Innovative Models in Mental Health Delivery Systems: Task Sharing Care with Non-specialist Providers to Close the Mental Health Treatment Gap

Raviola, Giuseppe; Naslund, John A.; Smith, Stephanie L.; Patel, Vikram

doi:10.1007/s11920-019-1028-x

Cited by 258Mental Health Treatment and AccessHealth Policy Implementation SciencePsychiatric care and mental health services

Innovative Models in Mental Health Delivery Systems: Task Sharing Care with Non-specialist Providers to Close the Mental Health Treatment Gap

Raviola, Giuseppe, Naslund, John A., Smith, Stephanie L., Patel, Vikram·2019·Current Psychiatry Reports

DOI 10.1007/s11920-019-1028-x

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Abstract

Purpose of review Most people do not have access to adequate mental health care, and lack of skilled human resources is a major factor. We provide a narrative review of approaches to implementing task sharing-engaging non-specialist providers-to deliver mental health care.Recent findings There is strong evidence both for the effectiveness of task sharing as a means of delivering care for a range of conditions across settings and for the effectiveness of non-specialist providers and health workers in delivering elements of culturally adapted psychosocial and psychological interventions for common and severe mental disorders. Key approaches to facilitate task sharing of care include balanced care, collaborative care, sustained training and supervision, use of trans-diagnostic interventions based on a dimensional approach to wellness and illness, and the use of emerging digital technologies. Non-specialist providers and health workers are well positioned to deliver evidence-based interventions for mental disorders, and a variety of delivery approaches can support, facilitate, and sustain this innovation. These approaches should be used, and evaluated, to increase access to mental health services.

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Task-sharing mental health interventions have been primarily implemented and evaluated in low- and middle-income countries.
“Task-sharing mental health interventions have been primarily implemented and evaluated in low- and middle-income countries (LMICs) [4], where the mental health treatment gap is most severe.”
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 [4]
Defining elements of task-sharing, such as the types of task-sharing provider roles and the training and supervision models, have been specifically designed to be inherently beneficial and are demonstrated to be a strength of this approach.
“In particular, defining elements of task-sharing (e.g., the types of task-sharing provider roles and the training and supervision models) have been specifically designed to be inherently beneficial and are demonstrated to be a strength of this approach [4].”
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 [4]
Training nonmental health professionals to deliver mental health care in a collaborative, stepped-care, task-sharing approach is an effective approach to mitigating the shortage of mental health specialists.
“an effective approach to mitigating the shortage is training nonmental health professionals to deliver packages of mental health care in a collaborative, stepped-care, task-sharing approach (Patel et al., 2010; Padmanathan and De Silva, 2013; Raviola et al., 2019).”
From Integrating mental health into primary care in Nigeria: Implementation outcomes and clinical impact of the <i>HAPPINESS</i> intervention (2024) · cites this paper as Raviola et al., 2019

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Increasing use of mental health services in remote areas using mobile technology: a pre-post evaluation of the SMART Mental Health project in rural India
Maulik, P. K., Kallakuri, S., Devarapalli, S., Vadlamani, V. K., Jha, V., & Patel, A. (2017) · Journal of Global Health · doi:10.7189/jogh.07.010408 · Cited by 125 · see citing works
Grand Challenges: Improving HIV Treatment Outcomes by Integrating Interventions for Co-Morbid Mental Illness
Kaaya, S., Eustache, E., Lapidos‐Salaiz, I., Musisi, S., Psaros, C., & Wissow, L. S. (2013) · PLoS Medicine · doi:10.1371/journal.pmed.1001447 · Cited by 112 · see citing works
Global Mental Health: concepts, conflicts and controversies
Whitley, R. (2015) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796015000451 · Cited by 108 · see citing works
Ranking 93 health interventions for low- and middle-income countries by cost-effectiveness
Horton, S., Gelband, H., Jamison, D. T. T., Levin, C., Nugent, R. A., & Watkins, D. (2017) · PLoS ONE · doi:10.1371/journal.pone.0182951 · Cited by 103 · see citing works
Promotion, prevention and protection: interventions at the population- and community-levels for mental, neurological and substance use disorders in low- and middle-income countries
Petersen, I., Evans-Lacko, S., Semrau, M., Barry, M. M., Chisholm, D., Gronholm, P., Egbe, C. O., & Thornicroft, G. (2016) · International Journal of Mental Health Systems · doi:10.1186/s13033-016-0060-z · Cited by 100 · see citing works
Integrating mental health in care for noncommunicable diseases: an imperative for person-centered care
Patel, V., & Chatterji, S. (2015) · Health Affairs · doi:10.1377/hlthaff.2015.0791 · Cited by 99 · see citing works
Self-citation
WHO's Mental Health Action Plan 2013-2020: what can psychiatrists do to facilitate its implementation?
