Barriers and facilitators to the integration of digital technologies in mental health systems: A protocol for a qualitative systematic review

Introduction Digital technology has the potential to improve health outcomes and health system performance in fragmented and under-funded mental health systems. Despite this potential, the integration of digital technology tools into mental health systems has been relatively poor. This is a protocol for a synthesis of qualitative evidence that will aim to determine the barriers and facilitators to integrating digital technologies in mental health systems and classify them in contextual domains at individual, organisational and system levels. Methods and analysis The methodological framework for systematic review of qualitative evidence described in Lockwood et al. will be applied to this review. A draft search strategy was developed in collaboration with an experienced senior health research librarian. A systematic search of Medline, Embase, Scopus, PsycInfo, Web of Science and Google Scholar, as well as hand searching of reference lists and reviews will identify relevant studies for inclusion. Study selection will be carried out independently by two authors, with discrepancies resolved by consensus. The quality of selected studies will be assessed using JBI Critical Appraisal Checklist for Qualitative Research. Data will be charted using JBI QUARI Data Extraction Tool for Qualitative Research. Findings will be defined and classified both deductively in a priori conceptual framework and inductively by a thematic analysis. Results will be reported based on the Enhancing transparency in reporting the synthesis of qualitative research. The level of confidence of the findings will be assessed using GRADE-CERQual. Ethics and dissemination This study does not require ethics approval. The systematic review will inform policy and practices around improving the integration of digital technologies into mental health care systems.

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Delivering and implementing child and adolescent mental health training for mental health and allied professionals: a systematic review and qualitative meta-aggregation

BMC Medical Education ◽

10.1186/s12909-021-02530-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Emily Banwell ◽

Neil Humphrey ◽

Pamela Qualter

Keyword(s):

Mental Health ◽

Systematic Review ◽

Qualitative Research ◽

Mental Health Professionals ◽

Synthesis Method ◽

Barriers And Facilitators ◽

Youth Workers ◽

Mental Health Training ◽

Health Training ◽

Starting Point

Abstract Background The increasing prevalence of mental health difficulties among children and young people (CYP) suggests that early intervention is vital. A comprehensive system of care and support requires the involvement of mental health professionals, including psychologists and psychiatrists, and allied professionals, including teachers, police, and youth workers. A critical starting point is the provision of effective training, in order that these professionals can better support the mental health needs of the CYP that they encounter. Objectives Given the primacy of training in the CYP mental health support system, understanding the factors that maximise potential gains and facilitate uptake is pertinent. The current review therefore located and explored qualitative research evidence, to identify the barriers and facilitators underpinning successful delivery and implementation of training focussed on the mental health of CYP, for both mental health and allied professionals. Methods A systematic review and qualitative meta-aggregation were conducted. Systematic searches were carried out using ASSIA, EMBASE, MEDLINE, NICE Evidence, PsycINFO, and Scopus databases, for papers published between 2000 and 2020. Twelve thousand four hundred forty-eight records were identified, of which 39 were eligible for review. The records were appraised for quality using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research, and synthesised using the qualitative meta-aggregation method. Results One hundred eighty-two raw findings were extracted from the 39 papers, which were condensed into 47 sub-categories, 19 categories, and finally 5 synthesis statements. These synthesis statements reflected the barriers and facilitators influencing the training delivery process (“support”; “content, design, and planning”), and the implementation of training into the workplace (“context”; “perceived value”; “organisational factors”). Conclusions The synthesis statements and underlying categories provide practical recommendations for those designing, delivering, or implementing CYP mental health training. Recommendations ranged from facilitating peer support during training, to the idea that training will be better implemented when perceived need is high. The review provides a robust evidence-based foundation to “common-sense” principles, drawing them into a coherent and organised framework using a synthesis method grounded in pragmatism. Protocol registration number PROSPERO reference ID: CRD42020162876.

