ArticleBMC health services research2023
Scaling-up problem management plus for refugees in Switzerland - a qualitative study.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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
13 citing papers in PubMed, 17 citations in OpenAlex.
- Self-care strategies among Arabic-speaking refugees and the Australian Mental Health Stepped Care Model: a Delphi consensus study.BMC health services research · 2026Article
- Culturally Adapted Mental Health Education Programs for Migrant Populations: A Scoping Review.International journal of environmental research and public health · 2026Article
- Determinants of WHO's Problem Management Plus (PM+) uptake within health and integration sectors in Switzerland: a qualitative study.BMJ public health · 2026Article
- Advancing mental health equity: a community-based adaptation of problem management plus (PM+) on a mobile health clinic.Frontiers in public health · 2026Article
- Facilitators and barriers to participation and scale-up of a non-specialist delivered psychological intervention for adolescents in low-resourced settings: a process evaluation.BMC public health · 2025Article
- Piloting competency assessments for an evidence-based brief psychological intervention with Arabic-speaking non-specialists in Switzerland.Global mental health (Cambridge, England) · 2025Article
- A qualitative process evaluation of group problem management plus for distressed Syrian refugees in Türkiye.Global mental health (Cambridge, England) · 2025Article
- Mental health trajectories and peer refugee helper engagement, among Afghan, Iranian and Syrian refugees and asylum seekers in Greece.Global mental health (Cambridge, England) · 2025Article
- A scoping review of the literature on the application and usefulness of the Problem Management Plus (PM+) intervention around the world.BJPsych open · 2024Article
- The impact of task-sharing scalable mental health interventions on non-specialist providers: a scoping review.Global mental health (Cambridge, England) · 2024Article
- Comparing implementation strategies for training and supervising nonspecialists in Group Problem Management Plus: A hybrid effectiveness-implementation trial in Colombia.Global mental health (Cambridge, England) · 2024Article
- Health system responsiveness to the mental health needs of Syrian refugees: mixed-methods rapid appraisals in eight host countries in Europe and the Middle East.Open research Europe · 2023Article
- Process Evaluations for the Scale-Up of Complex Interventions - a Scoping Review.International journal of integrated careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRefugees are at an increased risk of developing symptoms of mental disorders but face various structural and socio-cultural barriers to accessing mental health care. The SPIRIT project (Scaling-up Psychological Interventions in Refugees In SwiTzerland) seeks to promote the resilience of refugees and improve their access to mental health care. For this purpose, Problem Management Plus (PM+), an evidence-based low-intensity psychological intervention delivered by trained non-specialist "helpers", is being scaled-up in Switzerland.
objectiveTo identify factors influencing the process of the large-scale implementation of PM + for refugees in Switzerland and to develop recommendations to guide the implementation process.
methods22 semi-structured interviews were conducted with key informants (Syrian refugees who previously participated in PM+, PM + helpers, health professionals working with refugees and decision-makers from the migration, integration, social, and health sectors). The data were analyzed using thematic analysis, combining an inductive and deductive approach.
resultsThe data revealed three major themes, which might have an impact for the longer-term implementation of PM + in Switzerland. First, preconditions for successful integration in the health system prior to scaling-up such as sustainable funding or the introduction of a stepped care approach. Second, the requirements for the PM + intervention supporting scale-up such as quality control during PM + delivery, PM + modality, time and setting when PM + is offered or the views on task sharing. Third, the perceived benefits of scaling-up PM + in Switzerland.
conclusionsOur results have shown that PM + must be scaled-up within a stepped care approach, including a functioning triage system and sustainable funding. Rather than selecting one modality or setting, it seemed preferable to offer a variety of formats and settings to achieve maximum reach and benefits. A successful scale-up of PM + in Switzerland might have various benefits. Communicating them to policy-makers and health providers, might enhance their acceptability of the intervention and their willingness to adopt PM + in regulatory structure and promote it.
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.