Participatory mental health interventions in low-income and middle-income countries: a realist review protocol.

Journal: BMJ open

Volume: 12

Issue: 4

Year of Publication: 2022

Affiliated Institutions:  Department of Social Work and Social Policy, University of York, York, UK. University of York, York, UK hannah.jennings@york.ac.uk. School of Health Sciences, University of Canterbury, Christchurch, New Zealand. Centre for Mental Health Counselling (CMC), Katmandu, Nepal. Rozaria Memorial Trust, Harare, Zimbabwe. Rozaria Memorial Trust, Harare, UK. Burans, Herbertpur Christian Hospital, Uttarakhand, India. School of Social and Political Science, The University of Edinburgh, Edinburgh, UK. Chhahari Nepal for Mental Health (CNMH), Katmandu, Nepal. Centre for Mental Health and Counselling, Katmandu, Nepal. Department of Social Policy and Social Work, University of York, York, UK. University of York, York, UK. UCL Institute for Global Health, London, UK.

Abstract summary 

The launch of the Movement for Global Mental Health brought long-standing calls for improved mental health interventions in low-and middle-income countries (LMICs) to centre stage. Within the movement, the participation of communities and people with lived experience of mental health problems is argued as essential to successful interventions. However, there remains a lack of conceptual clarity around 'participation' in mental health interventions with the specific elements of participation rarely articulated. Our review responds to this gap by exploring how 'participation' is applied, what it means and what key mechanisms contribute to change in participatory interventions for mental health in LMICs.A realist review methodology will be used to identify the different contexts that trigger mechanisms of change, and the resulting outcomes related to the development and implementation of participatory mental health interventions, that is: what makes participation in mental health interventions in LMICs and ? We augment our search with primary data collection in communities who are the targets of global mental health initiatives to inform the production of a programme theory on participation for mental health in LMICs.Ethical approval for focus group discussions (FGDs) was obtained in each country involved. FGDs will be conducted in line with WHO safety guidance during the COVID-19 crisis. The full review will be published in an academic journal, with further papers providing an in-depth analysis on community perspectives on participation in mental health. The project findings will also be shared on a website, in webinars and an online workshop.

Authors & Co-authors:  Heap Cheyann J CJ Jennings Hannah Maria HM Mathias Kaaren K Gaire Himal H Gumbonzvanda Farirai F Gumbonzvanda Nyaradzayi N Gupta Garima G Jain Sumeet S Maharjan Bidya B Maharjan Rakchhya R Maharjan Sujen Man SM Mahat Pashupati P Pillai Pooja P Webber Martin M Wright Jerome J Burgess Rochelle R

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Patel V, Saxena S, Lund C, et al. . The Lancet Commission on global mental health and sustainable development. The Lancet 2018;392:1553–98. 10.1016/S0140-6736(18)31612-X
Authors :  16
Identifiers
Doi : e057530
SSN : 2044-6055
Study Population
Male,Female
Mesh Terms
COVID-19
Other Terms
MENTAL HEALTH;PUBLIC HEALTH;QUALITATIVE RESEARCH
Study Design
Study Approach
Country of Study
Publication Country
England