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Leveraging Stakeholder Engagement and Virtual Environments to Develop a Strategy for Implementation of Adolescent Depression Services Integrated Within Primary Care Clinics of Mozambique

Psychiatric disorders are the number one cause of disability in adolescents worldwide. Yet, in low- and middle-income countries (LMIC), where 90% of adolescents reside, mental health services are extremely limited, and the majority do not have access to treatment. Integration of mental health servic...

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Autores principales: Lovero, Kathryn L., dos Santos, Palmira Fortunato, Adam, Salma, Bila, Carolina, Fernandes, Maria Eduarda, Kann, Bianca, Rodrigues, Teresa, Jumbe, Ana Maria, Duarte, Cristiane S., Beidas, Rinad S., Wainberg, Milton L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9178075/
https://www.ncbi.nlm.nih.gov/pubmed/35692315
http://dx.doi.org/10.3389/fpubh.2022.876062
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author Lovero, Kathryn L.
dos Santos, Palmira Fortunato
Adam, Salma
Bila, Carolina
Fernandes, Maria Eduarda
Kann, Bianca
Rodrigues, Teresa
Jumbe, Ana Maria
Duarte, Cristiane S.
Beidas, Rinad S.
Wainberg, Milton L.
author_facet Lovero, Kathryn L.
dos Santos, Palmira Fortunato
Adam, Salma
Bila, Carolina
Fernandes, Maria Eduarda
Kann, Bianca
Rodrigues, Teresa
Jumbe, Ana Maria
Duarte, Cristiane S.
Beidas, Rinad S.
Wainberg, Milton L.
author_sort Lovero, Kathryn L.
collection PubMed
description Psychiatric disorders are the number one cause of disability in adolescents worldwide. Yet, in low- and middle-income countries (LMIC), where 90% of adolescents reside, mental health services are extremely limited, and the majority do not have access to treatment. Integration of mental health services within primary care of LMICs has been proposed as an efficient and sustainable way to close the adolescent mental health treatment gap. However, there is limited research on how to effectively implement integrated mental health care in LMIC. In the present study, we employed Implementation Mapping to develop a multilevel strategy for integrating adolescent depression services within primary care clinics of Maputo, Mozambique. Both in-person and virtual approaches for Implementation Mapping activities were used to support an international implementation planning partnership and promote the engagement of multilevel stakeholders. We identified determinants to implementation of mental health services for adolescents in LMIC across all levels of the Consolidated Framework for Implementation Research, of which of 25% were unique to adolescent-specific services. Through a series of stakeholder workshops focused on implementation strategy selection, prioritization, and specification, we then developed an implementation plan comprising 33 unique strategies that target determinants at the intervention, patient, provider, policy, and community levels. The implementation plan developed in this study will be evaluated for delivering adolescent depression services in Mozambican primary care and may serve as a model for other low-resource settings.
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spelling pubmed-91780752022-06-10 Leveraging Stakeholder Engagement and Virtual Environments to Develop a Strategy for Implementation of Adolescent Depression Services Integrated Within Primary Care Clinics of Mozambique Lovero, Kathryn L. dos Santos, Palmira Fortunato Adam, Salma Bila, Carolina Fernandes, Maria Eduarda Kann, Bianca Rodrigues, Teresa Jumbe, Ana Maria Duarte, Cristiane S. Beidas, Rinad S. Wainberg, Milton L. Front Public Health Public Health Psychiatric disorders are the number one cause of disability in adolescents worldwide. Yet, in low- and middle-income countries (LMIC), where 90% of adolescents reside, mental health services are extremely limited, and the majority do not have access to treatment. Integration of mental health services within primary care of LMICs has been proposed as an efficient and sustainable way to close the adolescent mental health treatment gap. However, there is limited research on how to effectively implement integrated mental health care in LMIC. In the present study, we employed Implementation Mapping to develop a multilevel strategy for integrating adolescent depression services within primary care clinics of Maputo, Mozambique. Both in-person and virtual approaches for Implementation Mapping activities were used to support an international implementation planning partnership and promote the engagement of multilevel stakeholders. We identified determinants to implementation of mental health services for adolescents in LMIC across all levels of the Consolidated Framework for Implementation Research, of which of 25% were unique to adolescent-specific services. Through a series of stakeholder workshops focused on implementation strategy selection, prioritization, and specification, we then developed an implementation plan comprising 33 unique strategies that target determinants at the intervention, patient, provider, policy, and community levels. The implementation plan developed in this study will be evaluated for delivering adolescent depression services in Mozambican primary care and may serve as a model for other low-resource settings. Frontiers Media S.A. 2022-05-26 /pmc/articles/PMC9178075/ /pubmed/35692315 http://dx.doi.org/10.3389/fpubh.2022.876062 Text en Copyright © 2022 Lovero, dos Santos, Adam, Bila, Fernandes, Kann, Rodrigues, Jumbe, Duarte, Beidas and Wainberg. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Lovero, Kathryn L.
dos Santos, Palmira Fortunato
Adam, Salma
Bila, Carolina
Fernandes, Maria Eduarda
Kann, Bianca
Rodrigues, Teresa
Jumbe, Ana Maria
Duarte, Cristiane S.
Beidas, Rinad S.
Wainberg, Milton L.
Leveraging Stakeholder Engagement and Virtual Environments to Develop a Strategy for Implementation of Adolescent Depression Services Integrated Within Primary Care Clinics of Mozambique
title Leveraging Stakeholder Engagement and Virtual Environments to Develop a Strategy for Implementation of Adolescent Depression Services Integrated Within Primary Care Clinics of Mozambique
title_full Leveraging Stakeholder Engagement and Virtual Environments to Develop a Strategy for Implementation of Adolescent Depression Services Integrated Within Primary Care Clinics of Mozambique
title_fullStr Leveraging Stakeholder Engagement and Virtual Environments to Develop a Strategy for Implementation of Adolescent Depression Services Integrated Within Primary Care Clinics of Mozambique
title_full_unstemmed Leveraging Stakeholder Engagement and Virtual Environments to Develop a Strategy for Implementation of Adolescent Depression Services Integrated Within Primary Care Clinics of Mozambique
title_short Leveraging Stakeholder Engagement and Virtual Environments to Develop a Strategy for Implementation of Adolescent Depression Services Integrated Within Primary Care Clinics of Mozambique
title_sort leveraging stakeholder engagement and virtual environments to develop a strategy for implementation of adolescent depression services integrated within primary care clinics of mozambique
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9178075/
https://www.ncbi.nlm.nih.gov/pubmed/35692315
http://dx.doi.org/10.3389/fpubh.2022.876062
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