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

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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

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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An integrated care model for primary prevention in a wellbeing-oriented, community mental health care service - new understandings for LMIC settings
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Review: Developing knowledge-based psychotherapeutic competencies in non-specialist providers: A pre-post study with a nested randomised controlled trial of a coach-supported versus self-guided digital training course for a problem-solving psychological intervention in India — R1/PR7
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Recommendation: Developing knowledge-based psychotherapeutic competencies in non-specialist providers: A pre-post study with a nested randomised controlled trial of a coach-supported versus self-guided digital training course for a problem-solving psychological intervention in India — R1/PR8
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Author comment: Developing knowledge-based psychotherapeutic competencies in non-specialist providers: A pre-post study with a nested randomised controlled trial of a coach-supported versus self-guided digital training course for a problem-solving psychological intervention in India — R2/PR10
Patel, V. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.81.pr10
Self-citation
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Author comment: Developing knowledge-based psychotherapeutic competencies in non-specialist providers: A pre-post study with a nested randomised controlled trial of a coach-supported versus self-guided digital training course for a problem-solving psychological intervention in India — R0/PR1
Patel, V. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.81.pr1
Self-citation
Author comment: Developing knowledge-based psychotherapeutic competencies in non-specialist providers: A pre-post study with a nested randomised controlled trial of a coach-supported versus self-guided digital training course for a problem-solving psychological intervention in India — R1/PR6
Patel, V. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.81.pr6
Self-citation
Review: Developing knowledge-based psychotherapeutic competencies in non-specialist providers: A pre-post study with a nested randomised controlled trial of a coach-supported versus self-guided digital training course for a problem-solving psychological intervention in India — R0/PR2
(2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.81.pr2
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Decision: Developing knowledge-based psychotherapeutic competencies in non-specialist providers: A pre-post study with a nested randomised controlled trial of a coach-supported versus self-guided digital training course for a problem-solving psychological intervention in India — R0/PR5
(2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.81.pr5
Decision: Developing knowledge-based psychotherapeutic competencies in non-specialist providers: A pre-post study with a nested randomised controlled trial of a coach-supported versus self-guided digital training course for a problem-solving psychological intervention in India — R1/PR9
(2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.81.pr9
Review: Developing knowledge-based psychotherapeutic competencies in non-specialist providers: A pre-post study with a nested randomised controlled trial of a coach-supported versus self-guided digital training course for a problem-solving psychological intervention in India — R0/PR3
(2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.81.pr3
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Iheanacho, T. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.4.pr4
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Iheanacho, T., Chu, C., Aguocha, C. M., et al. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.4.pr5
Decision: Integrating mental health into primary care in Nigeria: Implementation outcomes and clinical impact of the HAPPINESS intervention — R2/PR9
Iheanacho, T., Chu, C., Aguocha, C. M., et al. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.4.pr9
Author comment: Integrating mental health into primary care in Nigeria: Implementation outcomes and clinical impact of the HAPPINESS intervention — R0/PR1
Iheanacho, T. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.4.pr1
Decision: Integrating mental health into primary care in Nigeria: Implementation outcomes and clinical impact of the HAPPINESS intervention — R0/PR3
Iheanacho, T., Chu, C., Aguocha, C. M., et al. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.4.pr3
Recommendation: Integrating mental health into primary care in Nigeria: Implementation outcomes and clinical impact of the HAPPINESS intervention — R3/PR11
Iheanacho, T., Chu, C., Aguocha, C. M., et al. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.4.pr11
Author comment: Integrating mental health into primary care in Nigeria: Implementation outcomes and clinical impact of the HAPPINESS intervention — R2/PR7
Iheanacho, T. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.4.pr7
Decision: Integrating mental health into primary care in Nigeria: Implementation outcomes and clinical impact of the HAPPINESS intervention — R1/PR6
Iheanacho, T., Chu, C., Aguocha, C. M., et al. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.4.pr6
Recommendation: Integrating mental health into primary care in Nigeria: Implementation outcomes and clinical impact of the HAPPINESS intervention — R2/PR8
Iheanacho, T., Chu, C., Aguocha, C. M., et al. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.4.pr8
Global Psychiatry and Mental Health in the Post-pandemic Period
Raviola, G. J., Prom, M. C., Bosson, R. S., Chemali, Z. N., Conteh, N., Gelaye, B., & Fricchione, G. L. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-11844-9.00086-2
Self-citation

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: Health Sciences › Medicine › Psychiatry and Mental health › 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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