• Users Online: 540
  • Print this page
  • Email this page
ARTICLE
Year : 2021  |  Volume : 19  |  Issue : 2  |  Page : 155-179

Supporting and Sustaining Nonspecialists to Deliver Mental Health Interventions in Low- and Middle-Income Countries: An Umbrella Review


1 Department of Psychiatry, Center for Global Health, University of Illinois Chicago, Chicago, Illinois, USA
2 Center for Global Health, University of Illinois Chicago, Chicago, Illinois, USA
3 Department of Child and Adolescent Psychiatry, NYU School of Medicine, New York, USA

Correspondence Address:
PhD, LCSW Mary Bunn
Department of Psychiatry, Center for Global Health, University of Illinois Chicago, 1601 West Taylor Street, Chicago, Illinois 60612
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INTV.INTV_47_20

Get Permissions

This umbrella review used a systematic approach to examine the state of the evidence regarding the nonspecialist health worker (NSHW) workforce in mental health and psychosocial services in low- and middle-income countries (LMICs). Seventeen review articles were included in this analysis. Most reviews defined nonspecialists by their lack of formal mental health experience. Less than half of the reviews reported their qualifications and roles. Findings indicated that NSHWs were trained and supervised in a range of skills with variability in approaches, duration, format and topical focus. The evidence supporting NSHW-delivered interventions was mixed but mainly favourable, particularly for depression, anxiety and posttraumatic stress disorder; additionally, studies identified implementation challenges with the nonspecialist workforce. In conclusion, NSHWs are widely used in LMICs to address mental health needs and some indicators suggest the interventions they deliver are beneficial, yet little is known about their needs and requirements. Further work is needed to prioritise nonspecialists as a critical workforce in global mental health. This includes developing best practice models, new policies and investments and conducting further research.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1411    
    Printed12    
    Emailed0    
    PDF Downloaded169    
    Comments [Add]    

Recommend this journal