scholarly journals Telemental Health in Low- and Middle-Income Countries: A Systematic Review

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Jeremiah W. Acharibasam ◽  
Rolf Wynn
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Services ◽  
Low Income ◽  
Text Messaging ◽  
English Language ◽  
Low Income Countries ◽  
Health Concern ◽  
Telemental Health ◽  
Middle Income

Introduction. The rising incidence of mental illness and its impact on individuals, families, and societies is becoming a major public health concern, especially in resource-constrained countries. Consequently, there is an increasing demand for mental health services in many middle- and low-income countries (LMIC). Challenges such as inequality in access, lack of staff and hospital beds, and underfunding, often present in the LMIC, might in part be addressed by telemental health services. However, little is known about telemental health in the LMIC. Methods. A systematic review was performed, drawing on several electronic databases, including PubMed, PsycINFO, Web of Science, Springer Link, and Google Scholar. Original English language studies on the practice of telemental health in LMIC, involving patients and published between 1 January 2000 and 16 February 2017, were included. Results. Nineteen studies met the inclusion criteria. Most of the articles were recent, which may reflect an increasing focus on telemental health in the LMIC. Eight of these studies were from Asia. Eight of the studies were interventional/randomized controlled trials, and 11 examined general mental health issues. Videoconferencing was the most frequently (6) studied telemental modality. Other modalities studied were online decision support systems (3), text messaging and bibliotherapy (1), e-chatting combined with videoconferencing (1), online therapy (2), e-counseling (1), store-and-forward technology (1), telephone follow-up (1), online discussion groups (1), audiovisual therapy and bibliotherapy (1), and computerized occupational therapy (1). Although many of the studies showed that telemental services had positive outcomes, some studies reported no postintervention improvements. Conclusion. The review shows a rising trend in telemental activity in the LMIC. There is a greater need for telemental health in the LMIC, but more research is needed on empirical and theoretical aspects of telemental activity in the LMIC and on direct comparisons between telemental activity in the LMIC and the non-LMIC.

scholarly journals Tuberculosis related disability: a systematic review and meta-analysis

BMC Medicine ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Kefyalew Addis Alene ◽  
Kinley Wangdi ◽  
Samantha Colquhoun ◽  
Kudakwashe Chani ◽  
Tauhid Islam ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Low Income ◽  
Meta Analysis ◽  
Neurological Impairment ◽  
Mental Health Disorders ◽  
Low Income Countries ◽  
Middle Income ◽  
Respiratory Impairment ◽  
Health Disorders

Abstract Background The sustainable development goals aim to improve health for all by 2030. They incorporate ambitious goals regarding tuberculosis (TB), which may be a significant cause of disability, yet to be quantified. Therefore, we aimed to quantify the prevalence and types of TB-related disabilities. Methods We performed a systematic review of TB-related disabilities. The pooled prevalence of disabilities was calculated using the inverse variance heterogeneity model. The maps of the proportions of common types of disabilities by country income level were created. Results We included a total of 131 studies (217,475 patients) that were conducted in 49 countries. The most common type of disabilities were mental health disorders (23.1%), respiratory impairment (20.7%), musculoskeletal impairment (17.1%), hearing impairment (14.5%), visual impairment (9.8%), renal impairment (5.7%), and neurological impairment (1.6%). The prevalence of respiratory impairment (61.2%) and mental health disorders (42.0%) was highest in low-income countries while neurological impairment was highest in lower middle-income countries (25.6%). Drug-resistant TB was associated with respiratory (58.7%), neurological (37.2%), and hearing impairments (25.0%) and mental health disorders (26.0%), respectively. Conclusions TB-related disabilities were frequently reported. More uniform reporting tools for TB-related disability and further research to better quantify and mitigate it are urgently needed. Prospero registration number CRD42019147488

Human Resources for Mental Health in Low and Middle Income Countries

2018 ◽  
pp. 354-374
Author(s):  
Sheikh Mohammed Shariful Islam ◽  
Reshman Tabassum ◽  
Paolo C Colet ◽  
Jonas Preposi Cruz ◽  
Sukhen Dey ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Human Resources ◽  
Low Income ◽  
Low Income Countries ◽  
Middle Income ◽  
Policy Makers ◽  
Middle Income Countries ◽  
Low And Middle Income

