Ensuring Quality in Psychological Support (WHO EQUIP): developing a competent global workforce

Kohrt, Brandon A.; Schafer, Alison; Willhoite, Ann; Hof, Edith Van’t; Pedersen, Gloria A.; Watts, Sarah; Ottman, Katherine; Carswell, Kenneth; Ommeren, Mark van

doi:10.1002/wps.20704

Cited by 73 publications

(58 citation statements)

References 9 publications

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“…In turn, we hypothesise that such targeted quality monitoring is more cost-effective than approaches that do not have such a data-driven approach. An example framework that brings together tools and knowledge for the assessment of quality of care is WHO's Ensuring Quality in Psychological Support (EQUIP) program (https://www.who.int/mental_health/emergencies/equip/en/) (Kohrt et al, 2020a).…”

Section: The Implementation Spacementioning

confidence: 99%

“…However, for this approach to work in LMIC when working with non-specialists, there is a need for each of these indicators to be validated or benchmarked, such that we know what level of adherence, competence and attendance needs to be obtained to substantiate an assumption of effectiveness. Validation of competence indicators is currently underway in an effort to guide the scaling of psychological treatments by the WHO and partners (Kohrt et al ., 2020 a ). This is based on prior work done to develop new tools that allow for the assessment of competencies that are common across all mental health interventions.…”

Section: Roadmap To Impactmentioning

confidence: 99%

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Scaling up mental health care and psychosocial support in low-resource settings: a roadmap to impact

Jordans

Kohrt

2020

Epidemiol Psychiatr Sci

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Aims Despite recent global attention to mental health and psychosocial support services and a growing body of evidence-support interventions, few mental health services have been established at a regional or national scale in low- and middle-income countries (LMIC). There are myriad challenges and barriers ranging from testing interventions that do not target priority needs of populations or policymakers to interventions that cannot achieve adequate coverage to decrease the treatment gap in LMIC. Method We propose a ‘roadmap to impact’ process that guides planning for interventions to move from the research space to the implementation space. Results We establish four criteria and nine associated indicators that can be evaluated in low-resource settings to foster the greatest likelihood of successfully scaling mental health and psychosocial interventions. The criteria are relevance (indicators: population need, cultural and contextual fit), effectiveness (change in mental health outcome, change in hypothesised mechanism of action), quality (adherence, competence, attendance) and feasibility (coverage, cost). In the research space, relevance and effectiveness need to be established before moving into the implementation space. In the implementation space, ongoing monitoring of quality and feasibility is required to achieve and maintain a positive public health impact. Ultimately, a database or repository needs to be developed with these criteria and indicators to help researchers establish and monitor minimum benchmarks for the indicators, and for policymakers and practitioners to be able to select what interventions will be most likely to succeed in their settings. Conclusion A practicable roadmap with a sequence of measurable indicators is an important step to delivering interventions at scale and reducing the mental health treatment gap around the world.

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Section: The Implementation Spacementioning

confidence: 99%

Section: Roadmap To Impactmentioning

confidence: 99%

Scaling up mental health care and psychosocial support in low-resource settings: a roadmap to impact

Jordans

Kohrt

2020

Epidemiol Psychiatr Sci

Self Cite

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“… 71 , 72 Development of efficient training and ongoing support programs for community health workers, peer navigators, and others who can both extend the mental health workforce and increase its capacity for providing care in diverse languages and from diverse cultural perspectives. 73 , 74 Studying processes related to practice transformation and interaction across systems, 75 with particular focus on 1) methods for including diverse families in the design and adaptation process of interventions, 76 and 2) efficient methods for providing initial and long-term assistance to practices and systems as they implement and refine integrated care. 77 …”

Section: Introductionmentioning

confidence: 99%

“…Development of efficient training and ongoing support programs for community health workers, peer navigators, and others who can both extend the mental health workforce and increase its capacity for providing care in diverse languages and from diverse cultural perspectives. 73 , 74 …”

Section: Introductionmentioning

confidence: 99%

Policy Recommendations to Promote Integrated Mental Health Care for Children and Youth

Wissow

Platt

Sarvet

2021

Academic Pediatrics

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“…These have the potential to be rapidly brought to scale in a relatively cost‐effective manner 7 . Many of these interventions have been purposely developed for, and tested in, humanitarian contexts rather than simply being superficial adaptations of existing tools from high‐income settings 8 .…”

mentioning

confidence: 99%

From exception to the norm: how mental health interventions have become part and parcel of the humanitarian response

Jones

Ventevogel

2021

World Psychiatry

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Ensuring Quality in Psychological Support (WHO EQUIP): developing a competent global workforce

Cited by 73 publications

References 9 publications

Scaling up mental health care and psychosocial support in low-resource settings: a roadmap to impact

Scaling up mental health care and psychosocial support in low-resource settings: a roadmap to impact

Policy Recommendations to Promote Integrated Mental Health Care for Children and Youth

From exception to the norm: how mental health interventions have become part and parcel of the humanitarian response

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