ArticleBMJ open2023
Community mental health funding, stakeholder engagement and outcomes: a realist synthesis.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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
7 citing papers in PubMed.
- Integrating Mental Health Services into Primary Care Settings: A Multiple Case Study of Congolese Experiences Testing the Feasibility of the WHO's Mental Health Gap Action Programme.International journal of environmental research and public health · 2025Article
- Barriers and Facilitators to Mental Health Service Integration: A Scoping Review.International journal of mental health nursing · 2025Article
- Defying risk: moving from resilience to the capacity to adapt, a contribution to mental health prevention.Frontiers in psychology · 2025Article
- Perceptions of psychiatric-trained nurses on integrating mental health into primary health care in Africa.Health SA = SA Gesondheid · 2025Review
- Social domains of poor mental health: A qualitative pilot study of community stakeholders' understanding and demarcation of mental illness and its interpretations in rural Nigeria.Health science reports · 2024Article
- Recovery-supportive interventions for people with substance use disorders: a scoping review.Frontiers in psychiatry · 2024Article
- Situational vulnerability within mental healthcare - a qualitative analysis of ethical challenges during the COVID-19 pandemic.BMC medical ethics · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Mental health services continues to be a high priority for healthcare and social service systems. Funding structures within community mental health settings have shown to impact service providers' behaviour and practices. Additionally, stakeholder engagement is suggested as an important mechanism to achieving the intended goals. However, the literature on community mental health funding reform and associated outcomes is inconsistent and there are no consistent best practices for stakeholder engagement in such efforts.
objectivesThis study sought to understand how stakeholder engagement impacts outcomes when there is a change in public funding within community mental health settings.
designA realist synthesis approach was used to address the research question to fully understand the role of stakeholder engagement as a mechanism in achieving outcomes (system and service user) in the context of community mental health service reform. An iterative process was used to identify programme theories and context-mechanism-outcome configurations within the literature.
resultsFindings highlight that in the absence of stakeholder engagement, funding changes may lead to negative outcomes. When stakeholders were engaged in some form, funding changes were more often associated with positive outcomes. Stakeholder engagement is multifaceted and requires considerable time and investment to support achieving intended outcomes when funding changes are implemented.
conclusionsTo support successful transformation of community mental health programmes, it is important that stakeholders are meaningfully engaged during funding allocation changes. Stakeholder engagement may entail connecting around a shared purpose, individual participation and meaningful interactions and dialogue.
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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.