Mark J D Jordans
Datos Biográficos
| ID | 181731 |
|---|---|
| NOMBRE | Mark J D Jordans |
| NOMBRES | Mark J D |
| APELLIDO | Jordans |
| FIRMA | JORDANS M J D |
| AFILIACIONES | King's College London |
| ORCID | 0000-0001-5925-8039 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 79 |
| TOTAL DE CITAS | 92 |
| TOTAL COMO AUTOR | 79 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2005 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 6 |
Adolescent advisory groups in the Alive study
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‘Sawa Aqwa’ (Stronger Together)
BACKGROUND: There are no evaluated family-based mental health and psychosocial support (MHPSS) interventions for adolescents in Southwest Asia (known as the Middle East), and few whole-family interventions in low- and middle-income countries, despite consistent evidence for the impact of family support on mental health and well-being. This study aims to evaluate the effectiveness of a brief family systemic mental health intervention, deliverable …
Development process of a context-specific instrument to measure children's sense of protection (PROTECT)
Violence against children (VAC) is a global problem, and the development of empirical methods to better understand its nature is a step towards tackling this challenge. Tools exist to collect data on VAC. Yet, to the best of our knowledge, no standardized process exists to develop a context-specific instrument that measures children's sense of protection. The primary aim of this paper is to present the steps followed to develop such an instrument…
A family-systemic intervention for mental health with refugees in Jordan
Forced displacement heightens mental health risks for children, including psychological, environmental and economic stressors, yet few interventions address whole-family needs within humanitarian contexts. Family-systemic approaches show promise, but evidence on interventions addressing social determinants of mental health remains limited. We will conduct a single-masked, two-arm randomised controlled trial with 550 families in East Amman, Jordan…
Health Action in ScHools for a Thriving Adolescent Generation (HASHTAG)
Schools play a crucial role in supporting adolescent mental health, especially in low- and middle-income countries (LMICs), where young people face structural and societal challenges. This study explores the feasibility and acceptability of the Health Action in Schools for a Thriving Adolescent Generation (HASHTAG), a multilevel intervention for at-risk adolescents aged 13–14 in South Africa. HASHTAG includes two components: thriving environment …
Treatment of depression by traditional faith healers in Nepal
This study explored the assessment and treatment practices of traditional faith healers for patients with depression, as well as their beliefs about the causes of depression, in Nepal. In-depth interviews were conducted using a narrative approach to allow participants to share their experiences and perspectives through storytelling. A vignette depicting a woman with depression symptoms was used to investigate traditional faith healers' beliefs ab…
Development and psychometric evaluation of the Brief Parenting Questionnaire
The BPQ is a brief culturally grounded self-report measure of parenting validated for use with Middle Eastern Arabic speaking parents. The data for this paper come from a pre-registered trial: ISRCTN33665023
Coping strategies among poverty-affected adolescents experiencing or at risk of depression and anxiety in Nepal
Adolescents employ various coping strategies to manage stress, which can impact their short and long-term mental health. Economically disadvantaged adolescents are more prone to developing maladaptive coping mechanisms due to the persistent stressors associated with poverty. In Nepal, there is a lack of research on how adolescents experiencing or at risk of depression and anxiety cope with adverse situations. This study aims to explore how adoles…
Facilitators and barriers to participation and scale-up of a non-specialist delivered psychological intervention for adolescents in low-resourced settings
Globally, the number of refugees and displaced individuals has surpassed 100 million for the first time in history. Refugees are more likely than non-refugee populations to experience psychological distress and develop mental disorders. Early Adolescent Skills for Emotion (EASE), developed by the World Health Organization, is a potentially scalable task-sharing intervention targeting symptoms of internalizing disorders such as depression and anxi…
Facilitators in treatment pathways for depression or anxiety among adults in Nepal
Treatment pathways for depression and anxiety disorders are complex, often involving multiple sessions with various service providers and a combination of services. It is crucial to improve healthcare providers' behavior, appointment scheduling, and consultation quality to encourage individuals to seek care. Raising awareness about mental health conditions and available services through different channels and training traditional healers in menta…
Assessment and management of suicidality in a mental health survey among poverty affected adolescents in Nepal
Overall, integrating suicidality measures in mental health surveys was found to be effective suicide assessment and preventive strategy for adolescents in Nepal. Developing suicide management protocols within mental health surveys is essential and feasible for real-time monitoring and response to suicidal behavior among at-risk populations in LMICs, including Nepal
