The
needs
of
people
with
severe
mental
illness
are
complex
and
require
a
range
services
embedded
in
well-coordinated
systems
care
to
enable
recovery,
promote
well-being
optimise
social
integration.
concept
recovery
is
strongly
rooted
the
centrality
multi
intersectoral
care,
and,
while
-intersectoral
dimensions
health
have
been
highlighted
analyses
focusing
on
high-income
regions,
little
has
elaborated
terms
these
approaches
(SMI)
low-
middle-income
countries
(LMICs).
aim
this
review
was
identify
describe
underpinning
community-based
SMI
interventions
LMICs.
A
scoping
carried
out
following
steps:
(1)
Objectives
for
were
developed
refined;
(2)
systematic
search
databases
(EbscoHost,
PubMed,
Google
Scholar)
previous
reviews
undertaken
from
2012
2022,
where
relevant
papers
identified;
(3)
Papers
focus
specific
description
an
intervention,
located
LMICs,
explicit
linkages
between
sectors,
published
English,
selected
inclusion;
(4)
Data
extracted
charted
(5)
Findings
analysed
reported
thematically.
Thirty-six
included
analysis,
18
countries,
including
qualitative
studies,
trials,
desktop
secondary
data
case
studies.
Examples
multi-
action
collaboration
healthcare
community
support
systems,
providing
supported
housing
supportive
spaces
biomedical
spheres
care.
Barriers
dominance
professions
delivering
stigmatising
attitudes
towards
SMI.
Multi-
requires
investments
financing,
education
coordination
by
governing
body.
BMC Health Services Research,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: Nov. 4, 2023
Mental
health
workers
(MHWs)
are
exposed
to
conflicts
of
competence
daily
when
performing
tasks
related
the
provision
mental
services.
This
may
be
linked
a
lack
understanding
their
as
caregivers
and
providers.
Furthermore,
in
most
low-income
settings,
it
is
unclear
how
available
services
organized
coordinated
provide
care.
To
understand
above,
this
study
aimed
identify
current
mix
for
care
urban
Democratic
Republic
Congo
(DRC).A
qualitative
descriptive
was
carried
out
Lubumbashi
from
February
April
2021.
We
conducted
7
focus
group
discussions
(FGDs)
with
74
key
informants
(family
members,
primary
physicians,
etc.)
13
in-depth
interviews
(IDIs)
(traditional
healers,
psychiatrists,
etc.).
performed
content
analysis,
guided
by
an
analytical
framework,
that
led
development
comprehensive
inventory
MHWs
household
level
specialized
facilities,
exploring
delivery,
identifying
existing
services,
defining
organization.Analysis
transcripts
FGDs
IDIs
showed
traditional
healers
family
leading
providers
Lubumbashi.
The
exploration
revealed
lifestyle,
therapies,
psychotherapy,
medication
main
types
offered/advised
patients.
Active
informal
do
not
currently
corresponding
competencies.
rare
specialists
presently
recognize
contribution
considered
marginal.
identified
five
services:
therapy
social
psychiatric
Analyses
pointed
inversion
ideal
these
services.Our
findings
show
suboptimal
point
clear
collaboration
between
MHWs.
There
urgent
need
clearly
define
MHWs,
build
capacity
nonspecialists,
shift
health-related
them,
raise
awareness
about
collaborative
approaches.
The
needs
of
people
with
severe
mental
illness
are
complex
and
require
a
range
services
embedded
in
well-coordinated
systems
care
to
enable
recovery,
promote
well-being
optimise
social
integration.
concept
recovery
is
strongly
rooted
the
centrality
multi
intersectoral
care,
and,
while
-intersectoral
dimensions
health
have
been
highlighted
analyses
focusing
on
high-income
regions,
little
has
elaborated
terms
these
approaches
(SMI)
low-
middle-income
countries
(LMICs).
aim
this
review
was
identify
describe
underpinning
community-based
SMI
interventions
LMICs.
A
scoping
carried
out
following
steps:
(1)
Objectives
for
were
developed
refined;
(2)
systematic
search
databases
(EbscoHost,
PubMed,
Google
Scholar)
previous
reviews
undertaken
from
2012
2022,
where
relevant
papers
identified;
(3)
Papers
focus
specific
description
an
intervention,
located
LMICs,
explicit
linkages
between
sectors,
published
English,
selected
inclusion;
(4)
Data
extracted
charted
(5)
Findings
analysed
reported
thematically.
