Grand Challenges: Integrating Mental Health Care into the Non-Communicable Disease Agenda

Ngo, Victoria K.; Rubinstein, Adolfo; Ganju, Vijay; Kanellis, Pamela; Loza, Nasser; Rabadan‐Diehl, Cristina; Daar, Abdallah S.

doi:10.1371/journal.pmed.1001443

Cited by 186 publications

(160 citation statements)

References 37 publications

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“…A side-by-side comparison of data from our two independently conducted studies suggests no substantive differences in the estimated operating characteristics of the screening instruments. This is an important but heretofore-unresolved question of public health significance given the increasing emphasis placed on task shifting (to non-specialist, lay health workers) in the global mental health agenda (Becker and Kleinman 2013; Kagee et al 2013; Ngo et al 2013; Rahman et al 2013; Tomlinson et al 2009). Community health workers are often burdened by heavy workloads, and this contributes to high turnover and low job satisfaction (Alamo et al 2012; Jaskiewicz and Tulenko 2012).…”

Section: Discussionmentioning

confidence: 99%

Antenatal depression case finding by community health workers in South Africa: feasibility of a mobile phone application

Tsai

Tomlinson

Dewing

et al. 2014

Arch Womens Ment Health

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Purpose Randomised controlled trials conducted in resource-limited settings have shown that once women with depressed mood are evaluated by specialists and referred for treatment, lay health workers can be trained to effectively administer psychological treatments. We sought to determine the extent to which community health workers could also be trained to conduct case finding using short and ultra-short screening instruments programmed into mobile phones. Methods Pregnant, Xhosa-speaking women were recruited independently in two cross-sectional studies (N=1,144 and N=361) conducted in Khayelitsha, South Africa and assessed for antenatal depression. In the smaller study, community health workers with no training in human subjects research were trained to administer the Edinburgh Postnatal Depression Scale (EPDS) during the routine course of their community-based outreach. We compared the operating characteristics of 4 short and ultra-short versions of the EPDS with the criterion standard of probable depression, defined as an EPDS-10 ≥13. Results The prevalence of probable depression (475/1144 [42%] and 165/361 [46%]) was consistent across both samples. The 2-item subscale demonstrated poor internal consistency (Cronbach’s α ranged from 0.55-0.58). All 4 subscales demonstrated excellent discrimination, with area under the receiver operating characteristic curve (AUC) values ranging from 0.91-0.99. Maximal discrimination was observed for the 7-item depressive symptoms subscale: at the conventional screening threshold of ≥10, it had 0.97 sensitivity and 0.76 specificity for detecting probable antenatal depression. Conclusions The comparability of the findings across the two studies suggests that it is feasible to use community health workers to conduct case finding for antenatal depression.

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Section: Discussionmentioning

confidence: 99%

Antenatal depression case finding by community health workers in South Africa: feasibility of a mobile phone application

Tsai

Tomlinson

Dewing

et al. 2014

Arch Womens Ment Health

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“…Nevertheless, numerous challenges to implementation exist, especially in LAMICs. The commitment by governments and international agencies to build up the technical capacity of countries so that evidence-based treatment and prevention packages can be implemented will be of core importance [19] Governments will also need to commit to creating, reviewing and developing mental health policies, legislation and plans; and developing and disseminating advocacy and policy resources [18,131,132] The identification of the most effective ways to deliver sustainable mental health services to patients in need remains an important area that requires research [131] Because of the comorbidity of mental disorders with chronic health conditions that are also increasing in burden (e.g., cardiovascular disease and diabetes) [133,134] screening and effective interventions for mental disorders will need to form an essential component of healthcare systems [134] Unfortunately, much of the burden of mental illness is not avertable at present even with optimum treatment and population coverage, 136 emphasizing the need for more research so we can better understand causes of the burden and develop better treatments.…”

Section: Effective Mental Healthcare Services and Systemsmentioning

confidence: 99%

Mental Health in a Social Context

Bitanihirwe¹

2014

J Psychiatry

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“…A necessidade da integração da agenda de saúde mental nas Doenças Crônicas Não Transmissíveis (DCNT) tem sido objeto de defesa em diferentes fóruns, como a Assembleia Geral da Organização Mundial de Saúde (World Health Assembly, 2012), assim como em publicações (Ngo et al, 2013;World Health Organization, 2013;Patel et al, 2013). Esta decorre da compreensão e de evidências científicas que mostram que pessoas vivem com ambas, doenças físicas e mentais, ao longo da vida e que estas se influenciam reciprocamente (Ngo et al, 2013;World Health Organization, 2013).…”