Translation and Adaptation of the Child and Youth Resilience Measure-Revised and Rugged Resilience Measure
Resilience, the capacity to adapt positively in adversity, is a key protective factor for adolescent well-being, particularly for depression and anxiety, which are highly prevalent among adolescents in Nepal. Accurate measurement across cultural contexts is essential to identify at-risk adolescents and understand protective mechanisms. This study culturally adapted and evaluated the psychometric properties of the Child and Youth Resilience Measur…
I take a deep breath first”
Previous research shows that poverty can hinder the development of self-regulation skills, yet little is known about how individuals living in poverty experience self-regulation. This qualitative study aims to understand young people's experiences as they deploy self-regulation strategies and navigate interpersonal and contextual barriers associated with chronic scarcity. Adolescents (n = 29) aged 10-19 years living in low-income urban areas in B…
Data-driven supervision to optimize the effectiveness of proactive case detection for mental health care among children
This proof-of-concept study evaluated an optimization strategy for the Community Case Detection Tool (CCDT) aimed at improving community-level mental health detection and help-seeking among children aged 6–18 years. The optimization strategy, CCDT+, combined data-driven supervision with motivational interviewing techniques and behavioural nudges for community gatekeepers using the CCDT. This mixed-methods study was conducted from January to May 2…
Applying systems theory to global mental health
In recent years the evidence base for psychological interventions in low- and -middle-income countries (LMIC) has rapidly accrued, demonstrating that task-shifting models result in desired outcomes. Next, it is important to look at how this evidence translates into practice. In doing so, this paper argues that the field of global mental health might benefit from applying a system theory or system science perspective. Systems thinking aims to unde…
Development of a school-based programme for mental health promotion and prevention among adolescents in Nepal and South Africa
Introduction: Adolescence is a critical time for mental health promotion and prevention and establishing healthy behaviours. Implementing universal, school-based psychosocial interventions can improve short- and long-term health trajectories for adolescents. While these interventions may offer important opportunities for fostering skills and relationships, few school-based interventions have been developed for and tested in low- and middle-income…
Nurturing families
Armed conflict and forced displacement can significantly strain nurturing family environments, which are essential for child well-being. Yet, limited evidence exists on the effectiveness of family-systemic interventions in these contexts. We conducted a two-arm, single-masked, feasibility Randomised Controlled Trial (fRCT) of a whole-family intervention with Syrian, Iraqi and Jordanian families in Jordan. We aimed to determine the feasibility of …
Supporting parenting among Syrian refugees in Lebanon
The CSI reduced harsh parenting and caregiver distress, and demonstrated the value of addressing caregiver wellbeing as a pathway to strengthening parenting in adversity. These effects were achieved despite a pandemic-related lockdown that impacted implementation, a severe economic crisis, and widespread social unrest. Replication under less extreme conditions may more accurately demonstrate the intervention's full potential
Systematic review of strategies for improving attendance in health and mental health interventions for children and adolescents in LMICs
This review synthesises the evidence base for promoting and maintaining attendance in mental health and health interventions for children and adolescents in low- and middle-income countries (LMIC) and identifies strategies that can be employed for mental health interventions in those contexts. This is achieved through systematically searching relevant peer-reviewed literature in PubMed, Embase, PsychINFO and Global Health. Retrieved studies are s…
Experience of primary healthcare workers in using the mobile app-based WHO mhGAP intervention guide in detection and treatment of people with mental disorders
This study assessed perception and experience of trained primary health care workers in using a mobile app-based version of the WHO mental health gap action programme (mhGAP) Intervention Guide in the assessment and management of people with mental health conditions in primary care in Nepal. A qualitative study was conducted with primary healthcare workers who were trained in using the WHO mhGAP mobile application in Jhapa, a district in eastern …
Interventions to increase help-seeking for mental health care in low- and middle-income countries
Mental health problems are a significant and growing cause of morbidity worldwide. Despite the availability of evidence-based interventions, most people experiencing mental health problems remain untreated. This treatment gap is particularly large in low- and middle-income countries (LMIC) and is due to both supply-side and demand-side barriers. The aim of this systematic review is to identify and synthesise the evidence on interventions to impro…