Saxena, S., Funk, M., & Chisholm, D. (2014) · World Psychiatry · doi:10.1002/wps.20141 · Cited by 97 · see citing works
The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia
Maier, C. B. (2015) · Health Policy · doi:10.1016/j.healthpol.2015.09.002 · Cited by 96 · see citing works
The effectiveness and cost-effectiveness of the peer-delivered Thinking Healthy Programme for perinatal depression in Pakistan and India: the SHARE study protocol for randomised controlled trials
Sikander, S., Lazarus, A., Bangash, O., Fuhr, D. C., Weobong, B., Krishna, R. N., Ahmad, I., Weiss, H. A., Price, L., Rahman, A., et al. (2015) · Trials · doi:10.1186/s13063-015-1063-9 · Cited by 95 · see citing works
Self-citation
Frugal innovation in medicine for low resource settings
Tran, V.-T., & Ravaud, P. (2016) · BMC Medicine · doi:10.1186/s12916-016-0651-1 · Cited by 95 · see citing works
Effect of a Lay Counselor Intervention on Prevention of Major Depression in Older Adults Living in Low- and Middle-Income Countries: A Randomized Clinical Trial
Dias, A., Azariah, F., Anderson, S. J., Sequeira, M., Cohen, A., Morse, J. Q., Cuijpers, P., Patel, V., & Reynolds, C. F. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.3048 · Cited by 93 · see citing works
Self-citation
The mental health professions: Workforce supply and demand, issues, and challenges
Robiner, W. N. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.05.002 · Cited by 90 · see citing works
Reverse innovation in global health systems: towards global innovation flow
Syed, S. B., Dadwal, V., & Martin, G. (2013) · Globalization and Health · doi:10.1186/1744-8603-9-36 · Cited by 90 · see citing works
Integration of a Technology-Based Mental Health Screening Program Into Routine Practices of Primary Health Care Services in Peru (The Allillanchu Project): Development and Implementation
Diez-Canseco, F., Toyama, M., Ipince, A., Perez-Leon, S., Cavero, V., Araya, R., & Miranda, J. J. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9208 · Cited by 85 · see citing works
Promoting wellbeing and improving access to mental health care through community champions in rural India: the Atmiyata intervention approach
Shields-Zeeman, L., Pathare, S., Walters, B. H., Kapadia-Kundu, N., & Joag, K. (2017) · International Journal of Mental Health Systems · doi:10.1186/s13033-016-0113-3 · Cited by 85 · see citing works
Universal Health Coverage for Schizophrenia: A Global Mental Health Priority
Patel, V. (2015) · Schizophrenia Bulletin · doi:10.1093/schbul/sbv107 · Cited by 82 · see citing works
Self-citation
The Feasibility and Effectiveness of PASS Plus, A Lay Health Worker Delivered Comprehensive Intervention for Autism Spectrum Disorders: Pilot RCT in a Rural Low and Middle Income Country Setting
Divan, G., Vajaratkar, V. P., Cardozo, P., Huzurbazar, S., Verma, M., Howarth, E., Emsley, R., Taylor, C., Patel, V., & Green, J. (2018) · Autism Research · doi:10.1002/aur.1978 · Cited by 82 · see citing works
Self-citation
Group Interpersonal Psychotherapy for Depressed Youth in IDP Camps in Northern Uganda: Adaptation and Training
Verdeli, H., Clougherty, K., Onyango, G., Lewandowski, E., Speelman, L., Betancourt, T. S., Neugebauer, R., Stein, T. R., & Bolton, P. (2008) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2008.03.002 · Cited by 81 · see citing works
Talking sensibly about depression
Patel, V. (2017) · PLOS Medicine · doi:10.1371/journal.pmed.1002257 · Cited by 80 · see citing works
Self-citation
The effectiveness of the peer delivered Thinking Healthy Plus (THPP+) Programme for maternal depression and child socio-emotional development in Pakistan: study protocol for a three-year cluster randomized controlled trial
Turner, E. L., Sikander, S., Bangash, O., Zaidi, A., Bates, L. M., Gallis, J. A., Ganga, N. S., O’Donnell, K., Rahman, A., & Maselko, J. (2016) · Trials · doi:10.1186/s13063-016-1530-y · Cited by 79 · see citing works
