Global Is Local: Leveraging Global Mental-Health Methods to Promote Equity and Address Disparities in the United States.

Journal: Clinical psychological science : a journal of the Association for Psychological Science

Volume: 12

Issue: 2

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, Columbia University Irving Medical Center, New York State Psychiatric Institute, New York, NY , USA. Department of Neuroscience and Psychology, Duke University. Duke Global Health Institute, Durham, NC, USA. Department of Mental Health, Ministry of Health, Av. Eduardo Mondlane/Av. Salvador Allende P.O. Box , Maputo, Mozambique. Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, WA. Department of Psychology, University of Maryland, College Park, B Biology-Psychology Building College Park, MD . Department of Mental Health and Behavioural Sciences, College of Health Sciences Moi University, P. O. Box -, Eldoret, Kenya. Department of Clinical Sociomedical Sciences in Psychiatry, Columbia Mailman School of Public Health, New York, NY, USA. Department of Population Health Sciences & Policy, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY . Department of Psychiatry, Columbia Vagelos College of Physicians & Surgeons/New York State Psychiatric Institute, New York, NY . Curtin enAble Institute, Faculty of Health Science, Curtin University, Perth, Australia; Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, South Africa.

Abstract summary 

Structural barriers perpetuate mental health disparities for minoritized US populations; global mental health (GMH) takes an interdisciplinary approach to increasing mental health care access and relevance. Mutual capacity building partnerships between low and middle-income countries and high-income countries are beginning to use GMH strategies to address disparities across contexts. We highlight these partnerships and shared GMH strategies through a case series of said partnerships between Kenya-North Carolina, South Africa-Maryland, and Mozambique-New York. We analyzed case materials and narrative descriptions using document review. Shared strategies across cases included: qualitative formative work and partnership-building; selecting and adapting evidence-based interventions; prioritizing accessible, feasible delivery; task-sharing; tailoring training and supervision; and mixed-method, hybrid designs. Bidirectional learning between partners improved the use of strategies in both settings. Integrating GMH strategies into clinical science-and facilitating learning across settings-can improve efforts to expand care in ways that consider culture, context, and systems in low-resource settings.

Authors & Co-authors:  Wainberg Puffer Fortunato Dos Santos Giusto Jack Magidson Ayuku Johnson Lovero Hankerson Sweetland Myers

Study Outcome 

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Statistics
Citations :  Abimbola S, & Pai M (2020). Will global health survive its decolonisation? Lancet (London, England), 396(10263), 1627–1628.
Authors :  12
Identifiers
Doi : 10.1177/21677026221125715
SSN : 2167-7026
Study Population
Male,Female
Mesh Terms
Other Terms
Study Design
Study Approach
Qualitative
Country of Study
Mozambique
Publication Country
United States