Marta Petagna1, Charles Marley2, Cristóbal Guerra3, Clara Calia1, Corinne Reid4. 1. School of Health in Social Sciences, The University of Edinburgh, Edinburgh, UK. 2. School of Allied Health Science and Practice, The University of Adelaide, Engineering & Mathematical Sciences Building, North Terrace, 5001, Adelaide, Australia. Charles.marley@adelaide.edu.au. 3. Universidad Santo Tomás, Santiago, Chile. 4. Victoria University, Melbourne, Australia.
Abstract
BACKGROUND: The Mental Health Gap Action Programme (mhGAP) supports engagement of non-specialists in mental health services in Low- and Middle-Income countries. Given this aim, assessment of the effectiveness of approaches under its remit is warranted. AIMS: We evaluated mhGAP approaches relating to child and adolescent mental health, focusing on provider / child outcomes, and barriers / facilitators of implementation. METHODS: Thirteen databases were searched for reviews and primary research on mhGAP roll out for child and adolescent mental health. RESULTS: Twelve studies were reviewed. Provider-level outcomes were restricted to knowledge gains, with limited evidence of other effects. Child-level outcomes included improved access to care, enhanced functioning and socio-emotional well-being. Organisational factors, clients and providers? attitudes and expectations, and transcultural considerations were barriers. CONCLUSIONS: Further attention to the practical and methodological aspects of implementation of evaluation may improve the quality of evidence of the effectiveness of approaches under its remit.
BACKGROUND: The Mental Health Gap Action Programme (mhGAP) supports engagement of non-specialists in mental health services in Low- and Middle-Income countries. Given this aim, assessment of the effectiveness of approaches under its remit is warranted. AIMS: We evaluated mhGAP approaches relating to child and adolescent mental health, focusing on provider / child outcomes, and barriers / facilitators of implementation. METHODS: Thirteen databases were searched for reviews and primary research on mhGAP roll out for child and adolescent mental health. RESULTS: Twelve studies were reviewed. Provider-level outcomes were restricted to knowledge gains, with limited evidence of other effects. Child-level outcomes included improved access to care, enhanced functioning and socio-emotional well-being. Organisational factors, clients and providers? attitudes and expectations, and transcultural considerations were barriers. CONCLUSIONS: Further attention to the practical and methodological aspects of implementation of evaluation may improve the quality of evidence of the effectiveness of approaches under its remit.
Authors: Jeremy C Kane; Alex Adaku; Juliet Nakku; Raymond Odokonyero; James Okello; Seggane Musisi; Jura Augustinavicius; M Claire Greene; Steve Alderman; Wietse A Tol Journal: Implement Sci Date: 2016-03-15 Impact factor: 7.327
Authors: Erwin Hernando Hernández Rincón; Rafael Tuesca Molina; Eduardo Guerrero Espinel; Henry Gutiérrez González; Nelson Agudelo; Gabriel Listovsky Journal: Rev Panam Salud Publica Date: 2022-08-30