ArticleEpidemiology and psychiatric sciences2020
Scaling up mental health care and psychosocial support in low-resource settings: a roadmap to impact.
Article in Epidemiology and psychiatric sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementation outcomes of the WHO psychosocial intervention problem management plus in humanitarian settings: a systematic review.Epidemiology and psychiatric sciences · 2026Pooled it
- Community-based mental health and well-being interventions for older adults in low- and middle-income countries: a systematic review and meta-analysis.BMC geriatrics · 2022Pooled it
- 'Sawa Aqwa' (Stronger Together): A multi-site randomized controlled trial of a brief family systemic intervention for adolescent mental health in Lebanon.Journal of child psychology and psychiatry, and allied disciplines · 2026Trial
- An App-Based WHO Mental Health Guide for Depression Detection: A Cluster Randomized Clinical Trial.JAMA network open · 2025Trial
- Evaluation of competency-driven training for facilitators delivering a psychological intervention for children in Lebanon: a proof-of-concept study.Epidemiology and psychiatric sciences · 2022Trial
- Effectiveness of Group Problem Management Plus, a brief psychological intervention for adults affected by humanitarian disasters in Nepal: A cluster randomized controlled trial.PLoS medicine · 2021Trial
- The CARE implementation study: scaling group-based psychoeducational trauma therapy across healthcare organizations in Canada.European journal of psychotraumatology · 2026Article
- Applying cultural psychiatry to non-pharmacological interventions.BJPsych open · 2026Article
- Scaling up an integrated primary mental health screening programme in South Africa through co-development and continuous quality improvement.BMC primary care · 2026Article
- Increasing school attendance and retention in refugee settings: Participatory development of the SchoolLinks intervention.PloS one · 2026Article
- PS-SAM: A Mixed Methods Study to Understand Current Practice and the Facilitators and Barriers to the Utilisation of Psycho-Social Stimulation Interventions in Severe Acute Malnutrition.Maternal & child nutrition · 2026Article
- Predictors of caregiver support intervention outcomes for refugees in Jordan: a three-path mediational study.Child and adolescent psychiatry and mental health · 2025Article
- Stress, Anxiety, and Self-Efficacy in Hypertension: Evidence from a Romanian Case-Control Study.Diseases (Basel, Switzerland) · 2025Article
- Multi-sector determinants of implementation and sustainment for non-specialist treatment of depression and post-traumatic stress disorder in Kenya: a concept mapping study.Implementation science communications · 2025Article
- Self-harm and suicide prevention in humanitarian and fragile contexts: A systematic scoping review.Global mental health (Cambridge, England) · 2025Review
- Addressing the burden of violence on global mental health: contributions of Narrative Exposure Therapy across different health systems.Cadernos de saude publica · 2025Article
- Competency-based training and supervision: development of the WHO-UNICEF Ensuring Quality in Psychosocial and Mental Health Care (EQUIP) initiative.The lancet. Psychiatry · 2025Article
- Data-driven supervision to optimize the effectiveness of proactive case detection for mental health care among children: a proof-of-concept study.Global mental health (Cambridge, England) · 2025Article
- Applying systems theory to global mental health.Global mental health (Cambridge, England) · 2025Article
- Piloting competency assessments for an evidence-based brief psychological intervention with Arabic-speaking non-specialists in Switzerland.Global mental health (Cambridge, England) · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
aimsDespite recent global attention to mental health and psychosocial support services and a growing body of evidence-support interventions, few mental health services have been established at a regional or national scale in low- and middle-income countries (LMIC). There are myriad challenges and barriers ranging from testing interventions that do not target priority needs of populations or policymakers to interventions that cannot achieve adequate coverage to decrease the treatment gap in LMIC.
methodWe propose a 'roadmap to impact' process that guides planning for interventions to move from the research space to the implementation space.
resultsWe establish four criteria and nine associated indicators that can be evaluated in low-resource settings to foster the greatest likelihood of successfully scaling mental health and psychosocial interventions. The criteria are relevance (indicators: population need, cultural and contextual fit), effectiveness (change in mental health outcome, change in hypothesised mechanism of action), quality (adherence, competence, attendance) and feasibility (coverage, cost). In the research space, relevance and effectiveness need to be established before moving into the implementation space. In the implementation space, ongoing monitoring of quality and feasibility is required to achieve and maintain a positive public health impact. Ultimately, a database or repository needs to be developed with these criteria and indicators to help researchers establish and monitor minimum benchmarks for the indicators, and for policymakers and practitioners to be able to select what interventions will be most likely to succeed in their settings.
conclusionA practicable roadmap with a sequence of measurable indicators is an important step to delivering interventions at scale and reducing the mental health treatment gap around the world.
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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.