Evidence map›Paper›PMID 42136936›Full record

ReviewFrontiers in health services2026

Strengthening the quality and safety of community mental health care for children and young people: a critical review of innovations from low- and middle-income countries.

Eleanor Chatburn, Charmaine Natasha Nyakonda, Lars Dumke, Jennifer Hall, Jean Anne Heng, Joseph Kalisa, Rob Kidney, Elewani Charity Mamathuba, Shobhana Nagraj, Nicholas Pang and 2 more

Abstract readReview
In one paragraph

Review in Frontiers in health services, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Eleanor ChatburnCentre for Child, Adolescent and Family Research, Department of Psychology, University of Cambridge, Cambridge, United Kingdom.
Charmaine Natasha NyakondaGrassroot Soccer (GRS), Hanover, NH, United States.
Lars DumkeWHO Office on Quality of Care and Patient Safety Office, Athens, Greece.
Jennifer HallWHO Office on Quality of Care and Patient Safety Office in Athens, WHO Regional Office for Europe, Athens, Greece.
Jean Anne HengCentre for Child, Adolescent and Family Research, Department of Psychology, University of Cambridge, Cambridge, United Kingdom.
Joseph KalisaCentre for Mental Health, University of Rwanda, Kigali, Rwanda.
Rob KidneyStavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health at the Child Mind Institute, New York, NY, United States.
Elewani Charity MamathubaIndependent, Gauteng, South Africa.
Shobhana NagrajDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
Nicholas PangFaculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia.
Giovanni SalumStavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health at the Child Mind Institute, New York, NY, United States.
Faith MartinDepartment of Psychology, University of Bath, Bath, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improving the quality and safety of community mental health care for children and young people (CYP) is a global public health priority. Mental health problems affect 10%-20% of CYP globally. While many high and low- and middle-income countries (LMICs) face significant structural barriers to accessing safe, person-centred mental health services, there have been innovative developments in service delivery emerging from low resource settings that are pertinent to address quality and safety of CYP mental health services globally. In this paper, we critically review emerging evidence from these contexts to highlight best practices and innovations. We focus on six key domains: task-sharing with non-specialists including peer and near-peer approaches; socio-economic interventions; alternative models of access; advances in routine outcome measurement; developing quality standards; and digital interventions. Through three case studies from Malaysia, Rwanda, and South Africa and other contexts within Sub Saharan Africa and high-income countries (HICs), we demonstrate how locally responsive, contextually appropriate solutions can strengthen mental health services in community settings. We argue for reciprocal co-production in global mental health, positioning LMICs as sources of innovation rather than passive recipients of external expertise. We conclude by discussing how these innovations offer transferable lessons for all contexts and identifying pathways to support their sustainability and scalability.

Indexed as

alternative models of accesschild and youth mental healthdeveloping quality standardsglobal mental healthpeer and near-peer approachessocio-economic interventionstask-sharing

Identifiers

PMID42136936
PMCPMC13168150

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.