Mutual Capacity Building to Reduce the Behavioral Health Treatment Gap Globally

Jack, Helen; Myers, Bronwyn; Regenauer, Kristen S.; Magidson, Jessica F.

doi:10.1007/s10488-019-00999-y

Cited by 23 publications

(23 citation statements)

References 22 publications

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“…The use of trained counsellors who were not their usual HIV care providers seemed to enhance the acceptability of screening and the brief alcohol reduction intervention. Professional counsellors are, however, absent from the current public health workforce, largely due to the country's chronic shortage of financial and human resources for mental health [32,33]. Implementing screening and brief alcohol reduction interventions on scale, therefore, will require alternative delivery agents.…”

Section: Discussionmentioning

confidence: 99%

“Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa

Myers

Parry

Morojele

et al. 2020

IJERPH

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Background: In South Africa, interventions are needed to address the impact of hazardous drinking on antiretroviral therapy among people living with HIV (PLWH). Participant feedback about these interventions can identify ways to enhance their acceptability. We interviewed participants in a randomized controlled trial of a brief motivational interviewing and problem-solving therapy (MI-PST) intervention about their perceptions of this alcohol-reduction intervention. Methods: The trial was conducted in HIV treatment clinics operating from six hospitals in the Tshwane region of South Africa. We conducted qualitative in-depth interviews with a random selection of participants. Twenty-four participants were interviewed after the final intervention session and 25 at the six-month follow up. Results: Participants believed that it was acceptable to offer PLWH, an alcohol reduction intervention during HIV treatment. They described how the MI-PST intervention had helped them reduce their alcohol consumption. Intervention components providing information on the health benefits of reduced consumption and building problem-solving and coping skills were perceived as most beneficial. Despite these perceived benefits, participants suggested minor modifications to the dosage, content, and delivery of the intervention for greater acceptability and impact. Conclusions: Findings highlight the acceptability and usefulness of this MI-PST intervention for facilitating reductions in alcohol consumption among PLWH.

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Section: Discussionmentioning

confidence: 99%

“Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa

Myers

Parry

Morojele

et al. 2020

IJERPH

Self Cite

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“…Likewise, Datiko and Lindtjørn (66) found that involving Health Extension Workers (HEWs) in TB treatment was a cost-effective alternative to health facility delivery. Surprisingly, despite their potential to provide psychosocial support to the people at the community level in LMICs, particularly during this overwhelming situation, CHWs have been underutilized in this role (67,68).…”

Section: The Unrealised Potential Of Chws In Providing Psychosocial Supportmentioning

confidence: 99%

Community Health Workers Can Provide Psychosocial Support to the People During COVID-19 and Beyond in Low- and Middle- Income Countries

Mistry

Harris‐Roxas

Yadav

et al. 2021

Front. Public Health

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The COVID-19 pandemic has been the most challenging public health issue which not only affected the physical health of the global population but also aggravated the mental health conditions such as stress, anxiety, fear, depression and anger. While mental health services are seriously hampered amid this COVID-19 pandemic, health services, particularly those of Low- and Middle- Income Countries (LMICs) are looking for alternatives to provide psychosocial support to the people amid this COVID-19 and beyond. Community Health Workers (CHWs) are an integral part of the health systems in many LMICs and played significant roles such as health education, contact tracing, isolation and mobilization during past emergencies and amid COVID-19 in many LMICs. However, despite their potentials in providing psychosocial support to the people amid this COVID-19 pandemic, they have been underutilized in most health systems in LMICs. The CHWs can be effectively engaged to provide psychosocial support at the community level. Engaging them can also be cost-saving as they are already in place and may cost less compared to other health professionals. However, they need training and supervision and their safety and security needs to be protected during this COVID-19. While many LMICs have mental health policies but their enactment is limited due to the fragility of health systems and limited health care resources. CHWs can contribute in this regard and help to address the psychosocial vulnerabilities of affected population in LMICs during COVID-19 and beyond.

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“…The silence surrounding mental health is empowered by stigma, fears, and labelling which cause individual and lonely suffering [27,28]. This is especially true in the context of the rapidly growing problem of mental health of whole societies [29][30][31]. Despite the large number of publications, as well as recently undertaken actions by the UN and its agency WHO (World Health Organisation), including for example very good publications such as the WHO Quality Rights [32] and MhGap toolkit [33,34] global mental healthcare is still underfinanced and in many countries neglected [35].…”

Section: Mental Health and Covid-19mentioning

confidence: 99%

“…This will increase the anthropo-pressure on the planet, which is in opposition to the Sustainable Development Goals (SDG) [5][6][7], especially "Promoting mental health and wellbeing" (SDG 3.4), "Making cities and human settlements safe, stable, sustainable and inclusive" (SDG 11) as well as other SDGs which are threatened by urban sprawl [7][8][9] (pp. [19][20][21][22][23][24][25][26][27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

Mental Health and the City in the Post-COVID-19 Era

Bil¹,

Buława

Świerzawski

2021

Sustainability

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The article describes the risks for the mental health and wellbeing of urban-dwellers in relation to changes in the spatial structure of a city that could be caused by the COVID-19 pandemic. A year of lockdown has changed the way of life in the city and negated its principal function as a place of various meetings and social interactions. The danger of long-term isolation and being cut-off from an urban lifestyle is not only a challenge facing individuals, but it also creates threats on various collective levels. Hindered interpersonal relations, stress, and the fear of another person lower the quality of life and may contribute to the development of mental diseases. Out of fear against coronavirus, part of the society has sought safety by moving out of the densely populated city centres. The dangerous results of these phenomena are shown by research based on the newest literature regarding the influence of COVID-19 and the lockdown on mental health, urban planning, and the long-term spatial effects of the pandemic such as the urban sprawl. The breakdown of the spatial structure, the loosening of the urban tissue, and urban sprawl are going to increase anthropopressure, inhibit access to mental health treatment, and will even further contribute to the isolation of part of the society. In addition, research has shown that urban structure loosening as a kind of distancing is not an effective method in the fight against the SARS-COV pandemic. Creating dense and effective cities through the appropriate management of development during and after the pandemic may be a key element that will facilitate the prevention of mental health deterioration and wellbeing. It is also the only possibility to achieve the selected Sustainable Development Goals, which as of today are under threat.

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Mutual Capacity Building to Reduce the Behavioral Health Treatment Gap Globally

Cited by 23 publications

References 22 publications

“Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa

“Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa

Community Health Workers Can Provide Psychosocial Support to the People During COVID-19 and Beyond in Low- and Middle- Income Countries

Mental Health and the City in the Post-COVID-19 Era

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