Trends in task shifting in HIV treatment in Africa: Effectiveness, challenges and acceptability to the health professions
Crowley, T., & Mayers, P. (2015) · African Journal of Primary Health Care & Family Medicine · doi:10.4102/phcfm.v7i1.807 · Cited by 78 · see citing works
The effectiveness of individual interpersonal psychotherapy as a treatment for major depressive disorder in adult outpatients: a systematic review
van Hees, M. L. J. M., Rotter, T., Ellermann, T., & Evers, S. M. A. A. (2013) · BMC Psychiatry · doi:10.1186/1471-244x-13-22 · Cited by 74 · see citing works
Using a human resource management approach to support community health workers: experiences from five African countries
Raven, J., Akweongo, P., Baba, A., Baine, S. O., Sall, M., Buzuzi, S., & Martineau, T. (2015) · Human Resources for Health · doi:10.1186/s12960-015-0034-2 · Cited by 72 · see citing works
Integrating mental health care into primary care systems in low- and middle-income countries: lessons from PRIME and AFFIRM
Davies, T., & Lund, C. (2017) · Global Mental Health · doi:10.1017/gmh.2017.3 · Cited by 71 · see citing works
Scaling up psychological treatments for common mental disorders: a call to action
Singla, D. R., Raviola, G., & Patel, V. (2018) · World Psychiatry · doi:10.1002/wps.20532 · Cited by 69 · see citing works
Self-citation
Open innovation as a new paradigm for global collaborations in health
Dandonoli, P. (2013) · Globalization and Health · doi:10.1186/1744-8603-9-41 · Cited by 69 · see citing works
Integrating Community Health Workers (CHWs) into Health Care Organizations
Payne, J., Razi, S., Emery, K., Quattrone, W., & Tardif-Douglin, M. (2017) · Journal of Community Health · doi:10.1007/s10900-017-0345-4 · Cited by 67 · see citing works
The effectiveness and cost-effectiveness of lay counsellor-delivered psychological treatments for harmful and dependent drinking and moderate to severe depression in primary care in India: PREMIUM study protocol for randomized controlled trials
Patel, V., Weobong, B., Nadkarni, A., Weiss, H. A., Anand, A., Naik, S., Bhat, B., Pereira, J., Araya, R., Dimidjian, S., et al. (2014) · Trials · doi:10.1186/1745-6215-15-101 · Cited by 66 · see citing works
Self-citation
Shared learning in an interconnected world: innovations to advance global health equity
Binagwaho, A., Nutt, C. T., Mutabazi, V., Karema, C., Nsanzimana, S., Gasana, M., Drobac, P. C., Rich, M., Uwaliraye, P., Nyemazi, J. P., et al. (2013) · Globalization and Health · doi:10.1186/1744-8603-9-37 · Cited by 65 · see citing works
Testing the effectiveness of a transdiagnostic treatment approach in reducing violence and alcohol abuse among families in Zambia: study protocol of the Violence and Alcohol Treatment (VATU) trial
Kane, J. C., Skavenski Van Wyk, S., Murray, S. M., Bolton, P., Melendez, F., Danielson, C. K., Chimponda, P., Munthali, S., & Murray, L. K. (2017) · Global Mental Health · doi:10.1017/gmh.2017.10 · Cited by 63 · see citing works
Collaborative stepped care v. care as usual for common mental disorders: 8-month, cluster randomised controlled trial
Oosterbaan, D. B., Verbraak, M. J. P. M., Terluin, B., Hoogendoorn, A. W., Peyrot, W. J., Muntingh, A., & van Balkom, A. J. L. M. (2013) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.112.125211 · Cited by 62 · see citing works
Why More Psychological Therapy Would Cost Nothing
Layard, R., & Clark, D. M. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01713 · Cited by 60 · see citing works
Next steps for meeting the needs of people with severe mental illness in low- and middle-income countries
Hanlon, C. (2016) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796016001013 · Cited by 59 · see citing works
