Implementation outcomes of cognitive behavioural therapy delivered by non-specialists for common mental disorders and substance-use disorders in low- and middle-income countries: a systematic review

International Journal of Mental Health Systems
Ibone J VerheyJessica F Magidson

Abstract

Due to severe shortages of specialist mental health personnel in low- and middle-income countries (LMICs), psychological therapies are increasingly being delivered by non-specialist health workers (NSHWs). Previous reviews have investigated the effectiveness of NSHW-delivered psychological therapies, including cognitive behavioural therapy (CBT), in LMIC settings. This systematic review aims to synthesise findings on the implementation outcomes of NSHW-delivered CBT interventions addressing common mental disorders and substance-use disorders in LMICs. Four databases were searched, yielding 3211 records, 18 of which met all inclusion criteria. We extracted and synthesised qualitative and quantitative data across eight implementation outcomes: acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration and sustainability. Findings suggest that delivery of CBT-based interventions by NSHWs can be acceptable, appropriate and feasible in LMIC settings. However, more research is needed to better evaluate these and other under-reported implementation outcomes.

References

Aug 14, 2008·JAMA : the Journal of the American Medical Association·Wietse A TolJoop T V M De Jong
Jul 14, 2010·Social Science & Medicine·Crick LundVikram Patel
Oct 20, 2010·Administration and Policy in Mental Health·Enola ProctorMelissa Hensley
Nov 22, 2011·International Journal of Mental Health Systems·Laura K MurrayHelena Verdeli
Mar 3, 2012·The British Journal of Psychiatry : the Journal of Mental Science·Alyson L HuntleyChris Salisbury
Jun 7, 2013·The New England Journal of Medicine·Judith K BassPaul A Bolton
Aug 21, 2013·Implementation Science : IS·Leopoldo J Cabassa, Ana A Baumann
Aug 13, 2014·Journal of Affective Disorders·Daisy SinglaAtif Rahman
Oct 24, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Neerja ChowdharyVikram Patel
Jul 3, 2016·American Journal of Preventive Medicine·David A Chambers, Wynne E Norton
Oct 14, 2016·BMJ : British Medical Journal·Jonathan Ac SterneJulian Pt Higgins
Dec 28, 2016·JAMA : the Journal of the American Medical Association·Dixon ChibandaRicardo Araya
Jan 14, 2017·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Theresa J HoeftJürgen Unützer
May 10, 2017·Annual Review of Clinical Psychology·Daisy R SinglaVikram Patel

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