Building youth and family resilience for better mental health: developing and testing a hybrid model of intervention in low- and middle-income countries

Basu, Debasish; Nagpal, Sugandha; Pillai, Renjith R; Mutiso, Victoria; Ndetei, David M.; Bhui, Kamaldeep

doi:10.1192/bjp.2021.129

Cited by 8 publications

(7 citation statements)

References 5 publications

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“…A determinant factor in children’s emotional and behavioral management is parental resilience. Resilience is a dynamic, multi-level, multi-systemic process of positive adaptation (Basu et al, 2022 ) and for these reasons is full in potential. It can be nurtured and strengthened through targeted clinical and social interventions (Basu et al, 2022 ).…”

Section: Implications and Applicationmentioning

confidence: 99%

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Families in quarantine for COVID-19 in Italy. Resilience as a buffer of parental distress and problematic children’s emotions and behaviors

et al. 2022

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The pandemic of Covid-19 has had a high impact on people’s lives and especially on families. In Italy, in 2020, the several forced closures led families to live indoors to manage anxiety and distress. It was considered appropriate to investigate which protective factors, like parental resilience, can mitigate the negative impact of pandemic-related distress on family life. We have conducted two online surveys during different national lockdowns for Covid-19. The first survey was conducted immediately after the disruption of the virus and the second one after nine months. We measured parental resilience and distress, anxiety, problematic behaviors, and somatization of their children (as assessed by the parents). The aim was to investigate the protective role of parental resilience in mitigating parental distress and in turn problematic emotional states and behavior of their children. Mediation analyses confirmed the hypothesis that parental resilience lowers parental distress and consequently the anxiety and behavioral disorders of their children in both acute distress (first study) and chronic distress (second study) situations. Such results suggest that the improvement of parents’ resilience can buffer the negative impact of pandemic-related parental distress and children’s behavioral problems on both occasions. The need for focused interventions and treatments aimed to reinforce parental resilience is discussed. Targeted prevention and support strategies are needed now, and early in case of future health crises.

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Section: Implications and Applicationmentioning

confidence: 99%

“…Resilience is a dynamic, multi-level, multi-systemic process of positive adaptation (Basu et al, 2022 ) and for these reasons is full in potential. It can be nurtured and strengthened through targeted clinical and social interventions (Basu et al, 2022 ). Study 1 slso showed the importance of reducing parental distress.…”

Section: Implications and Applicationmentioning

confidence: 99%

Families in quarantine for COVID-19 in Italy. Resilience as a buffer of parental distress and problematic children’s emotions and behaviors

et al. 2022

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“…The World Health Organization (2014) considered different models through which mental health provision can be integrated in MWC, of which the stepped-care approach was more compatible with the service framework adopted in this study. This also took into consideration the contextual characteristics of MWC, in extending the model to families, schools and communities; and co-producing solutions with local stakeholders to account for inequalities and sociocultural factors (Basu et al ., 2022).…”

Section: Discussionmentioning

confidence: 99%

Integrated child mental health care provision in Pakistan: End-user and provider perspectives

Vostanis,

Hassan,

Fatima

et al. 2023

JICA

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PurposeChildren in majority world countries (MWC) have high rates of unmet mental health needs, with limited access to specialist resources. Integration of child mental health in existing psychosocial care can improve provision. Through a Train-the-Trainer (ToT) cascade approach, this study aimed to provide a framework for such integration in resource-constrained communities in Karachi, Pakistan and to establish hindering and enabling factors.Design/methodology/approachEight practitioners attended a child mental health ToT program, including training on a five-domain service transformation framework. Trainers co-designed and implemented interventions that integrated child mental health knowledge and skills on each domain. These were attended by 136 end-users (youth, parents, teachers, managers), of whom a sub-sample of 47 stakeholders, as well as the trainers, attended focus groups on their experiences. Data were analysed through a thematic codebook.FindingsEstablished themes reflected common ingredients across all domains/interventions that were deemed important for child mental health care integration. These included child-centric approaches, positive parenting, community mobilization and systemic changes.Originality/valueIntegrated child mental health care informed by the Train-of-Trainer approach can be a useful model for resource-constrained MWC contexts. Integrated interventions should be co-produced with communities.

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“…Despite these barriers, efforts have been made to expand key resources—such as trauma-informed cognitive-behavioral therapy—into low-income communities [ 68 ], such as the Elijah Cummings Healing City Baltimore Act in Baltimore City, MD [ 69 ]. Furthermore, in low-income settings, it may be that hybrid models targeting children and their families with “options to engage through communities, schools, and the family unit” may be promising [ 70 ]. Ultimately, while cardiovascular health education is critical, systemic change that promotes equitable access to health resources that can stem the tide of cardiovascular disease remains a priority.…”

Section: Discussionmentioning

confidence: 99%

Adverse Childhood Experiences and Cardiovascular Risk among Young Adults: Findings from the 2019 Behavioral Risk Factor Surveillance System

Jackson

Testa

Woodward

et al. 2022

IJERPH

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Background: Heart disease is the fourth leading cause of death for young adults aged 18–34 in the United States. Recent research suggests that adverse childhood experiences (ACEs) may shape cardiovascular health and its proximate antecedents. In the current study, we draw on a contemporary, national sample to examine the association between ACEs and cardiovascular health among young adults in the United States, as well as potential mediating pathways. Methods: The present study uses data from the 2019 Behavioral Risk Factor Surveillance System (BRFSS) to examine associations between ACEs and cardiovascular risk, as well as the role of cumulative disadvantage and poor mental health in these associations. Results: Findings indicate that young adults who have experienced a greater number of ACEs have a higher likelihood of having moderate to high cardiovascular risk compared to those who have zero or few reported ACEs. Moreover, both poor mental health and cumulative disadvantage explain a significant proportion of this association. Conclusions: The present findings suggest that young adulthood is an appropriate age for deploying prevention efforts related to cardiovascular risk, particularly for young adults reporting high levels of ACEs.

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Building youth and family resilience for better mental health: developing and testing a hybrid model of intervention in low- and middle-income countries

Cited by 8 publications

References 5 publications

Families in quarantine for COVID-19 in Italy. Resilience as a buffer of parental distress and problematic children’s emotions and behaviors

Families in quarantine for COVID-19 in Italy. Resilience as a buffer of parental distress and problematic children’s emotions and behaviors

Integrated child mental health care provision in Pakistan: End-user and provider perspectives

Adverse Childhood Experiences and Cardiovascular Risk among Young Adults: Findings from the 2019 Behavioral Risk Factor Surveillance System

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