Mental disorders are a major public health challenge globally, contributing to 40% of the global burden of disease. Nevertheless, it remains highly neglected by health planners and policy makers, particularly in low and middle income countries (LMIC). Bangladesh, one of the low-income countries, suffers from a severe shortage of appropriately trained and an adequate number of human resources to provide mental health care. The authors reviewed available evidence on the dynamics of mental health services in LMIC like Bangladesh, with a view to help develop appropriate policies on human resources. This chapter critically examines the current situation of human resources for mental health in Bangladesh, and explores ways to further strengthen human resources so as to enhance mental health services in the country.

scholarly journals Cultural psychiatry, diversity and political correctness in a shrinking world

2008 ◽  
Vol 5 (2) ◽  
pp. 27-28 ◽  
Author(s):  
John L. Cox
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Low Income ◽  
Global Mental Health ◽  
World Health ◽  
Low Income Countries ◽  
Middle Income ◽  
Middle Income Countries ◽  
The World

It is perhaps unusual for an academic journal like the Lancet to spearhead a ‘movement’ to advocate the scaling up of mental health services in low-income countries. Yet at the movement's launch in London in November 2007, attended by representatives from World Health Organization (WHO), the World Bank, donor agencies, as well as the World Psychiatric Association (WPA) and the Royal College of Psychiatrists, it was clear that a seminal series of papers, published in September of last year, was of the utmost importance for world psychiatry and for our planet. The five papers in the series ‘Global Mental Health’ had the following titles: ‘No health without mental health’; ‘Resources for mental health: scarcity, equity, and inefficiency’; ‘Treatment and prevention of mental disorders in low-income and middle-income countries’; ‘Mental health systems in countries: where are we now?’; and ‘Barriers to improvement of mental health services in low-income and middle-income countries’ (Lancet, September 2007, vol. 370, nos 9590–9593).

Human Resources for Mental Health in Low and Middle Income Countries

2016 ◽  
pp. 144-164 ◽  
Author(s):  
Sheikh Mohammed Shariful Islam ◽  
Reshman Tabassum ◽  
Paolo C Colet ◽  
Jonas Preposi Cruz ◽  
Sukhen Dey ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Human Resources ◽  
Low Income ◽  
Low Income Countries ◽  
Middle Income ◽  
Policy Makers ◽  
Middle Income Countries ◽  
Low And Middle Income

Mental disorders are a major public health challenge globally, contributing to 40% of the global burden of disease. Nevertheless, it remains highly neglected by health planners and policy makers, particularly in low and middle income countries (LMIC). Bangladesh, one of the low-income countries, suffers from a severe shortage of appropriately trained and an adequate number of human resources to provide mental health care. The authors reviewed available evidence on the dynamics of mental health services in LMIC like Bangladesh, with a view to help develop appropriate policies on human resources. This chapter critically examines the current situation of human resources for mental health in Bangladesh, and explores ways to further strengthen human resources so as to enhance mental health services in the country.

scholarly journals Three models of community mental health services In low-income countries

2011 ◽  
Vol 5 (1) ◽  
pp. 3 ◽  
Author(s):  
Alex Cohen ◽  
Julian Eaton ◽  
Birgit Radtke ◽  
Christina George ◽  
Bro Manuel ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Low Income ◽  
Community Mental Health Services ◽  
Low Income Countries

Establishing the Effectiveness of Interventions Provided to First Responders to Prevent and/or Treat Mental Health Effects of Response to a Disaster: A Systematic Review

2020 ◽  
pp. 1-12
Author(s):  
W. Tyler Winders ◽  
Nirma D. Bustamante ◽  
Stephanie Chow Garbern ◽  
Corey Bills ◽  
Amin Coker ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Effects ◽  
Low Income ◽  
Psychiatric Symptoms ◽  
Psychological Intervention ◽  
First Responders ◽  
Low Income Countries ◽  
Depth Analysis ◽  
Mental Health Effects

