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Cited by 53Mental Health Treatment and AccessPsychiatric care and mental health servicesMigration, Health and Trauma

Practice-Driven Evaluation of a Multi-layered Psychosocial Care Package for Children in Areas of Armed Conflict

Open access
Jordans, M. J. D., Komproe, I. H., Tol, W. A., Susanty, D., Vallipuram, A., Ntamatumba, P., Lasuba, A. C., De Jong, J. T. V. M.·2011·Community Mental Health Journal
DOI 10.1007/s10597-010-9301-9PMC PMC3087085
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Abstract

Psychosocial and mental health service delivery frameworks for children in low-income countries are scarce. This paper presents a practice-driven evaluation of a multi-layered community-based care package in Burundi, Indonesia, Sri Lanka and Sudan, through a set of indicators; (a) perceived treatment gains; (b) treatment satisfaction; (c) therapist burden; (d) access to care; (e) care package costs. Across four settings (n = 29,292 children), beneficiaries reported high levels of client satisfaction and moderate post-treatment problem reductions. Service providers reported significant levels of distress related to service delivery. Cost analyses demonstrated mean cost per service user to vary from 3.46 to 17.32 depending on country and specification of costs. The results suggest a multi-layered psychosocial care package appears feasible and satisfactory in reaching out to substantial populations of distressed children through different levels of care. Future replication should address therapist burden, cost reductions to increase sustainability and increase evidence for treatment efficacy.

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  • The Chaudoir et al. framework is particularly helpful for task-sharing because it explicitly includes the characteristics of providers, which have been found to influence implementation and intervention outcomes.

    “The Chaudoir et al. [35] framework is particularly helpful for task-sharing because it explicitly includes the characteristics of the providers, which have been found to influence implementation and intervention (i.e., client and service) outcomes [10, 36–38].”

    From Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks (2022) · cites this paper as [38]

    The Discussion (page unavailable) reports higher burden among group facilitators than counselors and suggests that counselors’ training, status, and remuneration may buffer their distress. This supports a possible link between provider characteristics and a service-provider outcome, but the paper does not establish that those characteristics influence implementation or client outcomes. The statement about what the Chaudoir framework includes is attributed to citation [35], not this paper. (LLM, conf=0.78)

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  • Across all settings in a multilevel stepped-care package in four war-affected countries, almost 30,000 child beneficiaries expressed high levels of satisfaction.

    “Across all settings, almost 30,000 child beneficiaries expressed high levels of satisfaction”

    From Interventions for Children Affected by War: An Ecological Perspective on Psychosocial Support and Mental Health Care (2013) · cites this paper as [78]

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Research works printed but not linked: 1

  1. WHO Mental health gap action programme: Scaling up care for mental, neurological and substance use disorders 2008 Geneva WHO 26290926

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Authors
Jordans, M. J. D., Komproe, I. H., Tol, W. A., Susanty, D., Vallipuram, A., Ntamatumba, P., Lasuba, A. C., & De Jong, J. T. V. M.
Affiliations
  • HealthNet TPO (NL)
  • Utrecht University (NL)
Corresponding author
Jordans, M. J. D.
ORCID
Venue
Community Mental Health Journal
Publisher
Springer Science and Business Media LLC
Published
2010-03-20
Volume
47
Issue
3
Pages
267-277
ISSN
  • 0010-3853 (ISSN-L)
  • 1573-2789
DOI
10.1007/s10597-010-9301-9
PMC
PMC3087085
OpenAlex
W2118389149
Cited by
53
References
39
Citations by year
2025: 1 · 2024: 1 · 2023: 6 · 2022: 5 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 4 · 2016: 2 · 2015: 4 · 2014: 5 · 2013: 9 · 2012: 6
FWCI
8.27
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Community Mental Health Journal (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion, other-oa)
  • Pure Amsterdam UMC (acceptedVersion, other-oa)
  • Research Portal (King's College London) (submittedVersion, cc-by)
  • Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
children in armed conflict, community mental health services, treatment satisfaction, health care access, child mental health, low-income countries, Burundi, Indonesia, Sri Lanka, Sudan
MeSH terms
Adolescent, Mental Disorders, Burundi, Child, Child Behavior, Child Health Services, Cost-Benefit Analysis, Female, Humans, Indonesia, Male, Mental Health Services, Psychotherapy, Social Support, Sri Lanka, Sudan, Evidence-Based Practice

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