2021
DOI: 10.1186/s13033-021-00501-y
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How does context influence the delivery of mental health interventions for asylum seekers and refugees in low- and middle-income countries? A qualitative systematic review

Abstract: Background Low- and middle-income countries (LMICs) host the majority of the world’s refugees. Evidence suggests that refugees and asylum seekers have high mental health needs compared to the host country population. However, they face many social, economic and culture barriers to receiving mental health care and benefitting from mental health interventions. This paper examines how these contextual factors affect the implementation of mental health interventions for refugees and asylum seekers … Show more

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Cited by 11 publications
(10 citation statements)
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“…However, this may largely be dependent on the availability of electronic devices and a stable internet connection. Our findings echo ongoing calls for pragmatic programming that considers the wider socioeconomic context of delivery of displaced population (Jannesari et al, 2021 ).…”
Section: Discussionsupporting
confidence: 88%
“…However, this may largely be dependent on the availability of electronic devices and a stable internet connection. Our findings echo ongoing calls for pragmatic programming that considers the wider socioeconomic context of delivery of displaced population (Jannesari et al, 2021 ).…”
Section: Discussionsupporting
confidence: 88%
“…The potential for evidence-based interventions from HICs and other settings to be culturally adapted and effectively delivered and scaled-up in LMICs has been highlighted previously (Bradshaw et al, 2021;Jannesari et al, 2021), and several studies in this review referenced the role of cultural adaptation in positive outcomes and the external validity of programmes. However, few of the reviewed studies reported in any detail on the cultural adaptation process.…”
Section: Discussionmentioning
confidence: 98%
“…Also, the findings regarding the perceived cultural and local appropriateness of care provision point to the importance of adapting interventions, including through considering service user perspectives and sociocultural differences, to ensure interventions are meaningful for service users in a given context. Considering the wider context is critical when delivering mental healthcare, particularly in LMIC settings 24. Potential mitigating steps to improve sociocultural acceptability could include training health workers in non-judgemental care, integrating preventative mental health awareness messages to reduce the stigma and training acceptable counsellors for the local settings and target groups as well as facilitating the use of indigenous/local phrases and terms to increase treatment acceptability, accessibility and fidelity.…”
Section: Conclusion and Clinical Implicationsmentioning
confidence: 99%