Section: Introductionunclassified

“…Esta decorre da compreensão e de evidências científicas que mostram que pessoas vivem com ambas, doenças físicas e mentais, ao longo da vida e que estas se influenciam reciprocamente (Ngo et al, 2013;World Health Organization, 2013). Os dados indicam que pessoas com depressão maior e esquizofrenia têm de 40% a 60% mais chances de morrer prematuramente do que a população em geral, em razão da não atenção para problemas físicos como câncer, doenças cardiovasculares, diabetes e infecção pelo HIV (World Health Organization, 2013).…”

Section: Introductionunclassified

Articulação Entre Apoio Matricial Em Saúde Mental E Redes De Atenção À Saúde

Hirdes¹,

Silva²

2017

Psicol Estud

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RESUMO. Esta pesquisa teve como objetivo investigar o apoio matricial em saúde mental na Atenção Primária à Saúde e a articulação às Redes de Atenção à Saúde. Trata -se de uma pesquisa qualitativa realizada com apoiadores matriciais, tais como psicólogos e psiquiatras. Os instrumentos utilizados foram entrevistas semiestruturadas e grupo focal. Para o tratamento dos dados utilizou -se a análise de conteúdo na modalidade temática. Os resultados evidenciam as relações personalizadas e o estilo de trabalho das equipes como recursos imateriais que sustentam o trabalho; a potência do apoio matricial em Unidades de Saúde da Família; a necessidade de apoio sistemático longitudinal; a coordenação como um fator facilitador à descentralização em saúde mental. Os resultados mostram, também, a existência de três tipos de redes -centralizada, descentralizada e distribuída. Conclui-se que as redes imateriais construídas nas comunidades, por meio das relações e interações estabele cidas entre profissionais e usuários, sobrepõem-se às redes formais instituídas e apresentam potência de produção de vida.Palavras-chave: Saúde mental; atenção primária à saúde; apoio matricial. ARTICULATION BETWEEN MATRIX SUPPORT IN MENTAL HEALTH AND HEALTH CARE NETWORKABSTRACT. This research had as objective to investigate the matrix support in mental health in Primary Health Care and the articulation with the Health Care Networks. This is a qualitative research conducted with matrix supporters, such as psychologists and psychiatrists. The instruments used were semistructured interviews and focus groups. Content analysis in the thematic modality was used to treat data. The results show the personalized relationships and the work style of the tea ms as immaterial resources that sustain the work; the strength of matrix support in Family Health Units; the need for systematic longitudinal support; and coordination as a facilitating factor for decentralization in mental health. The results also show the existence of three types of networks -centralized, decentralized and distributed. We conclude that the immaterial networks constructed in the communities through the relations and interactions established between professionals and users overlap with the established formal networks and present potential life production. Keywords:Mental health, primary health care; matrix support. ARTICULACIÓN ENTRE APOYO MATRICIAL EN SALUD MENTAL Y LAS REDES DE ATENCIÓN A LA SALUDRESUMEN. Esta investigación tuvo como objetivo investigar el apoyo matricial en la salud mental en la atención primaria y el enlace de las Redes de Servicios de Salud. Se trata de un estudio cualitativo realizado con los matriciadores, como psicólogos y psiquiatras. Los instrumentos utilizados fueron entrevistas semiestructuradas y grupos focales. Para el tratamiento de los datos se utilizó el análisis de contenido en la modalidad temática. Los resultados muestran las relaciones personalizadas y el estilo de trabajo de los equipos y los recursos inmateriales que sustentan el trabajo; la potencia ...

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Grand Challenges: Integrating Mental Health Care into the Non-Communicable Disease Agenda

Cited by 186 publications

References 37 publications

Antenatal depression case finding by community health workers in South Africa: feasibility of a mobile phone application

Antenatal depression case finding by community health workers in South Africa: feasibility of a mobile phone application

Mental Health in a Social Context

Articulação Entre Apoio Matricial Em Saúde Mental E Redes De Atenção À Saúde

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