Mental Health

Ethics Issues and Training Needs of Mental Health Practitioners in a Rural Setting

The intended goal was to obtain direct feedback about ethical issues and ethical training
needs from practitioners themselves who work in rural settings. Results identified three primary
ethical issues: dual relationships, confidentiality, and competence; and three primary ethical training needs: boundaries, state rules and regulations, and supervision. [from abstract]

Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers

Burnout can create problems in every aspect of individual’s’ human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life. The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers. [from abstract]

Systematic Review of Feasibility and Acceptability of Psychosocial Interventions for Schizophrenia in Low and Middle Income Countries

In low and middle income countries there is evidence to suggest effectiveness of community-
based psychosocial interventions for schizophrenia. Many psychosocial interventions have
however been conceptualized in high income countries and assessing their feasibility and
acceptability in low and middle income countries is pertinent and the objective of this review. [from abstract]

An Overview of the Mental Health System in Gaza: an Assessment Using the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS)

Mental health system reform is urgently needed in Gaza to respond to increasing mental health consequences of conflict. Evidence from mental health systems research is needed to inform decision-making. We aimed to provide new knowledge on current mental health policy and legislation, and services and resource use, in Gaza to identify quality gaps and
areas for urgent intervention. [from abstract]

Global Mental Health From A Policy Perspective

This report characterises mental health as a policy issue and outlines why it is frequently overlooked by policy-makers and donors. It draws upon the experience of different social movements across global health to provide lessons for the mental health field. [from introduction]

Mental Health in Developing Countries: Challenges and Opportunities in Introducing Western Mental Health System in Uganda

This paper presents a review of the attempt to implement a western-oriented mental health system into
a different culture, specifically a developing country such as Uganda. It draws upon an extensive literature review
and the author’s work in Uganda to identify the lessons learned as well as the challenges of introducing a western-
oriented mental health system in a totally new cultural milieu. [from abstract]

Knowing the Right to Mental Health: The Social Organization of Research for Global Health Governance

This institutional ethnography(IE) explores the right to health in the international mental health field, and a subfield concerned with equitable access to treatment in developing countries and for marginalized people elsewhere. Indicators of mental health and development and the “scaling up” of corresponding treatment and services goals have been at the forefront in this field that is known discursively as “Global Mental Health” (GMH) [from abstract]

A National Framework for Recovery-Oriented Mental Health Services: Guide for Practitioners and Providers

This document is a guide for mental health practitioners and services to Australia’s national framework for recovery-oriented mental health services. It provides definitions for the concepts of recovery and lived experience. It describes the practice domains and key capabilities necessary for the mental health workforce to function in accordance with recovery-oriented principles.

A National Framework for Recovery-Oriented Mental Health Services: Policy and Theory

This background paper is a summary of the research and policy that underpins Australia’s national framework for recovery-oriented mental health services.It provides an overview and definition of the concepts of recovery and lived experience. It outlines the policy context for a move to recovery-oriented approaches and cites relevant research. It briefly describes the practice domains and key capabilities necessary for recovery-oriented practice and service delivery. [from introduction]

Using Workshops to Develop Theories of Change in Give Low and Middle Income Countries: Lessons from the Programme for Improving Mental Health Care (PRIME)

Theory of Change (ToC) approach workshops are a useful approach for developing ToCs as a basis for mental health care plans because they facilitate logical, evidence based and contextualised plans, while promoting stakeholder buy in.
Because of the existing hierarchies within some health systems, strategies such as limiting the types of participants
and stratifying the workshops can be used to ensure productive workshops.

Health Workers Perception on Constraints to Effective Administration of Quality Care to the Mentally Ill Patients

This study examined the Perception of health workers on the constraints to effective administration of quality health care to the mentally ill patients in psychiatric hospital in Anambra State, Nigeria.

Immediate Versus Sustained Effects: Interrupted Time Series Analysis of a Tailored Intervention

This paper describes the development, delivery, and evaluation of a tailored intervention designed to increase primary health care professionals’ adoption of a national recommendation that women with mild to moderate postnatal depression are referred for psychological therapy as a first stage treatment. [from abstract]

Short Structured General Mental Health In Service Training Programme in Kenya Improves Patient Health and Social Outcomes but Not Detection of Mental Health Problems: A Pragmatic Cluster Randomized Controlled Trial

This paper reports an exploratory trial designed to test the effect of a low-cost training in-service training intervention for primary health care providers on: the rate of accurate routine clinic detection of mental disorder and recovery (improved health and social outcomes and quality of life) of clients. [adapted from author]

Psychosocial Interventions for Perinatal Common Mental Disorders Delivered by Providers Who Are Not Mental Health Specialists in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis

Working with care providers who are not mental health specialists, in the community or in antenatal health care facilities, can expand access to psychosocial interventions for perinatal common mental disorders in low-resource settings. This study assessed effects of such interventions compared to usual perinatal care, as well as effects of interventions based on intervention type, delivery method, and timing. [adapted from abstract]

Effect of an E-mental Health Approach to Workers' Health Surveillance versus Control Group on Work Functioning of Hospital Employees: A Cluster-RCT