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Optimization of community-based mental health services: a systematic review

Mental Health Review Journal ◽

10.1108/mhrj-01-2020-0006 ◽

2020 ◽

Vol 25 (3) ◽

pp. 221-239

Author(s):

Ahmad Anas Almi ◽

Jamilah Hanum Abdul Khaiyom

Keyword(s):

Mental Health ◽

Systematic Review ◽

Mental Health Services ◽

Health Services ◽

Health Systems ◽

Health Centre ◽

Mental Health Systems ◽

Community Based ◽

Content Type ◽

Facilitating Factors

Purpose This paper aims to review the literature of community-based mental health services (CMHS) optimization in Malaysia that focus on the aspects of perceived challenges or barriers and facilitating factors for community-based mental health centre (CMHC). Design/methodology/approach Relevant peer-reviewed literature was identified and being reviewed in three databases and one local journal. Findings Nine studies were eligible for inclusion and the extracted data were summarized into a narrative review. The evidence provided for what constituting an optimal implementation of CMHS in Malaysia appeared lacking. However, there are adequate recommendations and suggestions on the component of facilitating factors; on how to increase service user’s engagement towards the improvement of mental health systems. Research limitations/implications Research in the literature had focussed on the optimization aspects from the perspective of the service user. Additionally, this had been discussed through the lens of a variety of mental health systems and not specifically on the community-based perspectives. Originality/value This current systematic review provides valuable and important evidence that further explorations of the existing experiences of the mental health care professionals in delivering CMHS in Malaysia CMHC. The review serves as the foundation for future research to explain the local explanatory framework on what are the best practise models for local CMHS.

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Building the capacity of policy-makers and planners to strengthen mental health systems in low- and middle-income countries: a systematic review

BMC Health Services Research ◽

10.1186/s12913-016-1853-0 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 10

Author(s):

Roxanne Keynejad ◽

Maya Semrau ◽

Mark Toynbee ◽

Sara Evans-Lacko ◽

Crick Lund ◽

...

Keyword(s):

Mental Health ◽

Systematic Review ◽

Health Systems ◽

Mental Health Systems ◽

Middle Income ◽

Policy Makers ◽

Middle Income Countries ◽

Low And Middle Income

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Delivering and implementing child and adolescent mental health training for mental health and allied professionals: A systematic review and qualitative meta-aggregation

10.21203/rs.3.rs-128987/v1 ◽

2021 ◽

Author(s):

Emily Banwell ◽

Neil Humphrey ◽

Pamela Qualter

Keyword(s):

Mental Health ◽

Systematic Review ◽

Qualitative Research ◽

Mental Health Professionals ◽

Synthesis Method ◽

Barriers And Facilitators ◽

Youth Workers ◽

Mental Health Training ◽

Health Training ◽

Starting Point

Abstract Background: The increasing prevalence of mental health difficulties among children and young people (CYP) suggests that early intervention is vital. A comprehensive system of care and support requires the involvement of mental health professionals, including psychologists and psychiatrists, and allied professionals, including teachers, police, and youth workers. A critical starting point is the provision of effective training, in order that these professionals can better support the mental health needs of the CYP that they encounter. Objectives: Given the primacy of training in the CYP mental health support system, understanding the factors that maximise potential gains and facilitate uptake is pertinent. The current review therefore located and explored qualitative research evidence, to identify the barriers and facilitators underpinning successful delivery and implementation of training focussed on the mental health of CYP, for both mental health and allied professionals. Methods: A systematic review and qualitative meta-aggregation were conducted, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Systematic searches were carried out using ASSIA, EMBASE, MEDLINE, NICE Evidence, PsycINFO, and Scopus databases, for papers published between 2000 and 2020. 12,448 records were identified, of which 39 were eligible for review. The records were appraised for quality using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research, and synthesised using the qualitative meta-aggregation method. Results: 182 raw findings were extracted from the 39 papers, which were condensed into 47 sub-categories, 19 categories, and finally 5 synthesis statements. These synthesis statements reflected the barriers and facilitators influencing the training delivery process (“support”; “content, design, and planning”), and the implementation of training into the workplace (“context”; “perceived value”; “organisational factors”). Conclusions: The synthesis statements and underlying categories provide practical recommendations for those designing, delivering, or implementing CYP mental health training. The review provides a robust evidence-based foundation to “common-sense” principles, drawing them into a coherent and organised framework using a synthesis method grounded in pragmatism. Protocol registration number: PROSPERO reference ID: [masked for review]

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