Psychosocial interventions for addiction-affected families in Low and Middle Income Countries: A systematic review

Rane, Anil; Church, Sydney; Bhatia, Urvita; Orford, Jim; Velleman, Richard; Nadkarni, Abhijit

doi:10.1016/j.addbeh.2017.05.015

Cited by 36 publications

(28 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For substance use disorders , two reviews met eligibility for this review, with one review summarizing four studies and another summarizing two studies [ 47 , 49 ]. From one substance use disorder review [ 47 ], all four studies met eligibility criteria, two from Mexico [ 88 , 89 ], one from Vietnam [ 90 ] and one from Malaysia [ 91 ]. The two studies using non-specialists for treatment of substance use disorder in the van Ginneken and colleagues Cochrane review [ 49 ] were excluded because they both took place in a clinical setting.…”

Section: Resultsmentioning

confidence: 99%

“…For persons with psychosis, only in the community-based rehabilitation evaluation in rural India was an intervention component, village health groups, located in a community location outside of the participants’ home [ 78 ]. All studies included in one of the reviews for substance use disorders [ 47 ] were based in community centers providing deaddiction services. The target population included spouses and adult family members of drug/alcohol users and abusers.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The Role of Communities in Mental Health Care in Low- and Middle-Income Countries: A Meta-Review of Components and Competencies

Kohrt

Asher

Bhardwaj

et al. 2018

IJERPH

Self Cite

222

181

View full text Add to dashboard Cite

Community-based mental health services are emphasized in the World Health Organization’s Mental Health Action Plan, the World Bank’s Disease Control Priorities, and the Action Plan of the World Psychiatric Association. There is increasing evidence for effectiveness of mental health interventions delivered by non-specialists in community platforms in low- and middle-income countries (LMIC). However, the role of community components has yet to be summarized. Our objective was to map community interventions in LMIC, identify competencies for community-based providers, and highlight research gaps. Using a review-of-reviews strategy, we identified 23 reviews for the narrative synthesis. Motivations to employ community components included greater accessibility and acceptability compared to healthcare facilities, greater clinical effectiveness through ongoing contact and use of trusted local providers, family involvement, and economic benefits. Locations included homes, schools, and refugee camps, as well as technology-aided delivery. Activities included awareness raising, psychoeducation, skills training, rehabilitation, and psychological treatments. There was substantial variation in the degree to which community components were integrated with primary care services. Addressing gaps in current practice will require assuring collaboration with service users, utilizing implementation science methods, creating tools to facilitate community services and evaluate competencies of providers, and developing standardized reporting for community-based programs.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Role of Communities in Mental Health Care in Low- and Middle-Income Countries: A Meta-Review of Components and Competencies

Kohrt

Asher

Bhardwaj

et al. 2018

IJERPH

Self Cite

222

181

View full text Add to dashboard Cite

show abstract

“…Previous studies presented the validity of the questionnaire in various populations, such as among family members with relatives showing alcohol, drug or gambling problems (Orford et al, 2005;. Moreover, the CQ has been considered as a widely-used instrument in psychosocial interventions for addiction-affected family members (Rane et al, 2017). It is recommended for use as a longitudinal assessment tool for interventions which primarily focus on the needs of affected family members (Copello et al, 2010a), and for family-based interventions where the substance misusing relative and affected family members jointly participate, such as behavioral couples therapy or the community reinforcement approach ).…”

Section: Discussionmentioning

confidence: 99%

Measuring Coping Among Family Members with Substance-Misusing Relatives: Testing Competing Factor Structures of the Coping Questionnaire (CQ) in England and Italy