Expanding mental health services in low- and middle-income countries
This paper proposes a framework for comprehensive, collaborative, and community-based care (C4) for accessible mental health services in low-resource settings. Because mental health conditions have many causes, this framework includes social, public health, wellness and clinical services. It accommodates integration of stand-alone mental health programs with health and non-health community-based services. It addresses gaps in previous models incl…
Development and functioning of the mobile app-based mh-GAP intervention guide in detection and treatment of people with mental health conditions in primary healthcare settings in Nepal
This paper describes the development process of a mobile app-based version of the World Health Organization mental health Gap Action Programme Intervention Guide, testing of the app prototypes, and its functionality in the assessment and management of people with mental health conditions in Nepal. Health workers' perception of feasibility and acceptability of using mobile technology in mental health care was assessed during the inspiration phase …
Worlds of Pain
This paper reports on a process evaluation conducted as part of a randomized controlled trial of the Caregiver Support Intervention (CSI), a nine-session preventive group psychosocial intervention, with Syrian refugees in Lebanon (n = 480, 240 families). Fifteen focus group discussions (FGDs) were conducted with 122 CSI participants (51% of participants in the intervention arm of the trial), including 63 female and 59 male caregivers. We analyzed…
School-based group interpersonal therapy for adolescents with depression in rural Nepal
School-based group IPT is feasible and acceptable in Nepal. Findings support progression to a randomised controlled trial to assess effectiveness and cost-effectiveness
Acceptability and feasibility of using non-specialist health workers to deliver mental health care
Three-quarters of the global mental health burden exists in low- and middle-income countries (LMICs), yet the lack of mental health services in resource-poor settings is striking. Task-sharing (also, task-shifting), where mental health care is provided by non-specialists, has been proposed to improve access to mental health care in LMICs. This multi-site qualitative study investigates the acceptability and feasibility of task-sharing mental healt…
Cultural Challenges to Psychosocial Counselling in Nepal
This article describes the way in which the practice of psychosocial counselling was adapted culturally to the context of Nepal within the Centre for Victims of Torture, Nepal (CVICT). After a brief description of the Nepali setting and CVICT's counselling and training approach and the relationship of its psychosocial counselling intervention with existing methods of dealing with psychosocial problems, the cultural challenges of implementing psyc…
Strengthening mental health system governance in six low- and middle-income countries in Africa and South Asia
Poor governance has been identified as a barrier to effective integration of mental health care in low- and middle-income countries. Governance includes providing the necessary policy and legislative framework to promote and protect the mental health of a population, as well as health system design and quality assurance to ensure optimal policy implementation. The aim of this study was to identify key governance challenges, needs and potential st…
Social Ecology of Child Soldiers
This study employed a social ecology framework to evaluate psychosocial well-being in a cross-sectional sample of 142 former child soldiers in Nepal. Outcome measures included the Depression Self Rating Scale (DSRS), Child Posttraumatic Stress Disorder Symptom Scale (CPSS), and locally developed measures of functional impairment and reintegration. Hierarchical linear modeling was used to examine the contribution of factors at multiple levels. At …
Reducing mental illness stigma in healthcare settings
Understanding resilience in armed conflict
Recruitment of child soldiers in Nepal
Preventing involuntary conscription and voluntary recruitment of youth into armed groups are global human rights priorities. Pathways for self-reported voluntary recruitment and the impact of voluntary recruitment on mental health have received limited attention. The objective of this study was to identify risk factors for voluntarily joining armed groups, as well as the association of conscription status and mental health. In Nepal, interviews w…
Practice-Driven Evaluation of a Multi-layered Psychosocial Care Package for Children in Areas of Armed Conflict
Psychosocial and mental health service delivery frameworks for children in low-income countries are scarce. This paper presents a practice-driven evaluation of a multi-layered community-based care package in Burundi, Indonesia, Sri Lanka and Sudan, through a set of indicators; (a) perceived treatment gains; (b) treatment satisfaction; (c) therapist burden; (d) access to care; (e) care package costs. Across four settings (n = 29,292 children), ben…
Treatment Processes of Counseling for Children in South Sudan
Emic perspectives on the impact of armed conflict on children’s mental health and psychosocial well-being
The ecocultural context and child behavior problems
Mental health interventions for children in adversity
