Supporting community-based mental health initiatives: insights from a multi-country programme and recommendations for funders.
health systems
mental health & psychiatry
public health
qualitative study
Journal
BMJ global health
ISSN: 2059-7908
Titre abrégé: BMJ Glob Health
Pays: England
ID NLM: 101685275
Informations de publication
Date de publication:
05 2022
05 2022
Historique:
received:
01
03
2022
accepted:
13
04
2022
entrez:
10
5
2022
pubmed:
11
5
2022
medline:
14
5
2022
Statut:
ppublish
Résumé
Community-based mental health initiatives are uniquely positioned to understand the mental health needs of their local population and provide relevant, culturally appropriate and sustainable responses. However, at the grassroots level, mental health initiatives in low- and middle-income countries face key challenges, such as inadequate funding, barriers to demonstrating impact and difficulty engaging with stakeholders. The Ember Mental Health programme establishes 12-month partnerships with community-based mental health initiatives in low- and middle-income countries to support them to address these challenges, grow and achieve sustainability. This paper outlines a longitudinal qualitative study conducted to evaluate the 2020-2021 Ember Mental Health programme. Data were collected from March 2020 to March 2021 through semistructured interviews conducted with 11 initiatives at various time points throughout their Ember Mental Health partnership. A framework approach was used to analyse all data in its original language. Findings indicated that initiatives particularly benefited from provision of side-by-side mentorship; opportunities for skills strengthening and strategic thinking; occasions to network with other like-minded initiatives and/or experts in global mental health; and support on team empowerment and well-being. Based on these findings, we put forward various recommendations for funders and other stakeholders working to support community-based mental health initiatives in low- and middle-income countries. Through establishing collaborative partnerships that challenge more top-down, traditional funder-grantee relationships, it is possible to support the rich ecosystem of initiatives working to address the mental health needs of communities.
Identifiants
pubmed: 35537763
pii: bmjgh-2022-008906
doi: 10.1136/bmjgh-2022-008906
pmc: PMC9092131
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Brain Behav Immun. 2020 Oct;89:531-542
pubmed: 32485289
Int J Ment Health Syst. 2021 Feb 27;15(1):18
pubmed: 33640004
Glob Ment Health (Camb). 2020 May 06;7:e9
pubmed: 32742667
Lancet Psychiatry. 2021 Jul;8(7):630-638
pubmed: 33826925
Lancet Psychiatry. 2021 Jun;8(6):461-462
pubmed: 34023015
PLoS One. 2017 Jan 3;12(1):e0169384
pubmed: 28046059
Cochrane Database Syst Rev. 2013 Nov 19;(11):CD009149
pubmed: 24249541
Lancet. 2007 Sep 8;370(9590):878-89
pubmed: 17804062
J Telemed Telecare. 2012 Oct;18(7):399-403
pubmed: 23034933
Health Policy Plan. 2017 Jun 1;32(5):699-709
pubmed: 28369396
Transcult Psychiatry. 2012 Jul;49(3-4):379-95
pubmed: 23008350
Int J Ment Health Syst. 2021 Jan 24;15(1):14
pubmed: 33487170
Am J Orthopsychiatry. 2020;90(3):374-390
pubmed: 31999138
Lancet Psychiatry. 2021 Mar;8(3):171-172
pubmed: 33242399
BMC Med Res Methodol. 2013 Sep 18;13:117
pubmed: 24047204
Lancet Psychiatry. 2020 Feb;7(2):118-119
pubmed: 31653556
J Am Med Inform Assoc. 2017 Mar 1;24(2):352-360
pubmed: 27474102
Int J Ment Health Syst. 2021 Apr 3;15(1):30
pubmed: 33812375
Lancet Psychiatry. 2020 Jun;7(6):547-560
pubmed: 32304649
Soc Sci Med. 2010 Aug;71(3):517-528
pubmed: 20621748
Lancet. 2011 Nov 5;378(9803):1654-63
pubmed: 22008420
Psychiatry Res. 2020 Nov;293:113441
pubmed: 32898840
Int Rev Psychiatry. 2014 Aug;26(4):392-407
pubmed: 25137105
Front Public Health. 2021 May 07;9:679397
pubmed: 34026720