Evidence map›Paper›PMID 32612675›Full record

ArticleInternational journal of mental health systems2020

WHO Mental Health Gap Action Programme Intervention Guide (mhGAP-IG): the first pre-service training study.

Ashmita Chaulagain, Laura Pacione, Jibril Abdulmalik, Peter Hughes, Kopchak Oksana, Stanislav Chumak, José Mendoza, Kristine Avetisyan, Gayane Ghazaryan, Khachatur Gasparyan and 8 more

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Article in International journal of mental health systems, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Child and adolescent psychiatry: challenges, solutions, opportunities, and future directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
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  17. Mental health crisis in Somalia: a review and a way forward.International journal of mental health systems · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Ashmita ChaulagainRegional Centre for Child and Youth Mental Health and Child Welfare, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Laura PacioneDepartment of Psychiatry, Division of Child and Youth Mental Health, University of Toronto, Toronto, Canada.
Jibril AbdulmalikDepartment of Psychiatry, University of Ibadan, Ibadan, Nigeria.
Peter HughesInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Kopchak OksanaDepartment of Neurology, Psychiatry, Kyiv Medical University, Kiev, Ukraine.
Stanislav ChumakDepartment of Psychiatry, Psychotherapy and Medical Psychology, P.L. Shupyk National Medical Academy of Postgraduate Education, Kiev, Ukraine.
José MendozaDepartment of Psychiatry, National Autonomous University of Mexico, Mexico City, Mexico.
Kristine AvetisyanDepartment of Clinical Psychology, Yerevan State Medical University, Yerevan, Armenia.
Gayane GhazaryanDepartment of Clinical Psychology, Yerevan State Medical University, Yerevan, Armenia.
Khachatur GasparyanDepartment of Clinical Psychology, Yerevan State Medical University, Yerevan, Armenia.
Eka ChkoniaDepartment of Psychiatry, Tbilisi State Medical University, Tbilisi, Georgia.
Chiara ServiliDepartment of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland.
Neerja ChowdhuryDepartment of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland.
Iryna PinchukResearch Institute of Psychiatry and Drug Abuse, Ministry of Health, Kiev, Ukraine.
Myron BelfarDepartment of Psychiatry, Harvard Medical School, Boston, USA.
Anthony GuerreroChild and Adolescent Psychiatry Division, University of Hawai'i at Mānoa John A. Burns School of Medicine, Honolulu, USA.
Lilya PanteleevaDepartment of Psychiatry, Kyrgyz-Russian Slavic University, Bishkek, Kyrgyzstan.
Norbert SkokauskasRegional Centre for Child and Youth Mental Health and Child Welfare, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundDespite the increasing burden of mental, neurological, and substance use (MNS) disorders, a significant treatment gap for these disorders continues to exist across the world, and especially in low- and middle-income countries. To bridge the treatment gap, the World Health Organization developed and launched the Mental Health Gap Action Programme (mhGAP) and the mhGAP Intervention Guide (mhGAP-IG) to help train non-specialists to deliver care. Although the mhGAP-IG has been used in more than 100 countries for in-service training, its implementation in pre-service training, that is, training prior to entering caregiver roles, is very limited. AIM OF THE STUDY: The aim of this study was to collect and present information about the global experience of academic institutions that have integrated WHO's mhGAP-IG into pre-service training.

methodsA descriptive cross-sectional study was conducted using an electronic questionnaire, from December 2018 to June 2019.

resultsAltogether, eleven academic institutions across nine countries (Mexico, Nigeria, Liberia, Sierra Leone, Somaliland, Armenia, Georgia, Ukraine and Kyrgyzstan) participated in this study. Five of the institutions have introduced the mhGAP-IG by revising existing curricula, three by developing new training programmes, and three have used both approaches. A lack of financial resources, a lack of support from institutional leadership, and resistance from some faculty members were the main obstacles to introducing this programme. Most of the institutions have used the mhGAP-IG to train medical students, while some have used it to train medical interns and residents (in neurology or family medicine) and nursing students. Use of the mhGAP-IG in pre-service training has led to improved knowledge and skills to manage mental health conditions. A majority of students and teaching instructors were highly satisfied with the mhGAP-IG.

conclusionsThis study, for the first time, has collected evidence about the use of WHO's mhGAP-IG in pre-service training in several countries. It demonstrates that the mhGAP-IG can be successfully implemented to train a future cadre of medical doctors and health nurses.

Indexed as

Medical educationMental disordersMental Health Gap Action Programme Intervention Guide (mhGAP-IG)Mental Health Gap Action Programme (mhGAP)Nursing educationPre-service trainingTreatment gapWorld Health Organization

Identifiers

PMID32612675
PMCPMC7325034

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.