The Development and Psychometric Properties of the Humanitarian Emergency Settings Perceived Needs (Hesper) Scale
Objectives. We developed the Humanitarian Emergency Settings Perceived Needs (HESPER) Scale, a valid and reliable scale to rapidly assess perceived needs of populations in humanitarian settings in low- and middle-income countries. Methods. We generated items through a literature review; reduced the number of items on the basis of a survey with humanitarian experts; pilot-tested the scale in Gaza, Jordan, Sudan, and the United Kingdom; and field-t…
Cultural Challenges to Psychosocial Counselling in Nepal
This article describes the way in which the practice of psychosocial counselling was adapted culturally to the context of Nepal within the Centre for Victims of Torture, Nepal (CVICT). After a brief description of the Nepali setting and CVICT's counselling and training approach and the relationship of its psychosocial counselling intervention with existing methods of dealing with psychosocial problems, the cultural challenges of implementing psyc…
Psychosocial Counselling in Nepal
The aims of this qualitative study were (1) to add to the understanding of the growing field of psychosocial counselling in Nepal, and (2) gather concrete points for improvement of services. Semi-structured interviews were conducted with clients (n = 34), para-professional counsellors (n = 26) and managers (n = 23) of organizations in which psychosocial counselling was taking place. The main findings were that stakeholders generally presented a p…
Paraprofessional Counselling within Asylum Seekers' Groups in the Netherlands
This article presents the application of a psychosocial care approach, which has been developed for and in a non-western context, within an asylum seekers' setting in the Netherlands. The project aimed to increase access to basic psychosocial care to a target population that experiences difficulties in entering mental healthcare services, by a group of trained peer asylum seekers and refugees. The development of an informal paraprofessional suppo…
Development and validation of the child psychosocial distress screener in Burundi
In non-Western countries, efficient and contextually valid methods of community screening are scarce. The present study describes the validation of a new, brief, 7-item multi-informant screener for conflict-affected children (Child Psychosocial Distress Screener; CPDS). To determine concurrent validity, the CPSD was administered to 65 children and their teachers. CPDS scores were compared with indication for psychosocial treatment based on an in-…
Brief Multi-Disciplinary Treatment for Torture Survivors in Nepal
Background: Little is known about the effectiveness of treatment for torture survivors in low-income settings. Multi-disciplinary treatment is an often used approach for this target group. Aims: This study was aimed at examining the effectiveness of brief multi-disciplinary treatment for torture survivors in Nepal. Methods: A naturalistic comparative design with help-seeking torture survivors and internally displaced persons assigned to a treatme…
Political violence and mental health
Practice-Driven Evaluation of a Multi-layered Psychosocial Care Package for Children in Areas of Armed Conflict
Psychosocial and mental health service delivery frameworks for children in low-income countries are scarce. This paper presents a practice-driven evaluation of a multi-layered community-based care package in Burundi, Indonesia, Sri Lanka and Sudan, through a set of indicators; (a) perceived treatment gains; (b) treatment satisfaction; (c) therapist burden; (d) access to care; (e) care package costs. Across four settings (n = 29,292 children), ben…
Social Ecology of Child Soldiers
This study employed a social ecology framework to evaluate psychosocial well-being in a cross-sectional sample of 142 former child soldiers in Nepal. Outcome measures included the Depression Self Rating Scale (DSRS), Child Posttraumatic Stress Disorder Symptom Scale (CPSS), and locally developed measures of functional impairment and reintegration. Hierarchical linear modeling was used to examine the contribution of factors at multiple levels. At …
Building capacity in mental health interventions in low resource countries
BACKGROUND: Recent global mental health research suggests that mental health interventions can be adapted for use across cultures and in low resource environments. As evidence for the feasibility and effectiveness of certain specific interventions begins to accumulate, guidelines are needed for how to train, supervise, and ideally sustain mental health treatment delivery by local providers in low- and middle-income countries (LMIC). MODEL AND CAS…
Validation of cross-cultural child mental health and psychosocial research instruments
BACKGROUND: The lack of culturally adapted and validated instruments for child mental health and psychosocial support in low and middle-income countries is a barrier to assessing prevalence of mental health problems, evaluating interventions, and determining program cost-effectiveness. Alternative procedures are needed to validate instruments in these settings. METHODS: Six criteria are proposed to evaluate cross-cultural validity of child mental…
Mental health interventions for children in adversity
Prime
The Policy Forum allows health policy makers around the world to discuss challenges and opportunities for improving
Reintegration of child soldiers in Burundi