Thirty-six
included
analysis,
18
countries,
including
qualitative
studies,
trials,
desktop
secondary
data
case
studies.
Examples
multi-
action
collaboration
healthcare
community
support
systems,
providing
supported
housing
supportive
spaces
biomedical
spheres
care.
Barriers
dominance
professions
delivering
stigmatising
attitudes
towards
SMI.
Multi-
requires
investments
financing,
education
coordination
by
governing
body.
The
needs
of
people
with
severe
mental
illness
are
complex
and
require
a
range
services
embedded
in
well-coordinated
systems
care
to
enable
recovery,
promote
well-being
optimise
social
integration.
concept
recovery
is
strongly
rooted
the
centrality
multi
intersectoral
care,
and,
while
-intersectoral
dimensions
health
have
been
highlighted
analyses
focusing
on
high-income
regions,
little
has
elaborated
terms
these
approaches
(SMI)
low-
middle-income
countries
(LMICs).
aim
this
review
was
identify
describe
underpinning
community-based
SMI
interventions
LMICs.
A
scoping
carried
out
following
steps:
(1)
Objectives
for
were
developed
refined;
(2)
systematic
search
databases
(EbscoHost,
PubMed,
Google
Scholar)
previous
reviews
undertaken
from
2012
2022,
where
relevant
papers
identified;
(3)
Papers
focus
specific
description
an
intervention,
located
LMICs,
explicit
linkages
between
sectors,
published
English,
selected
inclusion;
(4)
Data
extracted
charted
(5)
Findings
analysed
reported
thematically.
Thirty-six
included
analysis,
18
countries,
including
qualitative
studies,
trials,
desktop
secondary
data
case
studies.
Examples
multi-
action
collaboration
healthcare
community
support
systems,
providing
supported
housing
supportive
spaces
biomedical
spheres
care.
Barriers
dominance
professions
delivering
stigmatising
attitudes
towards
SMI.
Multi-
requires
investments
financing,
education
coordination
by
governing
body.
The
needs
of
people
with
severe
mental
illness
are
complex
and
require
a
range
services
embedded
in
well-coordinated
systems
care
to
enable
recovery,
promote
well-being
optimise
social
integration.
concept
recovery
is
strongly
rooted
the
centrality
multi
intersectoral
care,
and,
while
-intersectoral
dimensions
health
have
been
highlighted
analyses
focusing
on
high-income
regions,
little
has
elaborated
terms
these
approaches
(SMI)
low-
middle-income
countries
(LMICs).
aim
this
review
was
identify
describe
underpinning
community-based
SMI
interventions
LMICs.
A
scoping
carried
out
following
steps:
(1)
Objectives
for
were
developed
refined;
(2)
systematic
search
databases
(EbscoHost,
PubMed,
Google
Scholar)
previous
reviews
undertaken
from
2012
2022,
where
relevant
papers
identified;
(3)
Papers
focus
specific
description
an
intervention,
located
LMICs,
explicit
linkages
between
sectors,
published
English,
selected
inclusion;
(4)
Data
extracted
charted
(5)
Findings
analysed
reported
thematically.
Thirty-six
included
analysis,
18
countries,
including
qualitative
studies,
trials,
desktop
secondary
data
case
studies.
Examples
multi-
action
collaboration
healthcare
community
support
systems,
providing
supported
housing
supportive
spaces
biomedical
spheres
care.
Barriers
dominance
professions
delivering
stigmatising
attitudes
towards
SMI.
Multi-
requires
investments
financing,
education
coordination
by
governing
body.
The
needs
of
people
with
severe
mental
illness
are
complex
and
require
a
range
services
embedded
in
well-coordinated
systems
care
to
enable
recovery,
promote
well-being
optimise
social
integration.
concept
recovery
is
strongly
rooted
the
centrality
multi
intersectoral
care,
and,
while
-intersectoral
dimensions
health
have
been
highlighted
analyses
focusing
on
high-income
regions,
little
has
elaborated
terms
these
approaches
(SMI)
low-
middle-income
countries
(LMICs).
aim
this
review
was
identify
describe
underpinning
community-based
SMI
interventions
LMICs.
