ReviewBMC psychiatry2016
Rethinking the service delivery system of psychological interventions in low and middle income countries.
Review in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Changes in the prevalence of mental health problems during the first year of the pandemic: a systematic review and dose-response meta-analysis.BMJ mental health · 2024Pooled it
- Mobilizing Community Health Workers to Address Mental Health Disparities for Underserved Populations: A Systematic Review.Administration and policy in mental health · 2018Pooled it
- Psychological Treatments for the World: Lessons from Low- and Middle-Income Countries.Annual review of clinical psychology · 2017Pooled it
- Moderator effects in a randomized controlled trial of the Common Elements Treatment Approach (CETA) for intimate partner violence and hazardous alcohol use in Zambia.Drug and alcohol dependence · 2021Trial
- Trauma-focused treatments for refugee children and adolescents with PTSD: a three-arm randomized controlled trial comparing the efficacy of EMDR and KIDNET versus a waitlist control group (the KIEM study).Child and adolescent psychiatry and mental health · 2026Article
- Understanding stress through metabolomic and psychosocial lenses: Pathways to biomarker discovery.Journal of migration and health · 2026Article
- Development and validation of the Global Post Trauma Symptom Scale-Uganda among trauma-affected adults.European journal of psychotraumatology · 2025Article
- The development of a World Health Organization transdiagnostic chatbot intervention for distressed adolescents and young adults.Frontiers in digital health · 2025Article
- Non-specialist delivered psycho-social interventions for women with perinatal depression living in rural communities: A systematic review.PLOS global public health · 2024Article
- Implementation of a task-shared psychosocial intervention for perinatal depression in South Africa: A grounded theory process evaluation.SSM. Mental health · 2022Article
- Prevalence of stressful life events and associations with symptoms of depression, anxiety, and post-traumatic stress disorder among people entering care for HIV in Cameroon.Journal of affective disorders · 2022Article
- Competency-based mental health supervision: evidence-based tool needs for the humanitarian context.Global mental health (Cambridge, England) · 2022Article
- What matters in mental health care? A co-design approach to developing clinical supervision tools for practitioner competency development.Global mental health (Cambridge, England) · 2022Article
- Experiences and Perceptions of Telephone-delivery of the Common Elements Treatment Approach for Mental Health Needs Among Young People in Zambia During the COVID-19 Pandemic.Frontiers in public health · 2022Article
- Article
- Lay-delivered talk therapies for adults affected by humanitarian crises in low- and middle-income countries.Conflict and health · 2021Review
- Development of a transdiagnostic, low-intensity, psychological intervention for common adolescent mental health problems in Indian secondary schools.Behaviour research and therapy · 2020Article
- Understanding mechanisms of change: An unpacking study of the evidence-based common-elements treatment approach (CETA) in low and middle income countries.Behaviour research and therapy · 2020Article
- When less is more: reducing redundancy in mental health and psychosocial instruments using Item Response Theory.Global mental health (Cambridge, England) · 2020Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGlobal mental health is a growing field intricately connected to broader health, violence and economic issues. Despite the high prevalence and cost of mental health disorders, an estimated 75 % of those with need in lower resource settings do not receive intervention. Most studies to date have examined the effectiveness of single-disorder mental health treatments - an approach that may be a significant challenge to scale-up and sustainability in lower resource settings. MAIN BODY: This paper presents a brief overview of the scientific progress in global mental health, and suggests consideration of an internal stepped care delivery approach. An internal stepped care model is one idea of a delivery system, utilizing a common elements approach, where the same provider could navigate between different elements based on severity and type of problems of the client. It is distinct from traditional stepped care models in that clients remain with the same provider, rather than relying on referral systems.
conclusionAn internal stepped care delivery system based on a simplified common elements approach could be more efficient, scalable, sustainable, and reduce the loss of clients to referrals in lower resource settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.