Improving access to evidence-based interventions for trauma-exposed adults in low- and middle-income countries.


Journal

Journal of traumatic stress
ISSN: 1573-6598
Titre abrégé: J Trauma Stress
Pays: United States
ID NLM: 8809259

Informations de publication

Date de publication:
08 Mar 2024
Historique:
revised: 11 02 2024
received: 02 02 2024
accepted: 11 02 2024
medline: 9 3 2024
pubmed: 9 3 2024
entrez: 8 3 2024
Statut: aheadofprint

Résumé

In low- and middle-income countries (LMICs), the mental health consequences of trauma exposure pose a substantial personal, societal, and economic burden. Yet, the significant need for evidence-based mental health treatment remains largely unmet. To unlock the potential for mental health care for trauma survivors in lower-resource contexts, it is critical to map treatment barriers and identify strategies to improve access to evidence-based, culturally appropriate, and scalable interventions. This review, based on an International Society for Traumatic Stress (ISTSS) briefing paper, describes the treatment gap facing adults with traumatic stress in LMICs and identifies the barriers that contribute to this gap. We then highlight strategies for enhancing access to effective treatments for these populations, including task-sharing, the use of culturally adapted and multiproblem interventions, and digital tools to scale access to appropriate care. Finally, we offer recommendations for policymakers, researchers, and service providers to guide an agenda for action to close the treatment gap for trauma survivors in LMICs.

Identifiants

pubmed: 38459223
doi: 10.1002/jts.23031
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 International Society for Traumatic Stress Studies.

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Auteurs

Debra Kaminer (D)

Department of Psychology, University of Cape Town, Cape Town, South Africa.

Duane Booysen (D)

Department of Psychology, Rhodes University, Grahamstown, South Africa.

Kate Ellis (K)

Department of Psychology, American University in Cairo, New Cairo, Egypt.

Christian Haag Kristensen (CH)

School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.

Anushka R Patel (AR)

Department of Epidemiology, Harvard Chan School of Public Health, Boston, Massachusetts, USA.

Katy Robjant (K)

Department of Psychology, University of Konstanz, Konstanz, Germany.

Srishti Sardana (S)

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.

Classifications MeSH