Internet and mobile technologies: addressing the mental health of trauma survivors in less resourced communities
Ruzek, J. I., & Yeager, C. M. (2017) · Global Mental Health · doi:10.1017/gmh.2017.11 · Cited by 54 · see citing works
Treating complexity: Collaborative care for multiple chronic conditions
Chwastiak, L., Vanderlip, E. R., & Katon, W. J. (2014) · International Review of Psychiatry · doi:10.3109/09540261.2014.969689 · Cited by 54 · see citing works
Scaling Up Psychological Treatments: A Countrywide Test of the Online Training of Therapists
Fairburn, C. G., Allen, E., Bailey‐Straebler, S., O'Connor, M. E., & Cooper, Z. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7864 · Cited by 52 · see citing works
Three Nontraditional Approaches to Improving the Capacity, Accessibility, and Quality of Mental Health Services: An Overview
Grant, K. L., Simmons, M. B., & Davey, C. G. (2018) · Psychiatric Services · doi:10.1176/appi.ps.201700292 · Cited by 52 · see citing works
Mobile mental health interventions following war and disaster
Ruzek, J. I., Kuhn, E. R., Jaworski, B. K., Owen, J. E., & Ramsey, K. M. (2016) · mHealth · doi:10.21037/mhealth.2016.08.06 · Cited by 51 · see citing works
Cognitive-Behavioral Counseling for Exclusive Breastfeeding in Rural Pediatrics: A Cluster RCT
Sikander, S., Maselko, J., Zafar, S., Haq, Z. U., Ahmad, I., Ahmad, M., Hafeez, A., & Rahman, A. (2015) · PEDIATRICS · doi:10.1542/peds.2014-1628 · Cited by 50 · see citing works
Psychological treatments delivered by community health workers in low-resource government health systems: effectiveness of group interpersonal psychotherapy for caregivers of children affected by nodding syndrome in Uganda
Mutamba, B. B., Kane, J. C., de Jong, J. T. V. M., Okello, J., Musisi, S., & Kohrt, B. A. (2018) · Psychological Medicine · doi:10.1017/s0033291718000193 · Cited by 50 · see citing works
5-SPICE: the application of an original framework for community health worker program design, quality improvement and research agenda setting
Palazuelos, D., Ellis, K., Im, D. D., Peckarsky, M., Schwarz, D., Farmer, D. B., Dhillon, R. S., Johnson, A., Orihuela, C., Hackett, J., et al. (2013) · Global Health Action · doi:10.3402/gha.v6i0.19658 · Cited by 50 · see citing works
Expanding care for perinatal women with depression (EXPONATE): study protocol for a randomized controlled trial of an intervention package for perinatal depression in primary care
Gureje, O., Oladeji, B. D., Araya, R., Montgomery, A. A., Kola, L., Kirmayer, L., Zelkowitz, P., & Groleau, D. (2015) · BMC Psychiatry · doi:10.1186/s12888-015-0537-3 · Cited by 50 · see citing works
Improving detection of mental health problems in community settings in Nepal: development and pilot testing of the community informant detection tool
Subba, P., Luitel, N. P., Kohrt, B. A., & Jordans, M. J. D. (2017) · Conflict and Health · doi:10.1186/s13031-017-0132-y · Cited by 46 · see citing works
That’s not how the learning works – the paradox of Reverse Innovation: a qualitative study
Harris, M., Weisberger, E., Silver, D., Dadwal, V., & Macinko, J. (2016) · Globalization and Health · doi:10.1186/s12992-016-0175-7 · Cited by 46 · see citing works
Policy Actions To Achieve Integrated Community-Based Mental Health Services
DeSilva, M., Samele, C., Saxena, S., Patel, V., & Darzi, A. W. (2014) · Health Affairs · doi:10.1377/hlthaff.2014.0365 · Cited by 45 · see citing works
Self-citation
‘They hear “Africa” and they think that there can’t be any good services’ – perceived context in cross-national learning: a qualitative study of the barriers to Reverse Innovation
Harris, M. J., Weisberger, E., Silver, D., & Macinko, J. A. (2015) · Globalization and Health · doi:10.1186/s12992-015-0130-z · Cited by 44 · see citing works