Horváth

Orford

Velleman

2019

Substance Use & Misuse

Self Cite

View full text Add to dashboard Cite

Background: The Coping Questionnaire measures affected family members' responses to their relatives' substance misuse related problems. The Coping Questionnaire examines three main coping strategies: engaged, tolerant-inactive, and withdrawal coping. Objectives: The aim of the current study was to compare competing conceptual measurement models across two countries, including one-factor, three-factor, and higher order factor models. Methods: Secondary analysis of data from five previous studies was conducted. Samples of affected family members from England (N ¼ 323) and Italy (N ¼ 165) were aggregated into two country specific groups. Series of confirmatory factor analyses were performed to test the degree of model fit and the effects of socio-demographic variables on the coping factors. Results: A bifactor model fitted the data most closely relative to the one-and three-factor models. High rates of common variance (60-65%) were attributable to the general coping factor, while a high proportion of the variance related to the withdrawal coping subscale score was independent (66-89%) of the general coping factor. Family members' country, age, gender, the type of relationship and the main problematic substance had significant effects on the coping factors. Conclusions: A bifactor model related to coping behaviors is consistent with the theoretical assumptions of the general coping literature. The concept of a general coping factor also fits the theoretical assumptions of the stress-strain-coping-support model, with family members showing a general tendency to cope with the harmful circumstances which arise due to substance misuse.

show abstract

“…42 The Strong Families programme was successfully delivered by lay persons in Afghanistan, as previously successfully described for the delivery of community components of a variety of interventions, 43 such as humanitarian settings or substance abuse treatment programs. 43,44 Particularly in the prevention/promotion of child and adolescent mental health, trained lay persons have been successfully used in the past, 43,45 however it was found uncertain whether they could reduce clinically apparent PTSD symptoms among children. 45 We did not formally assess our study population, and therefore cannot comment on possible clinical diagnoses of our participants at baseline.…”

Section: Discussionmentioning

confidence: 99%

Strong Families: A new family skills training programme for challenged and humanitarian settings: a single-arm intervention tested in Afghanistan

Haar¹,

El-Khani²,

Molgaard

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Children living in challenged humanitarian settings are at greater risk of mental health difficulties or behavioural problems, with caregivers acting as their main protective factors. While many family skills programmes exist, very few were developed for or piloted in families living in low resource settings. We therefore designed a brief and light programme and conducted an effectiveness trial in Afghanistan. Methods We recruited female caregivers and children aged 8-12 years via schools and drug treatment centres in Afghanistan and enrolled them in a family skills programme over three weeks. Demographic data, emotional and behavioural difficulties of children and parental skills and family adjustment measures were collected from caregivers before, two and six weeks after the intervention. Outcome was assessed through the SDQ (Strengths and Difficulties Questionnaire) and PAFAS (Parenting and Family Adjustment Scales). Results We enrolled 72 families in the programme and followed 93·1% up overall. Mean age of caregivers was 36·1 years, they had 3·8 children on average and 91·7% of them had experienced war/armed conflict in their past. The total difficulty score of the SDQ of the 72 children reduced significantly, from 17.8 at pre-test to 12.9 at post-test and 10.6 at follow-up, with no difference in gender and mostly in those with highest scores at baseline. Likewise, PAFAS scores improved significantly after the programme, again with caregivers with the highest scores at baseline improving most. Conclusions The implementation of a brief family skills programme was feasible in a resource-limited setting and had an impact on child mental health and parenting practices and family adjustment skills. This indicated the value of such programme and the feasibility to move it to scale. The effects need to be verified through an RCT and with longer follow-ups.

show abstract

Psychosocial interventions for addiction-affected families in Low and Middle Income Countries: A systematic review

Cited by 36 publications

References 37 publications

The Role of Communities in Mental Health Care in Low- and Middle-Income Countries: A Meta-Review of Components and Competencies

The Role of Communities in Mental Health Care in Low- and Middle-Income Countries: A Meta-Review of Components and Competencies

Measuring Coping Among Family Members with Substance-Misusing Relatives: Testing Competing Factor Structures of the Coping Questionnaire (CQ) in England and Italy

Strong Families: A new family skills training programme for challenged and humanitarian settings: a single-arm intervention tested in Afghanistan

Contact Info

Product

Resources

About