TY - JOUR
T1 - Implementing evidence-based mental health care in low-resource settings
T2 - A focus on safety planning procedures
AU - Murray, Laura K.
AU - Skavenski, Stephanie
AU - Bass, Judith
AU - Wilcox, Holly
AU - Bolton, Paul
AU - Imasiku, Mwiya
AU - Mayeya, John
N1 - Publisher Copyright:
© 2014 Springer Publishing Company.
PY - 2014
Y1 - 2014
N2 - Despite advances in global mental health evidence and policy recommendations, the uptake of evidence-based practices (EBP) in low-and middle-income countries has been slow. Lower resource settings have several challenges, such as limited trained personnel, lack of government resources set aside for mental health, poorly developed mental health systems, and inadequate child protection services. Given these inherent challenges, a possible barrier to implementation of EBP is how to handle safety risks such as suicide, intimate partner violence (IPV), and/or abuse. Safety issues are prevalent in populations with mental health problems and often overlooked and/or underreported. This article briefly reviews common safety issues such as suicide, IPV, and child abuse and proposes the use of certain implementation strategies which could be helpful in creating locally appropriate safety protocols. This article lays out steps and examples of how to create a safety protocol and describes and presents data on safety cases from three different studies. Discussion includes specific challenges and future directions, focusing on implementation.
AB - Despite advances in global mental health evidence and policy recommendations, the uptake of evidence-based practices (EBP) in low-and middle-income countries has been slow. Lower resource settings have several challenges, such as limited trained personnel, lack of government resources set aside for mental health, poorly developed mental health systems, and inadequate child protection services. Given these inherent challenges, a possible barrier to implementation of EBP is how to handle safety risks such as suicide, intimate partner violence (IPV), and/or abuse. Safety issues are prevalent in populations with mental health problems and often overlooked and/or underreported. This article briefly reviews common safety issues such as suicide, IPV, and child abuse and proposes the use of certain implementation strategies which could be helpful in creating locally appropriate safety protocols. This article lays out steps and examples of how to create a safety protocol and describes and presents data on safety cases from three different studies. Discussion includes specific challenges and future directions, focusing on implementation.
KW - Abuse
KW - Global mental health
KW - Implementation
KW - Low-resource settings
KW - Suicide
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U2 - 10.1891/0889-8391.28.3.168
DO - 10.1891/0889-8391.28.3.168
M3 - Article
AN - SCOPUS:84929574298
SN - 0889-8391
VL - 28
SP - 168
EP - 185
JO - Journal of Cognitive Psychotherapy
JF - Journal of Cognitive Psychotherapy
IS - 3
ER -