The effectiveness of Technology-assisted Cascade Training and Supervision of community health workers in delivering the Thinking Healthy Program for perinatal depression in a post-conflict area of Pakistan—study protocol for a randomized controlled trial
Zafar, S., Sikander, S., Hamdani, S. U., Atif, N., Akhtar, P., Nazir, H., Maselko, J., & Rahman, A. (2016) · Trials · doi:10.1186/s13063-016-1308-2 · Cited by 41 · see citing works
Scaling-up essential neuropsychiatric services in Ethiopia: a cost-effectiveness analysis
Strand, K. B., Chisholm, D., Fekadu, A., & Johansson, K. A. (2016) · Health Policy and Planning · doi:10.1093/heapol/czv093 · Cited by 39 · see citing works
Increasing the Availability of Psychological Treatments: A Multinational Study of a Scalable Method for Training Therapists
O'Connor, M. E., Morgan, K. E., Bailey‐Straebler, S., Fairburn, C. G., & Cooper, Z. (2018) · Journal of Medical Internet Research · doi:10.2196/10386 · Cited by 36 · see citing works
Declaration on mental health in Africa: moving to implementation
Daar, A. S., Jacobs, M., Wall, S., Groenewald, J., Eaton, J., Patel, V., dos Santos, P., Kagee, A., Gevers, A., Sunkel, C., et al. (2014) · Global Health Action · doi:10.3402/gha.v7.24589 · Cited by 36 · see citing works
Self-citation
Scaling up interventions for depression in sub-Saharan Africa: lessons from Zimbabwe
Chibanda, D., Verhey, R., Munetsi, E., Rusakaniko, S., Cowan, F., & Lund, C. (2016) · Global Mental Health · doi:10.1017/gmh.2016.8 · Cited by 36 · see citing works
Stemming the tide: promoting mental health and preventing mental disorders in low- and middle-income countries
Tol, W. A. (2015) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2015.9 · Cited by 34 · see citing works
Global mental health in high-income countries
Sashidharan, S. P., White, R. G., Mezzina, R., Jansen, S., & Gishoma, D. (2016) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.115.179556 · Cited by 33 · see citing works
Community validation of the IDEA study cognitive screen in rural Tanzania: Community validation of the IDEA cognitive screen
Gray, W. K., Paddick, S. M., Collingwood, C., Kisoli, A., Mbowe, G., Mkenda, S., Lissu, C., Rogathi, J., Kissima, J., Walker, R. W., et al. (2016) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4415 · Cited by 31 · see citing works
Evaluating effectiveness and cost-effectiveness of a group psychological intervention using cognitive behavioural strategies for women with common mental disorders in conflict-affected rural Pakistan: study protocol for a randomised controlled trial
Chiumento, A., Hamdani, S. U., Khan, M. N., Dawson, K. S., Bryant, R. A., Sijbrandij, M., Nazir, H., Akhtar, P. S., Masood, A., Wang, D., et al. (2017) · Trials · doi:10.1186/s13063-017-1905-8 · Cited by 31 · see citing works
Testing the effectiveness and implementation of a brief version of the Common Elements Treatment Approach (CETA) in Ukraine: a study protocol for a randomized controlled trial
Murray, L. K., Haroz, E. E., Doty, B., Singh, N. S., Bogdanov, S., Bass, J., Dorsey, S., & Bolton, P. A. (2018) · Trials · doi:10.1186/s13063-018-2752-y · Cited by 31 · see citing works
Global Mental Health: Five Areas for Value-Driven Training Innovation
Kohrt, B. A., Marienfeld, C. B., Panter‐Brick, C., Tsai, A. C., & Wainberg, M. L. (2016) · Academic Psychiatry · doi:10.1007/s40596-016-0504-4 · Cited by 27 · see citing works
Assessing Therapist Competence: Development of a Performance-Based Measure and Its Comparison With a Web-Based Measure
Cooper, Z., Doll, H., Bailey‐Straebler, S., Bohn, K., de Vries, D., Murphy, R., O'Connor, M. E., & Fairburn, C. G. (2017) · JMIR Mental Health · doi:10.2196/mental.7704 · Cited by 23 · see citing works
Building an evidence-informed service array: Considering evidence-based programs as well as their practice elements.
