motivation of health workers to provide quality mental health services alongside an unreliable networking infrastructure (Patel et al., 2007b). To close the gap of unmet needs in LMIC, it is necessary to develop effective evidence-based interventions (EBIs) which are culturally appropriate and acceptable (Jordans et al., 2016). Problematically, interventions that do exist either lack robust evidence-base (Kohrt, 2013) or have been translated from high income countries (HIC) (Klasen & Crombag, 2013). Programmes targeting child mental health problems in LMIC should be planned in relevant and culturally appropriate ways (Jordan et al., 2016). To achieve this, it is necessary to first understand the strengths, barriers and relevant cultural issues from the local community perspective (Patel et al., 2010). When community stakeholders are engaged, even in difficult circumstances, it has been demonstrated that their concepts of mental health are not that incongruent from those western countries (Ahmed & Palermo, 2010); and that they tend to seek individual, family and community supports for their children ( et al., 2013). Such consultation has been found to be feasible and to enhance the validity of interventions and research findings (Bryan & Henry, 2012; Yamey, 2012). If both care and research are and client-driven, they are more likely to be acceptable to communities, thus resulting in evidence-based interventions in their sociocultural context that can also be sustainable. Research aims and context The rationale for this was to examine such stakeholders’ perspectives in a disadvantaged community in Kenya. The aims of this study were to: a) explore community stakeholders’ views on children’s mental health needs and culturally acceptable interventions in Kenya, and; b) to ascertain the most appropriate ways to integrate global service standards with a culturally-specific framework.
motivation of health workers to provide quality mental health services alongside an unreliable networking infrastructure (Patel et al., 2007b). To close the gap of unmet needs in LMIC, it is necessary to develop effective evidence-based interventions (EBIs) which are culturally appropriate and acceptable (Jordans et al., 2016). Problematically, interventions that do exist either lack robust evidence-base (Kohrt, 2013) or have been translated from high income countries (HIC) (Klasen & Crombag, 2013). Programmes targeting child mental health problems in LMIC should be planned in relevant and culturally appropriate ways (Jordan et al., 2016). To achieve this, it is necessary to first understand the strengths, barriers and relevant cultural issues from the local community perspective (Patel et al., 2010). When community stakeholders are engaged, even in difficult circumstances, it has been demonstrated that their concepts of mental health are not that incongruent from those western countries (Ahmed & Palermo, 2010); and that they tend to seek individual, family and community supports for their children ( et al., 2013). Such consultation has been found to be feasible and to enhance the validity of interventions and research findings (Bryan & Henry, 2012; Yamey, 2012). If both care and research are and client-driven, they are more likely to be acceptable to communities, thus resulting in evidence-based interventions in their sociocultural context that can also be sustainable. Research aims and context The rationale for this was to examine such stakeholders’ perspectives in a disadvantaged community in Kenya. The aims of this study were to: a) explore community stakeholders’ views on children’s mental health needs and culturally acceptable interventions in Kenya, and; b) to ascertain the most appropriate ways to integrate global service standards with a culturally-specific framework.
CAMH%20PAPER%20-%20FINAL%20-%20May%202017%20-%20REVISED.docx