Community Engagement in a complex intervention to improve access to primary mental health care for hard‐to‐reach groups
Open accessAbstract
Background: Despite the availability of effective evidence‐based treatments for depression and anxiety, many ‘harder‐to‐reach’ social and patient groups experience difficulties accessing treatment. We developed a complex intervention, the AMP (Improving Access to Mental Health in Primary Care) programme, which combined community engagement (CE), tailored (individual and group) psychosocial interventions and primary care involvement. Objectives: To develop and evaluate a model for community engagement component of the complex intervention. This paper focuses on the development of relationships between stakeholders, their engagement with the issue of access to mental health and with the programme through the CE model. Design: Our evaluation draws on process data, qualitative interviews and focus groups, brought together through framework analysis to evaluate the issues and challenges encountered. Setting & participants: A case study of the South Asian community project carried out in Longsight in Greater Manchester, United Kingdom. Key findings: Complex problems require multiple local stakeholders to work in concert. Assets based approaches implicitly make demands on scarce time and resources. Community development approaches have many benefits, but perceptions of open‐ended investment are a barrier. The time‐limited nature of a CE intervention provides an impetus to ‘do it now’, allowing stakeholders to negotiate their investment over time and accommodating their wider commitments. Both tangible outcomes and recognition of process benefits were vital in maintaining involvement. Conclusions: CE interventions can play a key role in improving accessibility and acceptability by engaging patients, the public and practitioners in research and in the local service ecology.
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Low recruitment in the Somali group may have reflected the overall study design (outside the trial reported here), since the community engagement interventions were not active there.
“Low recruitment in this group may have reflected the overall study design (outside the trial reported here), since the community engagement interventions were not active here [15].”
From Development and evaluation of culturally sensitive psychosocial interventions for under-served people in primary care (2014) · cites this paper as [15]
The Intervention sites section (page unavailable) says community engagement was applied in two sites: with South Asian people in Longsight and older people in Croxteth. This supports the point that it was not active at a Somali-group site, but the paper does not report Somali recruitment or suggest that the study design explained low recruitment there. (LLM, conf=0.83)
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Challenges of Community Participation in Primary Healthcare: A Systematic Review of Reviews
AbuArrah, M., Khosravi, F., & Khosravi, M. (2026) · Journal of Primary Care & Community Health · doi:10.1177/21501319261494106
- Authors
- Lamb, J., Dowrick, C., Burroughs, H., Beatty, S., Edwards, S., Bristow, K., Clarke, P., Hammond, J., Waheed, W., Gabbay, M., & Gask, L.
- Affiliations
- University of Manchester (GB)
- University of Liverpool (GB)
- Keele University (GB)
- Corresponding author
- Lamb, Jonathan
- ORCID
- Venue
- Health Expectations
- Publisher
- Wiley
- Published
- 2014-09-29
- Volume
- 18
- Issue
- 6
- Pages
- 2865-2879
- ISSN
- 1369-6513 (ISSN-L)
- 1369-7625
- PMC
- PMC5810727
- OpenAlex
- W2104160555
- Cited by
- 48
- References
- 35
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 9 · 2022: 3 · 2021: 5 · 2020: 2 · 2019: 5 · 2018: 1 · 2017: 4 · 2016: 3 · 2015: 1 · 2014: 2
- FWCI
- 6.04
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Expectations (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion, other-oa)
- Funders
- National Institute for Health Research
- Topics
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- community participation, access to mental health care, primary care, depression, anxiety, hard-to-reach populations, South Asian communities, psychosocial interventions, stakeholder engagement, asset-based approach, community development, complex interventions, acceptability
- MeSH terms
- Community Participation, Health Services Accessibility, Humans, Mental Health Services, Primary Health Care, Psychology, Program Development, Focus Groups, Models, Organizational
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