Bernstein, A., Chorpita, B. F., Daleiden, E. L., Ebesutani, C. K., & Rosenblatt, A. (2015) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000029 · Cited by 21 · see citing works
Integrating mental health in primary healthcare in low-income countries: changing the future for people with mental disorders
Sørensen, C. W., Bæk, O., Kallestrup, P., & Carlsson, J. M. (2016) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2016.1245784 · Cited by 21 · see citing works
Large-Scale Implementation of Collaborative Care Management for Depression and Diabetes and/or Cardiovascular Disease
Beck, A. L., Boggs, J. M., Alem, A., Coleman, K. J., Rossom, R. C., Neely, C., Williams, M. D., Ferguson, R., & Solberg, L. I. (2018) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2018.05.170102 · Cited by 21 · see citing works
Lay health supporters aided by a mobile phone messaging system to improve care of villagers with schizophrenia in Liuyang, China: protocol for a randomised control trial
Xu, D. (., Gong, W., Caine, E. D., Xiao, S., Hughes, J. P., Ng, M., Simoni, J., He, H., Smith, K. L., Brown, H. S., et al. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-010120 · Cited by 21 · see citing works
Global mental health in low and middle income, especially African countries
Freeman, M. C. (2016) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796016000482 · Cited by 18 · see citing works
Does the Country of Origin Matter in Health Care Innovation Diffusion?
Harris, M. J., Bhatti, Y., & Darzi, A. W. (2016) · JAMA · doi:10.1001/jama.2016.0483 · Cited by 17 · see citing works
Proposed Training Areas for Global Mental Health Researchers
Ng, L. C., Magidson, J. F., Hock, R. S., Joska, J. A., Fekadu, A., Hanlon, C., Galler, J. R., Safren, S. A., Borba, C. P. C., Fricchione, G. L., et al. (2016) · Academic Psychiatry · doi:10.1007/s40596-016-0518-y · Cited by 16 · see citing works
Achieving Full Scope of Practice Readiness Using Evidence for Psychotherapy Teaching in Web and Hybrid Approaches in Psychiatric Mental Health Advanced Practice Nursing Education
McCoy, K. T. (2017) · Perspectives In Psychiatric Care · doi:10.1111/ppc.12202 · Cited by 15 · see citing works
The future of psychiatry in Africa—thinking outside the box
Chibanda, D. (2017) · The Lancet Psychiatry · doi:10.1016/s2215-0366(17)30368-1 · Cited by 13 · see citing works
Expanding rural access to mental health care through online postgraduate nurse practitioner education
Kverno, K. S., & Kozeniewski, K. (2016) · Journal of the American Association of Nurse Practitioners · doi:10.1002/2327-6924.12397 · Cited by 13 · see citing works
Health Care Platform Interventions
Shidhaye, R. R., Lund, C., & Chisholm, D. (2016) · World Bank, Washington, DC eBooks · doi:10.1596/978-1-4648-0426-7_ch11 · Cited by 12 · see citing works
Population and Community Platform Interventions
Petersen, I., Evans-Lacko, S. E., Semrau, M., Barry, M. M., Chisholm, D., Gronholm, P. C., Egbe, C. O., & Thornicroft, G. (2016) · World Bank, Washington, DC eBooks · doi:10.1596/978-1-4648-0426-7_ch10 · Cited by 10 · see citing works
The use of psychotropic drugs in developing countries.