This study aimed to evaluate an e-mental health approach to workers’ health surveillance targeting work functioning and mental health of healthcare professionals in a randomized controlled trial. [from abstract]

Structured Pro-Active Care for Chronic Depression by Practice Nurses in Primary Care: A Qualitative Evaluation

This qualitative study explored the impact and appropriateness of structured pro-active care reviews by practice nurses for patients with chronic or recurrent depression and dysthymia within a nationwide randomized controlled trial which compared usual general practitioner care with structured pro-active care involving 3 monthly review appointments with practice nurses over 2 years for patients with chronic or recurrent depression. [adapted from abstract]

Roles and Effectiveness of Lay Community Health Workers in the Prevention of Mental, Neurological and Substance Use Disorders in Low and Middle Income Countries: A Systematic Review

This article summarizes a systematic literature review that aimed to assess the existing evidence base for the roles and effectiveness of lay community health workers in primary and secondary prevention of mental, neurological and substance us disorders in low and middle income countries. [adapted from abstract]

Health System Challenges to Integration of Mental Health Delivery in Primary Care in Kenya: Perspectives of Primary Care Workers

This paper uses focus group methodology to explore health worker perspectives on the challenges posed to integration of mental health into primary care by generic health system weakness. [from abstract]

Global Mental Health: Transformative Capacity Building in Nicaragua

Using the framework of best practice literature, this article analyses a four-year collaborative process between two universities to build health worker capacity at the primary healthcare and system levels to address gaps in mental health services. [adapted from abstract]

Impact of a Lay Counselor Led Collaborative Care Intervention for Common Mental Disorders in Public and Private Primary Care: A Qualitative Evaluation Nested in the MANUS Trial in Goa, India

This paper describes an evaluation of the effectiveness of an intervention in which lay counselors led collaborative stepped care for common mental disorders in public and private sector primary care settings, and the impact this intervention had on health and psychosocial outcomes. [adapted from abstract]

I Think This Is Maybe Our Achilles Heel, Exploring GPs' Responses to Young People Presenting with Emotional Distress in General Practice: A Qualitative Study

This exploratory study investigated general practitioners’ (GPs’) views and experiences of consulting with young people (aged 12–19 years) presenting with emotional distress in general practice. [from abstract]

Novel Method of Assessing Quality of Postgraduate Psychiatry Training: Experiences from a Large Training Programme

This article reports on a comprehensive assessment of the quality of training at a large postgraduate psychiatry training institute using non-anonymised face-to-face interviews with trainees and their trainers, which successfully elicited strengths and weakness of the program and may well provide important information to allow for targeted improvement of health training in general. [adapted from abstract]

Introducing Peer Worker Roles into UK Mental Health Service Teams: A Qualitative Analysis of the Organisational Benefits and Challenges

This paper seeks to address a gap in the empirical literature in understanding the organisational challenges and benefits of introducing peer worker roles into mental health service teams. [from abstract]

Implementation and Scale-Up of Psycho-Trauma Centers in a Post-Conflict Area: A Case Study of a Private–Public Partnership in Northern Uganda

This article describes a public-private partnership (PPP) between the Peter C. Alderman Foundation and Ugandan government institutions that demonstrated the feasibility of delivering low cost, evidence-based mental health care to massively traumatized populations in northern Uganda through PPPs. [adapted from author]

Recruitment and Retention of Mental Health Workers in Ghana

Using qualitative interviews, the authors aimed to explore factors motivating mental health workers in order to inform interventions to increase recruitment and retention. [from abstract]

Occupational Stress and Implementation of Information Technology Among Nurses Working on Acute Psychiatric Wards

The purpose of the study was to survey experiences of occupational stress and perceived work environment among nurses working on acute psychiatric wards in Finland. In addition, nurses’ use and attitudes towards information technology were analyzed. [from abstract]

Developing a Measure of Provider Adherence to Improve the Implementation of Behavioral Heatlh Services in Primary Care: A Delphi Study

This study aimed to develop a self-report measure of behavioral health provider adherence for co-located, collaborative care, a commonly adopted model of behavioral health service delivery in primary care. [from abstract]

Continuing Education Training Focused on the Development of Behavioral Telehealth Competencies in Behavioral Healthcare Providers

This study assessed the impact of a behavioral telehealth ethical competencies training program on behavioral health providers’ development of behavioral telehealth competency. Video vignettes evaluating the 14 competencies, self-reported competence surveys and follow-up surveys of progress on telehealth goals were utilized to assess effects of the training. [adapted from abstract]

Developing European Guidelines for Training Care Professionals in Mental Health

Although mental health promotion is a priority mental health action area for all European countries, high level training resources and high quality skills acquisition in mental health promotion are still relatively rare. The aim of the current paper is to present the results of a project to develop guidelines for training social and health care professionals in mental health promotion. [adapted from abstract]

Economic Evaluation of a Task-Shifting Intervention for Common Mental Disorders in India

The present study evaluates the cost–effectiveness and cost–utility of a trial task shifting approach to mental health services with the hope that the additional resources needed to train, pay and supervise the lay health workers used in the task-shifting approach to the primary care of common mental disorders would promote recovery and reduced disability in a more cost–effective manner than more conventional care. [adapted from author]