Scalable interventions for refugees

Bryant, Richard A.

doi:10.1017/gmh.2022.59

Cited by 7 publications

(2 citation statements)

References 90 publications

(110 reference statements)

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“…The following section contextualises the findings in relation to the existing literature. The findings, which were consistent with the literature, demonstrated a robust relationship between migration and mental health challenges (Bogic et al, 2015; Bryant, 2023). As evidenced by the findings, many of the participants provided detailed narratives of their migration movements to England that corresponded to the three stages of migration described by Bhugra and Jones (2010): (i) premigration or deciding and planning the migration; (ii) actual migration and (iii) postmigration adaptation to the sociocultural lifestyle of the new society.…”

Section: Discussionsupporting

confidence: 89%

‘They tried to evil me’: An explanatory model for Black Africans' mental health challenges

Tuffour

2023

Nursing Inquiry

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This paper explores the explanatory models of mental challenges among Black Africans in England. It argues that understanding these models is critical for providing culturally appropriate care to this population. The study employed qualitative methodology, and interpretative phenomenological analysis (IPA). Twelve mental health service users who are living in England and self‐identified as first or second‐generation Black Africans were purposively selected. The data were gathered using face‐to‐face semistructured interviews. Data were manually analysed in accordance with IPA concepts of searching for common, unique and idiosyncratic themes across transcripts. The findings revealed three themes Black Africans associated to their explanatory model of mental health challenges: complexities of migration, African‐centred worldview and negative life experiences. To help alleviate the Eurocentric nature of mental health practice in England, it is hoped that this explanatory model will become an integral part of mental health practice in England and around the world.

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Section: Discussionsupporting

confidence: 89%

‘They tried to evil me’: An explanatory model for Black Africans' mental health challenges

Tuffour

2023

Nursing Inquiry

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“…Scalable interventions for the treatment of common mental disorders (CMDs) in lowand-middle income countries (LMICs) has seen a bourgeoning focus over the past decade (Bryant, 2023). Such evidence-based initiatives have taken a task-sharing framework where non-specialists receive brief trainings to deliver these services across low-resourced settings where skilled mental health practitioners are not readily accessible.…”

mentioning

confidence: 99%

The role of specific and non-specific factors in a brief group psychological intervention for psychological distress: a randomised clinical trial

Keyan,

Dawson,

Azevedo

et al. 2024

Preprint

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AimsAlthough brief psychological interventions in low-and-middle-income-countries have been shown to be effective, they have typically been tested against usual or enhanced usual care (EUC). This design has precluded delineation of the role of specific and non-specific factors in influencing symptom reduction outcomes. This study evaluates the impact of a group psychological intervention (adapted version of WHO’s Problem Management Plus; PM+; titledCoping with COVID) against non-directive group Supportive Counselling (SC) on psychological distress during the COVID-19 pandemic in India.MethodsBetween October 2020 and December 2022, this two-arm single-blind, controlled trial randomised 183 young adults in Bangalore, India who screened positive for psychological distress to eitherCoping with COVID(n = 91) or SC (n=92), on a 1:1 basis.Coping with COVIDcomprised six weekly small group sessions delivered by videoconferencing that taught stress coping strategies. SC also involved six weekly group sessions that were led by a facilitator and offered non-directive support. The primary outcomes were anxiety and depression as measured by the Hospital Anxiety and Depression Scales (HADS) assessed at baseline, post-intervention, 2-months, and 6-months after treatment. The primary outcome timepoint was the 2-month assessment. Secondary outcomes included generalised worry, positive wellbeing, pandemic-related stress, and suicidal ideation.ResultsOne hundred and sixty-one participants (88%) were retained at the 2-month follow-up. Intent-to-treat analyses indicated that theCoping with COVIDcondition did not lead to significant reductions in in anxiety (mean difference 0.24 [95% CI, –1.01,1.48],p>0.05), or depression (mean difference .03 [95% CI, –1.19, 1.26],p>0.05) relative to SC. Similarly, there were no significant differences between conditions for all secondary outcomes.ConclusionsThe findings suggest that the benefits of strategies that comprise transdiagnostic scalable psychological interventions may not surpass non-specific factors in driving symptom reduction. There is a need to further evaluate the non-specific factors in scalable psychological programs because focusing on these may have implications for ease of training and implementation.

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Peer‐provided problem management plus (PM+) and case management for Arabic‐speaking and Farsi‐speaking refugees and asylum seekers in Greece

Papathanasiou,

Kougioumtzi

2024

Mental Health Science

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An increasingly common response to the lack of specialist mental health services for refugees and asylum seekers in European host countries is peer‐supported services. This study examined the association between a peer‐provided psychosocial intervention and psychological symptom reduction among refugees and asylum seekers in Greece. The intervention consisted of Problem Management Plus (PM+) and peer case management sessions delivered by a team of Community Psychosocial Workers (trained refugees). The sample consisted of 173 participants, comprising Arabic and Farsi speakers, male and female participants, recognized refugees and asylum seekers. Anxiety, depression, and psychological distress were measured before and after the intervention using the Patient Health Questionnaire‐9, Generalized Anxiety Disorder‐7, and Psychological Outcome Profiles scales, respectively. Repeated measures analysis of variance was adopted to evaluate the difference in the degree of change across patient characteristics over the follow‐up period. The level of statistical significance was set at p < .05, and analyses were conducted using SPSS statistical software (version 26.0). Significant decreases were found in all postintervention scores, indicating significant decreases in anxiety and depression symptoms as well as in psychological distress following the peer‐provided psychosocial intervention, which included emotional support and social care. Large effect sizes were found at all scales. The findings support the notion that there is an association between the implemented intervention and symptom reduction in refugees. For future research, a randomized controlled trial is proposed as a study protocol.

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Scalable interventions for refugees

Cited by 7 publications

References 90 publications

‘They tried to evil me’: An explanatory model for Black Africans' mental health challenges

‘They tried to evil me’: An explanatory model for Black Africans' mental health challenges

The role of specific and non-specific factors in a brief group psychological intervention for psychological distress: a randomised clinical trial

Peer‐provided problem management plus (PM+) and case management for Arabic‐speaking and Farsi‐speaking refugees and asylum seekers in Greece

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