HARDING, T. W., & Chruściel, T. (1975) · Europe PMC (PubMed Central) · Cited by 10 · see citing works
Screening for Instrumental Activities of Daily Living in Sub-Saharan Africa: A Balance Between Task Shifting, Simplicity, Brevity, and Training
Stone, L., Heward, J., Paddick, S.-M., Dotchin, C. L., Walker, R. W., Collingwood, C., Thornton, J., Yarwood, V., McCartney, J., Irwin, C., et al. (2018) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/0891988718790400 · Cited by 9 · see citing works
Making universal health coverage a reality: bridging the gap between global mental health and practical integration into local health systems
Eaton, J., & Ryan, G. (2017) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796016001001 · Cited by 7 · see citing works
Preventing Late-Life Depression Through Task Sharing
Thirthalli, J., Sivakumar, P. T., & Gangadhar, B. N. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.2898 · Cited by 4 · see citing works
Lay counselling in humanitarian organisations
Juen, B. H., Siller, H. U., Lindenthal, M., Snider, L., Nielsen, M., Muff, M. L., & Wiedemann, N. (2013) · Intervention · doi:10.1097/wtf.0b013e32835cc498 · Cited by 2 · see citing works

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Large language models could change the future of behavioral healthcare: a proposal for responsible development and evaluation
Stade, E. C., Stirman, S. W., Ungar, L. H., Boland, C. L., Schwartz, H. A., Yaden, D. B., Sedoc, J., DeRubeis, R. J., Willer, R., & Eichstaedt, J. C. (2024) · npj Mental Health Research · doi:10.1038/s44184-024-00056-z · Cited by 391 · see citing works
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
Le, P. D., Eschliman, E. L., Grivel, M. M., Tang, J., Cho, Y. G., Yang, X., Tay, C., Li, T., Bass, J., & Yang, L. H. (2022) · Implementation Science · doi:10.1186/s13012-021-01179-z · Cited by 233 · see citing works
“Task-sharing mental health interventions have been primarily implemented and evaluated in low- and middle-income countries (LMICs) [4], where the mental health treatment gap is most severe.”
Background
Racism and Poverty are Barriers to the Treatment of Youth Mental Health Concerns
Castro‐Ramirez, F., Al‐Suwaidi, M., García, P., Rankin, O., Ricard, J. R., & Nock, M. K. (2021) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2021.1941058 · Cited by 147 · see citing works
The emergence of digital mental health in low-income and middle-income countries: A review of recent advances and implications for the treatment and prevention of mental disorders
Carter, H., Araya, R., Anjur, K. I., Deng, D., & Naslund, J. A. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.12.016 · Cited by 155 · see citing works
Self-citation
Annual Research Review: Achieving universal health coverage for young children with autism spectrum disorder in low‐ and middle‐income countries: a review of reviews
Divan, G., Bhavnani, S., Leadbitter, K., Ellis, C., Dasgupta, J., Abubakar, A. A., Elsabbagh, M., Hamdani, S. U., Servili, C., Patel, V., et al. (2021) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13404 · Cited by 129 · see citing works
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Digital Training for Non-Specialist Health Workers to Deliver a Brief Psychological Treatment for Depression in Primary Care in India: Findings from a Randomized Pilot Study
Muke, S. S., Tugnawat, D. K., Joshi, U., Anand, A., Khan, A., Shrivastava, R., Singh, A., Restivo, J. L., Bhan, A., Patel, V., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17176368 · Cited by 103 · see citing works
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Digital Innovations for Global Mental Health: Opportunities for Data Science, Task Sharing, and Early Intervention
Naslund, J. A., Gonsalves, P. P., Gruebner, O., Pendse, S. R., Smith, S. L., Sharma, A., & Raviola, G. J. (2019) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-019-00186-8 · Cited by 108 · see citing works
Self-citation
Acceptability and feasibility of digital technology for training community health workers to deliver brief psychological treatment for depression in rural India
Muke, S. S., Shrivastava, R. D., Mitchell, L., Khan, A., Murhar, V., Tugnawat, D., Shidhaye, R., Patel, V., & Naslund, J. A. (2019) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2019.09.006 · Cited by 98 · see citing works
Self-citation
School attendance problems and absenteeism as early warning signals: review and implications for health-based protocols and school-based practices
Kearney, C. A., Dupont, R., Fensken, M., & Gonzálvez, C. (2023) · Frontiers in Education · doi:10.3389/feduc.2023.1253595 · Cited by 71 · see citing works
Intervening for HIV prevention and mental health: a review of global literature
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Will increasing access to mental health treatment close India's mental health gap?