A
scoping
carried
out
following
steps:
(1)
Objectives
for
were
developed
refined;
(2)
systematic
search
databases
(EbscoHost,
PubMed,
Google
Scholar)
previous
reviews
undertaken
from
2012
2022,
where
relevant
papers
identified;
(3)
Papers
focus
specific
description
an
intervention,
located
LMICs,
explicit
linkages
between
sectors,
published
English,
selected
inclusion;
(4)
Data
extracted
charted
(5)
Findings
analysed
reported
thematically.
Thirty-six
included
analysis,
18
countries,
including
qualitative
studies,
trials,
desktop
secondary
data
case
studies.
Examples
multi-
action
collaboration
healthcare
community
support
systems,
providing
supported
housing
supportive
spaces
biomedical
spheres
care.
Barriers
dominance
professions
delivering
stigmatising
attitudes
towards
SMI.
Multi-
requires
investments
financing,
education
coordination
by
governing
body.
The
needs
of
people
with
severe
mental
illness
are
complex
and
require
a
range
services
embedded
in
well-coordinated
systems
care
to
enable
recovery,
promote
well-being
optimise
social
integration.
concept
recovery
is
strongly
rooted
the
centrality
multi
intersectoral
care,
and,
while
-intersectoral
dimensions
health
have
been
highlighted
analyses
focusing
on
high-income
regions,
little
has
elaborated
terms
these
approaches
(SMI)
low-
middle-income
countries
(LMICs).
aim
this
review
was
identify
describe
underpinning
community-based
SMI
interventions
LMICs.
A
scoping
carried
out
following
steps:
(1)
Objectives
for
were
developed
refined;
(2)
systematic
search
databases
(EbscoHost,
PubMed,
Google
Scholar)
previous
reviews
undertaken
from
2012
2022,
where
relevant
papers
identified;
(3)
Papers
focus
specific
description
an
intervention,
located
LMICs,
explicit
linkages
between
sectors,
published
English,
selected
inclusion;
(4)
Data
extracted
charted
(5)
Findings
analysed
reported
thematically.
Thirty-six
included
analysis,
18
countries,
including
qualitative
studies,
trials,
desktop
secondary
data
case
studies.
Examples
multi-
action
collaboration
healthcare
community
support
systems,
providing
supported
housing
supportive
spaces
biomedical
spheres
care.
Barriers
dominance
professions
delivering
stigmatising
attitudes
towards
SMI.
Multi-
requires
investments
financing,
education
coordination
by
governing
body.
The
needs
of
people
with
severe
mental
illness
are
complex
and
require
a
range
services
embedded
in
well-coordinated
systems
care
to
enable
recovery,
promote
well-being
optimise
social
integration.
concept
recovery
is
strongly
rooted
the
centrality
multi
intersectoral
care,
and,
while
-intersectoral
dimensions
health
have
been
highlighted
analyses
focusing
on
high-income
regions,
little
has
elaborated
terms
these
approaches
(SMI)
low-
middle-income
countries
(LMICs).
aim
this
review
was
identify
describe
underpinning
community-based
SMI
interventions
LMICs.
A
scoping
carried
out
following
steps:
(1)
Objectives
for
were
developed
refined;
(2)
systematic
search
databases
(EbscoHost,
PubMed,
Google
Scholar)
previous
reviews
undertaken
from
2012
2022,
where
relevant
papers
identified;
(3)
Papers
focus
specific
description
an
intervention,
located
LMICs,
explicit
linkages
between
sectors,
published
English,
selected
inclusion;
(4)
Data
extracted
charted
(5)
Findings
analysed
reported
thematically.
Thirty-six
included
analysis,
18
countries,
including
qualitative
studies,
trials,
desktop
secondary
data
case
studies.
Examples
multi-
action
collaboration
healthcare
community
support
systems,
providing
supported
housing
supportive
spaces
biomedical
spheres
care.
Barriers
dominance
professions
delivering
stigmatising
attitudes
towards
SMI.
Multi-
requires
investments
financing,
education
coordination
by
governing
body.
Research Square (Research Square),
Journal Year:
2023,
Volume and Issue:
unknown
Published: June 16, 2023
Abstract
Background:
Mental
health
workers
(MHWs)
may
be
exposed
to
conflicts
of
competencies
in
performing
tasks
related
mental
care
provision.
This
linked
a
lack
understanding
their
as
caregivers
and
providers.
Furthermore,
most
low-income
settings,
it
is
unclear
how
the
available
services
are
organized
coordinated
provide
care.
To
understand
above,
this
study
aimed
identify
current
mix
for
urban
Democratic
Republic
Congo
(DRC).