ABSTRACT Objectives: This review systematically explores the current available evidence on the effectiveness of interventions provided to first responders to prevent and/or treat the mental health effects of responding to a disaster. Methods: A systematic review of Medline, Scopus, PsycINFO, and gray literature was conducted. Studies describing the effectiveness of interventions provided to first responders to prevent and/or treat the mental health effects of responding to a disaster were included. Quality was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria, and the Critical Appraisal Skills Programme (CASP) checklist. Results: Manuscripts totaling 3869 met the initial search criteria; 25 studies met the criteria for in-depth analysis, including 22 quantitative and 3 qualitative studies; 6 were performed in low- and middle-income countries (LMICs); 18 studies evaluated a psychological intervention; of these, 13 found positive impact, 4 found no impact, and 1 demonstrated worsened symptoms after the intervention. Pre-event trainings decreased psychiatric symptoms in each of the 3 studies evaluating its effectiveness. Conclusions: This review demonstrates that there are likely effective interventions to both prevent and treat psychiatric symptoms in first responders in high-, medium-, and low-income countries.

scholarly journals Theory of change for the delivery of talking therapies by lay workers to survivors of humanitarian crises in low-income and middle-income countries: protocol of a systematic review

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018193 ◽  
Author(s):  
Grace Kathryn Ryan ◽  
Andreas Bauer ◽  
Judith K Bass ◽  
Julian Eaton
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Low Income ◽  
Tertiary Education ◽  
Grey Literature ◽  
Theory Of Change ◽  
Cochrane Library ◽  
Middle Income ◽  
Middle Income Countries ◽  
Humanitarian Crises

IntroductionThere is a severe shortage of specialist mental healthcare providers in low-income and middle-income countries (LMICs) affected by humanitarian crises. In these settings, talking therapies may be delivered by non-specialists, including lay workers with no tertiary education or formal certification in mental health. This systematic review will synthesise the literature on the implementation and effectiveness of talking therapies delivered by lay workers in LMICs affected by humanitarian crises, in order to develop a Theory of Change (ToC).Methods and analysisQualitative, quantitative and mixed-methods studies assessing the implementation or effectiveness of lay-delivered talking therapies for common mental disorders provided to adult survivors of humanitarian crises in LMICs will be eligible for inclusion. Studies set in high-income countries will be excluded. No restrictions will be applied to language or year of publication. Unpublished studies will be excluded. Seven electronic databases will be searched: MEDLINE, Embase, PsycINFO, PsycEXTRA, Global Health, Cochrane Library and ClinicalTrials.gov. Contents pages of three peer-reviewed journals will be hand-searched. Sources of grey literature will include resource directories of two online mental health networks (MHPSS.net and MHInnovation.net) and expert consultation. Forward and backward citation searches of included studies will be performed. Two reviewers will independently screen studies for inclusion, extract data and assess study quality. A narrative synthesis will be conducted, following established guidelines. A ToC map will be amended iteratively to take into account the review results and guide the synthesis.Ethics and disseminationFindings will be presented in a manuscript for publication in a peer-reviewed journal and disseminated through a coordinated communications strategy targeting knowledge generators, enablers and users.PROSPERO registration numberCRD42017058287.

scholarly journals Conservative management of displaced paediatric supracondylar fractures: a systematic review

2018 ◽  
Vol 48 (4) ◽  
pp. 359-365 ◽  
Author(s):  
Daniel Yeomans ◽  
Simon M Graham ◽  
Nyengo C Mkandawire ◽  
William J Harrison ◽  
Daniel C Perry
Keyword(s):  
Systematic Review ◽  
Low Income ◽  
Closed Reduction ◽  
Distal Humerus ◽  
Low Income Countries ◽  
Supracondylar Fractures ◽  
Middle Income ◽  
Fractures In Children ◽  
Published Evidence ◽  
Few Data

In low-income countries, where surgical expertise and resources are limited, displaced supracondylar fractures of the distal humerus are routinely managed with traction or closed reduction and casting. This is in contrast to high-income nations, where percutaneous K-wire fixation forms the mainstay of treatment. The aim of our study is to present the published evidence regarding the outcome of conservatively managed displaced supracondylar fractures in children. A systematic review of the literature was performed identifying 46 studies evaluating the outcome of displaced supracondylar fractures managed non-operatively. Our results show management by traction is equivalent to percutaneous pinning, whereas outcomes following closed reduction and casting were inconsistent. Traction therefore remains a viable option in low- and middle-income countries (LMICs). However, at present there are few data from LMICs, limiting the transferability of our conclusions.

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