Cited by 394Mental Health Treatment and AccessDigital Mental Health InterventionsHealth Policy Implementation Science

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Improving access to psychological treatments: Lessons from developing countries

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Patel, Vikram, Chowdhary, Neerja, Rahman, Atif, Verdeli, Helen·2011·Behaviour Research and Therapy

DOI 10.1016/j.brat.2011.06.012PMC PMC3242164

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Abstract

Even though psychological treatments have been advocated as treatments for a range of mental disorders by the WHO for scaling up through primary care globally, the vast majority of potential beneficiaries are unable to access these treatments. Two major barriers impede the path between evidence based treatments and improved access: the lack of skilled human resources and the acceptability of treatments across cultures. This essay synthesizes the experiences of programs which developed and evaluated psychological treatments for depression in three resource poor developing countries. These programs addressed the human resource barrier by training lay or community health workers to deliver the treatments and addressed the acceptability barrier by systematically adapting the treatment to contextual factors. All programs demonstrated significant benefits in recovery rates when compared with usual care demonstrating the effectiveness of the approach. The implications for these experiences to improving access to psychological treatments in the global context are discussed.

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“All three trials have published their primary results (Bolton et al., 2003; Patel et al., 2010b; Rahman, Malik, Sikander, Roberts, & Creed, 2008) as well as the methods to adapt the PT for the local context (Chatterjee et al.”
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Authors: Patel, V., Chowdhary, N., Rahman, A., & Verdeli, H.
Affiliations: London School of Hygiene & Tropical Medicine (GB)
Columbia University (US)
Corresponding author: Patel, Vikram
ORCID: Patel, Vikram
Chowdhary, Neerja
Verdeli, Helen
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2011-09
Volume: 49
Issue: 9
Pages: 523-528
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2011.06.012
PMC: PMC3242164
OpenAlex: W2167993523
Cited by: 394
References: 18
Citations by year: 2026: 29 · 2025: 27 · 2024: 27 · 2023: 27 · 2022: 45 · 2021: 29 · 2020: 29 · 2019: 22 · 2018: 26 · 2017: 25 · 2016: 25 · 2015: 32 · 2014: 26 · 2013: 19 · 2012: 5
FWCI: 22.26
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
creativecommons.org/licenses/by/3.0/ (vor, 684 d)
Locations: Behaviour Research and Therapy (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
Greater South Information System
Funders: Wellcome Trust (MH071530)
NIMH K23 Award
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords: access to psychological treatment, depression, community health workers, lay health workers, treatment acceptability, cultural adaptation, mental health professionals, primary care, resource-limited settings, developing countries, recovery rate
MeSH terms: Workforce, Mental Disorders, Community Health Workers, Cross-Cultural Comparison, Health Resources, Health Services Accessibility, Humans, Mental Health Services, Poverty, Rural Population, Developed Countries

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Improving access to psychological treatments: Lessons from developing countries

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