Culturally adapted mental health services: An updated meta-analysis of client outcomes.

Purpose: The increasing need for school-based mental health services has altered teachers’ involvement in mental health services. Methods: This study presents a meta-analysis from a previous systematic review to identify which study characteristics result in effective treatment outcomes. Specific treatment characteristics analyzed in this study include type of intervention, treatment modality, length of treatment, and type of measurement. Effect sizes were coded by internalizing and externalizing disorders, depending on the symptoms the corresponding treatments were intended to address. A final sample size included 9 independent effect sizes of internalizing behaviors and 21 effect sizes of externalizing behaviors. Results: Internalizing disorders, social skill interventions, classroom modalities, and medium treatment length were moderating treatment characteristics. No significant effects were found for externalizing disorders. Conclusions: These results further add to the research on teacher’s role in school-based mental health services and provide important information for social workers who work in schools.

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Contact With Mental Health Services Prior to Suicide: A Systematic Review and Meta-Analysis

Psychiatric Services ◽

10.1176/appi.ps.201700475 ◽

2018 ◽

Vol 69 (7) ◽

pp. 751-759 ◽

Cited By ~ 17

Author(s):

Fredrik A. Walby ◽

Martin Øverlien Myhre ◽

Anine Therese Kildahl

Keyword(s):

Mental Health ◽

Systematic Review ◽

Mental Health Services ◽

Health Services ◽

Meta Analysis

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The Effectiveness of School-Based Mental Health Services for Elementary-Aged Children: A Meta-Analysis

Journal of the American Academy of Child & Adolescent Psychiatry ◽

10.1016/j.jaac.2017.11.022 ◽

2018 ◽

Vol 57 (3) ◽

pp. 153-165 ◽

Cited By ~ 50

Author(s):

Amanda L. Sanchez ◽

Danielle Cornacchio ◽

Bridget Poznanski ◽

Alejandra M. Golik ◽

Tommy Chou ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Meta Analysis ◽

School Based ◽

Elementary Aged Children

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Cultural Mistrust and Mental Health Services for African Americans

The Counseling Psychologist ◽

10.1177/0011000001294003 ◽

2001 ◽

Vol 29 (4) ◽

pp. 513-531 ◽

Cited By ~ 158

Author(s):

Arthur L. Whaley

Keyword(s):

Mental Health ◽

African Americans ◽

Mental Health Services ◽

Health Services ◽

Meta Analysis ◽

Cultural Mistrust ◽

Negative Effects ◽

Health Services Use ◽

College Sample ◽

Mental Health Services Use

The underutilization of mental health services by African Americans may be due, in part, to their cultural mistrust. The purpose of this article is twofold: (a) to conduct a meta-analysis of the correlations between cultural mistrust in African Americans and their attitudes and behaviors related to mental health services use, comparing them to the correlations between cultural mistrust and measures relevant to other psychosocial domains, and (b) to test some methodological hypotheses about the Cultural Mistrust Inventory, the most popular measure of cultural mistrust. The meta-analysis suggests that the negative effects of Blacks’ cultural mistrust in interracial situations are not unique to counseling and psychotherapy but represent a broader perspective. The meta-analysis also suggests that development of the Cultural Mistrust Inventory with a male-only college sample did not compromise its external validity. The implications of these results for the provision of mental health services to African Americans are discussed.

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Serviços de apoio à saúde mental do estudante de Medicina: uma revisão sistemática

Revista Brasileira de Educação Médica ◽

10.1590/1981-5271v45.2-20200428 ◽

2021 ◽

Vol 45 (2) ◽

Author(s):

Maryana Guimarães de Morais ◽

Isabella Morais Arantes de Oliveira e Silva ◽

Estela Ribeiro Versiani ◽

Claudia Cardoso Gomes da Silva ◽

Ana Socorro de Moura

Keyword(s):

Mental Health ◽

Medical Students ◽

Mental Health Services ◽

Health Services ◽

Undergraduate Students ◽

Mental Health Problems ◽

Meta Analysis ◽

Cochrane Library ◽

Multidisciplinary Teams ◽

Scientific Publications

Abstract: Introduction: Considering the high prevalence of mental health problems among medical students, medical schools should be ethically committed to promote student’s mental health, offering health services and prevention strategies. Objective: The objective of this systematic review is to identify scientific publications on mental health services offered by Brazilian universities to medical students, as well as the professionals involved and the types of interventions most often offered. Method: Systematic literature review, following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). The Scielo, PubMed/Medline, Lilacs, ERIC, The Cochrane Library and CAPES databases were searched for studies published until August 2020, as well as theses and dissertations. The studies were screened, selected, analyzed and relevant data were extracted by two independent reviewers. Results: 16 studies were included. The identified mental health services resort to different strategies towards a common goal of promoting medical students’ mental health. The interventions most frequently found in these services are brief psychotherapy, psychiatric care, psychological-educational guidance and mentoring programs. Most services were created to attend medical students and some of these have been extended to other undergraduate students. In the analyzed services, there is a predominance of multidisciplinary teams, which differ regarding the number and categories of professionals involved. Conclusion: Mental health support services for medical students in Brazil differ both in terms of how they work within the institutions and in terms of the involved professionals. It was observed that publications on these services are scarce when compared to the number of institutions that offer the undergraduate medical course in Brazil. Aiming to expand and consolidate actions aimed at promoting medical students’ mental health in Brazilian higher education institutions, further research on this topic is required.

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Culturally adapted mental healthcare: evidence, problems and recommendations

BJPsych Bulletin ◽

10.1192/pb.bp.115.050872 ◽

2015 ◽

Vol 39 (4) ◽

pp. 153-155 ◽

Cited By ~ 5

Author(s):

Sokratis Dinos

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Mental Health Professionals ◽

Minority Groups ◽

Mental Health Problems ◽

Mental Healthcare ◽

Health Problems ◽

Cultural Adaptations ◽

Culturally Adapted

SummaryEvidence suggests disparities in the prevalence of mental health problems and access to mental healthcare for a number of minority groups. The main response from mental health services falls into two related categories: (a) cultural adaptations of existing evidence-based interventions (EBIs) and/or (b) cultural competence of mental health professionals. This editorial looks at the evidence on culturally adapted EBIs and argues that although such interventions can be effective, they also carry the risk of alienating members of the groups they are aimed at. Recommendations focus on identifying issues that pertain to being from a racial minority and/or possessing other stigmatised identities that can have an impact on mental health problems, which may be overlooked by mental health services by assuming an overarching predominant cultural identity.

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