Discussion of the updated WHO recommendations for mental, neurological, and substance use disorders

Dua, Tarun; Barbui, Corrado; Patel, Archana; Tablante, Elizabeth Centeno; Thornicroft, Graham; Saxena, Shekhar

doi:10.1016/s2215-0366(16)30184-5

Cited by 21 publications

(18 citation statements)

References 10 publications

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“…Despite worldwide uptake, evaluations of mhGAP-IG’s use have not been widely published 5. Ours is the first study using mhGAP-IG for peer-to-peer e-learning and using a PBL format 18.…”

Section: Discussionmentioning

confidence: 99%

“…Qualitative data comprised clinical and academic interests, psychiatry experience and personal learning objectives. A Likert scale was used to report ‘likelihood of pursuing a career in psychiatry’, from ‘very unlikely’1 to ‘very likely’ 5…”

Section: Methodsmentioning

confidence: 99%

“…It presents 30 attitudinal statements about psychiatry, with responses on a five-point scale from ‘strongly disagree’1 to ‘strongly agree’ 5. Total scores range from 30 to 150; 90 indicates a neutral position.…”

Section: Methodsmentioning

confidence: 99%

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Problem-based, peer-to-peer global mental health e-learning between the UK and Somaliland: a pilot study

Murphy

Clissold

Keynejad

2017

Evid Based Mental Health

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“…Despite worldwide uptake, evaluations of mhGAP-IG’s use have not been widely published 5. Ours is the first study using mhGAP-IG for peer-to-peer e-learning and using a PBL format 18.…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Problem-based, peer-to-peer global mental health e-learning between the UK and Somaliland: a pilot study

Murphy

Clissold

Keynejad

2017

Evid Based Mental Health

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“…However, it was observed that few research studies had directly assessed the use of the mhGAP-IG in LMICs, emphasising the need for evidence 4. In particular, reports of barriers and facilitators to mhGAP-IG use, adherence and patient outcomes are required, to inform local, regional, national and global improvements.…”

Section: Introductionmentioning

confidence: 99%

WHO Mental Health Gap Action Programme (mhGAP) Intervention Guide: a systematic review of evidence from low and middle-income countries

Keynejad

Dua

Barbui

et al. 2017

Evid Based Mental Health

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227

206

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Data were extracted from included papers, but heterogeneity prevented meta-analysis. Findings:We conducted a systematic review of evidence to date, of mhGAP-IG implementation and evaluation in LMICs. 33 included studies reported 15 training courses, nine clinical implementations, three country contextualisations, three economic models, two uses as control interventions and one use to develop a rating scale. Our review identified the importance of qualitative reports of contextual challenges in the field, alongside detailed protocols, qualitative studies and randomised controlled trials. Conclusions:The mhGAP-IG literature is substantial, relative to other published evaluations of clinical practice guidelines: an important contribution to a neglected field.3

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“…A number of psychological intervention manuals -mainly based on cognitive behavioral and interpersonal psychotherapy -have been developed and proven effective for treating CMDs in primary health care and community settings in LMICs (6)(7)(8)(9)(10) and meta-analyses suggest that such interventions are as effective as pharmacotherapy (11). The World Health Organization (WHO) recommends that both anti-depressants and psychological interventions should be available to people with depression (12). A brief, multicomponent behavioral WHO intervention called Problem Management Plus (PM+) was developed for the management of CMDs in settings affected by adversity (13).…”

Section: Introductionmentioning

confidence: 99%

Effect of adding a psychological intervention to routine care of common mental disorders in a specialized mental healthcare facility in Pakistan: a randomized controlled trial

Hamdani

Huma

Masood

et al. 2020

Preprint

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Background In many low resource settings, the provision of government mental health care services is limited to specialized psychiatry units in urban hospital care facilities, where the most common treatment for common mental disorders (CMDs) is pharmacotherapy, occasionally with adjunct nonspecific psychological support. We aimed to evaluate the effectiveness of adding a low intensity, psychological intervention, Problem Management Plus (PM+) for CMDs into routine care in a specialized mental health care facility in Pakistan. Methods A two arm, single-blind individual randomized controlled trial (RCT) was carried out with adults (N=192), referred for psychological support by psychiatrists. The study participants were randomized (1:1) to PM+ plus Treatment as Usual (TAU) (n = 96) or TAU only (n = 96). The primary outcomes were symptoms of anxiety and depression, measured by the Hospital Anxiety and Depression Scale (HADS) and functional impairment as measured by WHO Disability Assessment Schedule (WHODAS-12) at 20-weeks after baseline. Results The analysis was done on intention-to-treat principle. The linear mixed model analysis showed that at 20-weeks after baseline, there was a significant reduction in symptoms of anxiety and depression (mean [SD], 16.23 [8.81] vs 19.79 [7.77]; AMD, -3.10; 95% CI, −0.26 to −5.76); p =0.03 and improvement in functioning (mean [SD], 22.94 [9.37] vs 27.37 [8.36]; AMD, -4.35; 95% CI, -1.45 to -7.24); p =0.004 in PM+ plus TAU versus TAU group. The follow-up rate was 67% at primary end-point. Conclusions Specialized care facilities in LMICs may consider adding brief, evidence-based psychological treatments for CMDs to their routine care.

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Discussion of the updated WHO recommendations for mental, neurological, and substance use disorders

Cited by 21 publications

References 10 publications

Problem-based, peer-to-peer global mental health e-learning between the UK and Somaliland: a pilot study

Problem-based, peer-to-peer global mental health e-learning between the UK and Somaliland: a pilot study

WHO Mental Health Gap Action Programme (mhGAP) Intervention Guide: a systematic review of evidence from low and middle-income countries

Effect of adding a psychological intervention to routine care of common mental disorders in a specialized mental healthcare facility in Pakistan: a randomized controlled trial

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