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“Not shifting, but sharing”: stakeholders' perspectives on mental health task-shifting in Indonesia
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Scaling-up problem management plus for refugees in Switzerland - a qualitative study
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A Stakeholder-Engaged Process for Adapting an Evidence-Based Intervention for Posttraumatic Stress Disorder for Peer Delivery
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Mental Health, Legal Capacity, and Human Rights
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Using cocreated visually informed community mental health education in low‐ and middle‐income countries: A case study of youth substance misuse in Assam, India
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Psychological Effects of Walking and Relaxed Sitting in Urban Greenspaces During Post-pandemic: A Case Study in Bogor City, Indonesia
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Mental Health Care Models in Low-and Middle-Income Countries
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Community mental healthcare: new developments and innovative strategies
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The Psychological Effects of Park Therapy Components on Campus Landscape Preferences
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Adolescents Living with Food Allergies in Select Global Cities: Does a WhatsApp-Based Mindful Eating Intervention Promote Wellbeing and Enhance their Self-Concept?
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A Path Forward: Mental Health and the U.S. Pandemic Response
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Using evaluative frameworks to examine the implementation outcomes of a cognitive behavioral therapy program for autistic students with anxiety within public school settings
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Testing the effectiveness and acceptability of online supportive supervision for mental health practitioners in humanitarian settings: a study protocol for the caring for carers project
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Cultural adaptations of digital therapeutics
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The APEC Digital Hub-WONCA Collaborative Framework on Integration of Mental Health into Primary Care in the Asia Pacific
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Scaling Up Task‐Shared Depression Care in Texas: Evaluating the Preliminary Effectiveness and Acceptability of a Digital Program for Training Non‐Specialist Providers
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Incorporating a trauma‐informed perspective in HIV‐related research with transgender and gender diverse individuals
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Development of a digital program for training non-specialist providers to deliver a psychosocial intervention for depression: a formative study to support scaling up task-shared depression care in the United States
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Implementing the mhGAP-HIG: the process and evaluation of training primary healthcare workers in Khyber Pakhtunkhwa, Pakistan
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Mind the Gap: Researching ‘Alternatives to Coercion’ in Mental Health Care
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Authors: Raviola, G., Naslund, J. A., Smith, S. L., & Patel, V.
Affiliations: Boston Children's Hospital (US)
Harvard University (US)
Brigham and Women's Hospital (US)
Corresponding author: Raviola, Giuseppe
ORCID: Raviola, Giuseppe
Naslund, John A.
Smith, Stephanie L.
Patel, Vikram
Venue: Current Psychiatry Reports
Publisher: Springer Science and Business Media LLC
Published: 2019-04-30
Volume: 21
Issue: 6
Pages: 44-44
ISSN: 1523-3812 (ISSN-L)
1535-1645
DOI: 10.1007/s11920-019-1028-x
OpenAlex: W2942884758
Semantic Scholar: acbf64dd95205f6177638f16d4751bc4f39f6633
Cited by: 258
References: 147
Citations by year: 2026: 24 · 2025: 35 · 2024: 52 · 2023: 46 · 2022: 28 · 2021: 55 · 2020: 15 · 2019: 2
FWCI: 3.86
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Current Psychiatry Reports (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords: task sharing, non-specialist providers, mental health treatment gap, access to mental health care, mental health workforce shortage, collaborative care, training and supervision, digital mental health tools, severe mental illness
MeSH terms: Mental Disorders, Community Health Workers, Health Personnel, Humans, Mental Health, Mental Health Services, Patient Care Team, Psychotherapy

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Innovative Models in Mental Health Delivery Systems: Task Sharing Care with Non-specialist Providers to Close the Mental Health Treatment Gap

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