1.803) Pub Date : 2020-02-12 Adam D. Brown, Katharina Schultebraucks, Meng Qian, Meng Li, Danny Horesh, Carol Siegel, Yosef Brody, Abdalla Mansour Amer, Rony Kapel Lev-Ari, Francis Mas, Charles R. Marmar, Jillann Farmer
Background United Nations (UN) personnel address a diverse range of political, social, and cultural crises throughout the world. Compared with other occupations routinely exposed to traumatic stress, there remains a paucity of research on mental health disorders and access to mental healthcare in this population. To fill this gap, personnel from UN agencies were surveyed for mental health disorders
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Development of a comprehensive, sustained community mental health system in post-earthquake Haiti, 2010–2019 Global Ment. Health (IF 1.803) Pub Date : 2020-02-11 G. Raviola, A. Rose, J.R. Fils-Aimé, T. Thérosmé, E. Affricot, C. Valentin, S. Daimyo, S. Coleman, W. Dubuisson, J. Wilson, H. Verdeli, G. Belkin, G. Jerome, E. Eustache
Between 2010 and 2019 the international health care organization Partners In Health (PIH) and its sister organization Zanmi Lasante (ZL) mounted a long-term response to the 2010 Haiti earthquake, focused on mental health. Over that time, implementing a Theory of Change developed in 2012, the organization successfully developed a comprehensive, sustained community mental health system in Haiti's Central
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Depression among TB patients and associated factors in Kathmandu Valley, Nepal Global Ment. Health (IF 1.803) Pub Date : 2020-01-22 P. Shrestha, U. K. Subba, M. Brouwer, A. C. Sweetland
Introduction When tuberculosis (TB) and depression co-occur, there is greater risk for comorbidities, disability, suffering, and health-related costs. Depression is also associated with poor treatment adherence in patients with TB. The major aim of this study was to assess the symptoms of depression and associated factors among TB patients currently receiving directly observed treatment short-course
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Law enforcement and mental health clinician partnerships in global mental health: outcomes for the Crisis Intervention Team (CIT) model adaptation in Liberia, West Africa Global Ment. Health (IF 1.803) Pub Date : 2020-01-10 Mina Boazak, Sarah Yoss, Brandon A. Kohrt, Wilfred Gwaikolo, Pat Strode, Michael T. Compton, Janice Cooper
Background The Crisis Intervention Team (CIT) model is a law enforcement strategy that aims to build alliances between the law enforcement and mental health communities. Despite its success in the United States, CIT has not been used in low- and middle-income countries. This study assesses the immediate and 9-month outcomes of CIT training on trainee knowledge and attitudes.Methods Twenty-two CIT trainees
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When less is more: reducing redundancy in mental health and psychosocial instruments using Item Response Theory Global Ment. Health (IF 1.803) Pub Date : 2020-01-09 Emily E. Haroz, Jeremy C. Kane, Amanda J. Nguyen, Judith K. Bass, Laura K. Murray, Paul Bolton
Background There is a need for accurate and efficient assessment tools that cover a range of mental health and psychosocial problems. Existing, lengthy self-report assessments may reduce accuracy due to respondent fatigue. Using data from a sample of adults enrolled in a psychotherapy randomized trial in Thailand and a cross-sectional sample of adolescents in Zambia, we leveraged Item Response Theory
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Incidence of depression in people with newly diagnosed tuberculosis in Ethiopia: a cohort study Global Ment. Health (IF 1.803) Pub Date : 2020-01-03 Fentie Ambaw, Rosie Mayston, Charlotte Hanlon, Atalay Alem
Background Cross-sectional studies show that the prevalence of comorbid depression in people with tuberculosis (TB) is high. The hypothesis that TB may lead to depression has not been well studied. Our objectives were to determine the incidence and predictors of probable depression in a prospective cohort of people with TB in primary care settings in Ethiopia.Methods We assessed 648 people with newly
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