Mental health Gap Action Programme Intervention Guide (mhGAP-IG) for child and adolescent Mental Health in Low- and Middle-Income Countries (LMIC): A systematic review

Marta Petagna, Charles Marley, Cristóbal Guerra, Clara Calia, Corinne Reid

Research output: Contribution to journalArticlepeer-review

Abstract

Background
The Mental Health Gap Action Programme (mhGAP) supports engagement of non-specialists in mental health services in Low- and Middle-Income countries. Given this aim, assessment of the effectiveness of approaches under its remit is warranted.

Aims
We evaluated mhGAP approaches relating to child and adolescent mental health, focusing on provider / child outcomes, and barriers / facilitators of implementation.

Methods
Thirteen databases were searched for reviews and primary research on mhGAP roll out for child and adolescent mental health.

Results
Twelve studies were reviewed. Provider-level outcomes were restricted to knowledge gains, with limited evidence of other effects. Child-level outcomes included improved access to care, enhanced functioning and socio-emotional well-being. Organisational factors, clients and providers? attitudes and expectations, and transcultural considerations were barriers.

Conclusions
Further attention to the practical and methodological aspects of implementation of evaluation may improve the quality of evidence of the effectiveness of approaches under its remit.
Original languageEnglish
JournalCommunity Mental Health Journal
Early online date29 Apr 2022
DOIs
Publication statusPublished - 17 May 2022

Keywords

  • global mental health
  • mhGAP
  • mhGAP-IG
  • child and adolescent mental health
  • LMIC

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