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

Autor: Kaminer D; Department of Psychology, University of Cape Town, Cape Town, South Africa., Booysen D; Department of Psychology, Rhodes University, Grahamstown, South Africa., Ellis K; Department of Psychology, American University in Cairo, New Cairo, Egypt., Kristensen CH; School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil., Patel AR; Department of Epidemiology, Harvard Chan School of Public Health, Boston, Massachusetts, USA., Robjant K; Department of Psychology, University of Konstanz, Konstanz, Germany., Sardana S; Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Jazyk: angličtina
Zdroj: Journal of traumatic stress [J Trauma Stress] 2024 Aug; Vol. 37 (4), pp. 563-573. Date of Electronic Publication: 2024 Mar 08.
DOI: 10.1002/jts.23031
Abstrakt: 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.
(© 2024 International Society for Traumatic Stress Studies.)
Databáze: MEDLINE
Externí odkaz: