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Global health reciprocal innovation to address mental health and well-being: strategies used and lessons learnt

Over the past two decades there have been major advances in the development of interventions promoting mental health and well-being in low- and middle-income countries (LMIC), including delivery of care by non-specialist providers, incorporation of mobile technologies and development of multilevel c...

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Autores principales: Turan, Janet M, Vinikoor, Michael J, Su, Austin Y, Rangel-Gomez, Mauricio, Sweetland, Annika, Verhey, Ruth, Chibanda, Dixon, Paulino-Ramírez, Robert, Best, Chynere, Masquillier, Caroline, van Olmen, Josefien, Gaist, Paul, Kohrt, Brandon A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10649690/
https://www.ncbi.nlm.nih.gov/pubmed/37949477
http://dx.doi.org/10.1136/bmjgh-2023-013572
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author Turan, Janet M
Vinikoor, Michael J
Su, Austin Y
Rangel-Gomez, Mauricio
Sweetland, Annika
Verhey, Ruth
Chibanda, Dixon
Paulino-Ramírez, Robert
Best, Chynere
Masquillier, Caroline
van Olmen, Josefien
Gaist, Paul
Kohrt, Brandon A
author_facet Turan, Janet M
Vinikoor, Michael J
Su, Austin Y
Rangel-Gomez, Mauricio
Sweetland, Annika
Verhey, Ruth
Chibanda, Dixon
Paulino-Ramírez, Robert
Best, Chynere
Masquillier, Caroline
van Olmen, Josefien
Gaist, Paul
Kohrt, Brandon A
author_sort Turan, Janet M
collection PubMed
description Over the past two decades there have been major advances in the development of interventions promoting mental health and well-being in low- and middle-income countries (LMIC), including delivery of care by non-specialist providers, incorporation of mobile technologies and development of multilevel community-based interventions. Growing inequities in mental health have led to calls to adopt similar strategies in high-income countries (HIC), learning from LMIC. To overcome shared challenges, it is crucial for projects implementing these strategies in different global settings to learn from one another. Our objective was to examine cases in which mental health and well-being interventions originating in or conceived for LMIC were implemented in the USA. The cases included delivery of psychological interventions by non-specialists, HIV-related stigma reduction programmes, substance use mitigation strategies and interventions to promote parenting skills and family functioning. We summarise commonly used strategies, barriers, benefits and lessons learnt for the transfer of these innovative practices among LMIC and HIC. Common strategies included intervention delivery by non-specialists and use of digital modalities to facilitate training and increase reach. Common barriers included lack of reimbursement mechanisms for care delivered by non-specialists and resistance from professional societies. Despite US investigators’ involvement in most of the original research in LMIC, only a few cases directly involved LMIC researchers in US implementation. In order to achieve greater equity in global mental health and well-being, more efforts and targeted funding are needed to develop best practices for global health reciprocal innovation and iterative learning in HIC and LMIC.
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spelling pubmed-106496902023-11-10 Global health reciprocal innovation to address mental health and well-being: strategies used and lessons learnt Turan, Janet M Vinikoor, Michael J Su, Austin Y Rangel-Gomez, Mauricio Sweetland, Annika Verhey, Ruth Chibanda, Dixon Paulino-Ramírez, Robert Best, Chynere Masquillier, Caroline van Olmen, Josefien Gaist, Paul Kohrt, Brandon A BMJ Glob Health Analysis Over the past two decades there have been major advances in the development of interventions promoting mental health and well-being in low- and middle-income countries (LMIC), including delivery of care by non-specialist providers, incorporation of mobile technologies and development of multilevel community-based interventions. Growing inequities in mental health have led to calls to adopt similar strategies in high-income countries (HIC), learning from LMIC. To overcome shared challenges, it is crucial for projects implementing these strategies in different global settings to learn from one another. Our objective was to examine cases in which mental health and well-being interventions originating in or conceived for LMIC were implemented in the USA. The cases included delivery of psychological interventions by non-specialists, HIV-related stigma reduction programmes, substance use mitigation strategies and interventions to promote parenting skills and family functioning. We summarise commonly used strategies, barriers, benefits and lessons learnt for the transfer of these innovative practices among LMIC and HIC. Common strategies included intervention delivery by non-specialists and use of digital modalities to facilitate training and increase reach. Common barriers included lack of reimbursement mechanisms for care delivered by non-specialists and resistance from professional societies. Despite US investigators’ involvement in most of the original research in LMIC, only a few cases directly involved LMIC researchers in US implementation. In order to achieve greater equity in global mental health and well-being, more efforts and targeted funding are needed to develop best practices for global health reciprocal innovation and iterative learning in HIC and LMIC. BMJ Publishing Group 2023-11-10 /pmc/articles/PMC10649690/ /pubmed/37949477 http://dx.doi.org/10.1136/bmjgh-2023-013572 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Analysis
Turan, Janet M
Vinikoor, Michael J
Su, Austin Y
Rangel-Gomez, Mauricio
Sweetland, Annika
Verhey, Ruth
Chibanda, Dixon
Paulino-Ramírez, Robert
Best, Chynere
Masquillier, Caroline
van Olmen, Josefien
Gaist, Paul
Kohrt, Brandon A
Global health reciprocal innovation to address mental health and well-being: strategies used and lessons learnt
title Global health reciprocal innovation to address mental health and well-being: strategies used and lessons learnt
title_full Global health reciprocal innovation to address mental health and well-being: strategies used and lessons learnt
title_fullStr Global health reciprocal innovation to address mental health and well-being: strategies used and lessons learnt
title_full_unstemmed Global health reciprocal innovation to address mental health and well-being: strategies used and lessons learnt
title_short Global health reciprocal innovation to address mental health and well-being: strategies used and lessons learnt
title_sort global health reciprocal innovation to address mental health and well-being: strategies used and lessons learnt
topic Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10649690/
https://www.ncbi.nlm.nih.gov/pubmed/37949477
http://dx.doi.org/10.1136/bmjgh-2023-013572
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