Brandon Kohrt|Laura Asher|Anvita Bhardwaj|Mina Fazel|Mark J. D. Jordans|Byamah B Mutamba|Abhijit Nadkarni|Gloria A. Pedersen|Daisy R. Singla|Vikram Patel
The Role of Communities in Mental Health Care in Low- and Middle-Income Countries: A Meta-Review of Components and Competencies
George Washington University|University of Nottingham|George Washington University|University of Oxford|War Child|King's College London|Butabika Hospital|King's College London|Sangath|George Washington University|Sinai Health System|University of Toronto|Sangath|Harvard Global Health Institute|Harvard University
communitybased mental health services emphasized world health organizationrsquos mental health action plan world bankrsquos disease control priorities action plan world psychiatric association increasing evidence effectiveness mental health interventions delivered nonspecialists community platforms low middleincome countries lmic however role community components yet summarized objective map community interventions lmic identify competencies communitybased providers highlight research gaps using reviewofreviews strategy identified 23 reviews narrative synthesis motivations employ community components included greater accessibility acceptability compared healthcare facilities greater clinical effectiveness ongoing contact use trusted local providers family involvement economic benefits locations included homes schools refugee camps well technologyaided delivery activities included awareness raising psychoeducation skills training rehabilitation psychological treatments substantial variation degree community components integrated primary care services addressing gaps current practice require assuring collaboration service users utilizing implementation science methods creating tools facilitate community services evaluate competencies providers developing standardized reporting communitybased programs