The present study demonstrates promising reintegration trajectories of former child soldiers after participating in a support program
The Development and Psychometric Properties of the Humanitarian Emergency Settings Perceived Needs (Hesper) Scale
Objectives. We developed the Humanitarian Emergency Settings Perceived Needs (HESPER) Scale, a valid and reliable scale to rapidly assess perceived needs of populations in humanitarian settings in low- and middle-income countries. Methods. We generated items through a literature review; reduced the number of items on the basis of a survey with humanitarian experts; pilot-tested the scale in Gaza, Jordan, Sudan, and the United Kingdom; and field-t…
Potential treatment mechanisms of counseling for children in Burundi
Little is known about the impact and treatment processes of psychosocial counseling in low-income countries. This study aimed to generate hypotheses on key working mechanisms of counseling in Burundi. The authors carried out 11 empirically grounded n=1 studies with children (11-14years) screened for depression and anxiety who received counseling. The authors used quantitative (symptom scales) and qualitative instruments (treatment content and per…
Does combining infant stimulation with emergency feeding improve psychosocial outcomes for displaced mothers and babies? A controlled evaluation from Northern Uganda
Combined psychosocial and nutrition interventions improve the development of infants. However, there is a paucity of studies examining the effectiveness of such interventions in humanitarian settings. This article examines the impact of combining a group-based psychosocial intervention with an existing emergency feeding program for internally displaced mothers in Northern Uganda. The intervention consisted of mother and baby group sessions and ho…
Annual Research Review
Madness or sadness? Local concepts of mental illness in four conflict-affected African communities
Local conceptualizations have significant implications for the planning of mental-health interventions in resource-poor settings recovering from conflict. Treatment options for people suffering from severe mental disorders should be made available to people, preferably within general health care facilities. For people suffering from local syndromes characterized by loss or sadness, the primary aim for public mental health interventions would be t…
Treatment Processes of Counseling for Children in South Sudan
Challenges and Opportunities for Implementing Integrated Mental Health Care
BACKGROUND: Little is known about how to tailor implementation of mental health services in low- and middle-income countries (LMICs) to the diverse settings encountered within and between countries. In this paper we compare the baseline context, challenges and opportunities in districts in five LMICs (Ethiopia, India, Nepal, South Africa and Uganda) participating in the PRogramme for Improving Mental health carE (PRIME). The purpose was to inform…
Demand and access to mental health services
BACKGROUND: Nepal is experiencing a significant 'treatment gap' in mental health care. People with mental disorders do not always receive appropriate treatment due to a range of structural and individual issues, including stigma and poverty. The PRIME (Programme for Improving Mental Health Care) programme has developed a mental health care plan to address this issue in Nepal and four other low and middle income countries. This study aims to infor…
Acceptability and feasibility of using non-specialist health workers to deliver mental health care
Three-quarters of the global mental health burden exists in low- and middle-income countries (LMICs), yet the lack of mental health services in resource-poor settings is striking. Task-sharing (also, task-shifting), where mental health care is provided by non-specialists, has been proposed to improve access to mental health care in LMICs. This multi-site qualitative study investigates the acceptability and feasibility of task-sharing mental healt…
Understanding resilience in armed conflict
Therapist competence in global mental health
Lack of reliable and valid measures of therapist competence is a barrier to dissemination and implementation of psychological treatments in global mental health. We developed the ENhancing Assessment of Common Therapeutic factors (ENACT) rating scale for training and supervision across settings varied by culture and access to mental health resources. We employed a four-step process in Nepal: (1) Item generation: We extracted 1081 items (grouped i…
Designing mental health interventions informed by child development and human biology theory
The anthropological study of human biology, health, and child development provides a model with potential to address the gap in population‐wide mental health interventions. Four key concepts from human biology can inform public mental health interventions: life history theory and tradeoffs, redundancy and plurality of pathways, cascades and multiplier effects in biological systems, and proximate feedback systems. A public mental health interventi…
Medicine (55 obras) · Psychiatry (55 obras) · Mental health (52 obras) · Psychology (45 obras) · Mental Health Treatment and Access (36 obras) · Child and Adolescent Psychosocial and Emotional Development (33 obras) · Nursing (27 obras) · Clinical Psychology (25 obras) · Psychological intervention (25 obras) · Psychosocial (25 obras)