Methods:
A
qualitative
descriptive
was
carried
out
city
Lubumbashi
from
February
April
2021.
We
conducted
7
focus
group
discussions
(FGDs)
with
74
key
informants
(family
members,
primary
physicians,
etc.)
13
in-depth
interviews
(IDIs)
(traditional
healers,
psychiatrists,
etc.).
performed
content
analysis,
guided
by
an
analytical
framework,
that
led
development
comprehensive
inventory
MHWs
household
level
specialized
facilities,
exploring
delivery,
identifying
existing
services,
defining
organization.
Results:
Analysis
transcripts
FGDs
IDIs
showed
traditional
healers
family
main
providers
Lubumbashi.
The
exploration
revealed
lifestyle,
therapies,
psychotherapy
medication
types
offered/advised
patients.
Active
informal
do
not
currently
corresponding
competencies.
rare
specialists
presently
recognize
contribution
considered
marginal.
identified
five
services:
therapy
social
psychiatric
facilities.
Analyses
pointed
inversion
ideal
these
services.
Conclusions:
Our
findings
show
suboptimal
point
clear
collaboration
between
MHWs.
There
urgent
need
clearly
define
MHWs,
build
capacity
nonspecialists,
shift
health-related
them
raise
awareness
about
collaborative
approaches.
The
needs
of
people
with
severe
mental
illness
are
complex
and
require
a
range
services
embedded
in
well-coordinated
systems
care
to
enable
recovery,
promote
well-being
optimise
social
integration.
concept
recovery
is
strongly
rooted
the
centrality
multi
intersectoral
care,
and,
while
-intersectoral
dimensions
health
have
been
highlighted
analyses
focusing
on
high-income
regions,
little
has
elaborated
terms
these
approaches
(SMI)
low-
middle-income
countries
(LMICs).
aim
this
review
was
identify
describe
underpinning
community-based
SMI
interventions
LMICs.
A
scoping
carried
out
following
steps:
(1)
Objectives
for
were
developed
refined;
(2)
systematic
search
databases
(EbscoHost,
PubMed,
Google
Scholar)
previous
reviews
undertaken
from
2012
2022,
where
relevant
papers
identified;
(3)
Papers
focus
specific
description
an
intervention,
located
LMICs,
explicit
linkages
between
sectors,
published
English,
selected
inclusion;
(4)
Data
extracted
charted
(5)
Findings
analysed
reported
thematically.
Thirty-six
included
analysis,
18
countries,
including
qualitative
studies,
trials,
desktop
secondary
data
case
studies.
Examples
multi-
action
collaboration
healthcare
community
support
systems,
providing
supported
housing
supportive
spaces
biomedical
spheres
care.
Barriers
dominance
professions
delivering
stigmatising
attitudes
towards
SMI.
Multi-
requires
investments
financing,
education
coordination
by
governing
body.
The
needs
of
people
with
severe
mental
illness
are
complex
and
require
a
range
services
embedded
in
well-coordinated
systems
care
to
enable
recovery,
promote
well-being
optimise
social
integration.
concept
recovery
is
strongly
rooted
the
centrality
multi
intersectoral
care,
and,
while
-intersectoral
dimensions
health
have
been
highlighted
analyses
focusing
on
high-income
regions,
little
has
elaborated
terms
these
approaches
(SMI)
low-
middle-income
countries
(LMICs).
aim
this
review
was
identify
describe
underpinning
community-based
SMI
interventions
LMICs.
A
scoping
carried
out
following
steps:
(1)
Objectives
for
were
developed
refined;
(2)
systematic
search
databases
(EbscoHost,
PubMed,
Google
Scholar)
previous
reviews
undertaken
from
2012
2022,
where
relevant
papers
identified;
(3)
Papers
focus
specific
description
an
intervention,
located
LMICs,
explicit
linkages
between
sectors,
published
English,
selected
inclusion;
(4)
Data
extracted
charted
(5)
Findings
analysed
reported
thematically.
Thirty-six
included
analysis,
18
countries,
including
qualitative
studies,
trials,
desktop
secondary
data
case
studies.
Examples
multi-
action
collaboration
healthcare
community
support
systems,
providing
supported
housing
supportive
spaces
biomedical
spheres
care.
Barriers
dominance
professions
delivering
stigmatising
attitudes
towards
SMI.
Multi-
requires
investments
financing,
education
coordination
by
governing
body.