Kaaren Mathias
Dados Biográficos
| ID | 222375 |
|---|---|
| NOME | Kaaren Mathias |
| PRENOMES | Kaaren |
| SOBRENOME | Mathias |
| ASSINATURA | MATHIAS K |
| AFILIAÇÕES | University of Canterbury |
| ORCID | 0000-0002-9607-9459 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAÇÕES | 17 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2009 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
‘She Got Me Through the Toughest Times
Introduction In a context of eroding trust in health care, understanding high‐quality relationships between health care providers and service users is important. Engaged relationships are linked to greater engagement in therapy, increased access and utilisation of services and improved outcomes. This study aimed to examine how unregulated health workers (kaimahi) develop and sustain high‐quality relationships with whānau (families) in three effec…
Nurturing transformative participation
The importance of involving people with lived experiences of mental health difficulties and the communities they inhabit, in interventions for them is now widely recognised. However, there is a lack of scrutiny around the theory and practice of how - and to what extent - participation occurs in global mental health interventions. The aim of this review was to examine existing literature and consult with community groups in low and middle income s…
Effectiveness of a resilience, gender equity and mental health group intervention for young people living in informal urban communities in North India
BACKGROUND: Mental health problems are the leading cause of disease burden among young people in India. While evidence shows that youth mental health and resilience can be improved with group interventions in school settings, such an intervention has not been robustly evaluated in informal urban settings. OBJECTIVE: This study aimed to evaluate whether the Nae Disha 3 group intervention could improve youth resilience, mental health and gender equ…
How Do Psychosocial Support Groups in North India Support Collective Action for Mental Health? A Qualitative Study Using a Caring Methodology
In resource‐poor settings in South Asia, there are many informal assets in communities that support mental health. Using participatory approaches and a ‘caring methodology’ we aimed to examine whether women's psychosocial support groups improved mental health knowledge, safe social spaces, and collective action. We also hoped to act collectively for mental health through the project and to reflexively consider how this methodology cared for parti…
(Wl-1355)-Neeche jana – Going down from Lahaul to Kullu
A couple travel by bicycle through Zanskar, Ladakh and Lahaul for four weeks in October 2024. They spend time with a roadworker crew from Jharkhand preparing to go down (‘neeche jana’) home for Diwali and the winter. They talk to a couple they have known for 15 years living in a high-up village in Lahaul. For the first time in recent memory, everyone in that village also ‘neeche ja rahe hai’ (is going down to Kullu for the winter. ‘Neeche jana’ i…
An observational study of intergenerational sex differences in mortality in Aotearoa New Zealand
Internationally, there are observable sex differentials in mortality in many countries, most notably in affluent countries, with women living longer than men. To understand if this is also the case in Aotearoa New Zealand (NZ), we visualise the precise nature and evolution of sex differentials in mortality by age over time, within a wider context of increasing life expectancy and falling mortality. This allows us to determine if NZ mirrors other …
Inverting the deficit model in global mental health
Global mental health [GMH] scholarship and practice has typically focused on the unmet needs and barriers to mental health in communities, developing biomedical and psychosocial interventions for integration into formal health care platforms in response. In this article, we analyse four diverse settings to disrupt the emphasises on health system weaknesses, treatment gaps and barriers which can perpetuate harmful hierarchies and colonial and medi…
Developing Effective Community Collaborations
There is widespread and growing support and requirement for researchers and larger organisations to collaborate with communities. This ensures that social, educational, or health programmes are relevant and acceptable and address the needs of groups that experience inequity. There is limited research about the processes and approaches that impact successful collaboration. The aim of this study was to identify the best‐practice processes used to d…
Developing relevant community mental health programmes in North India
Knowledge co-production can improve the quality and accessibility of health, and also benefit service users, allowing them to be recognised as skilled and capable. Yet despite these clear benefits, there are inherent challenges in the power relations of co-production, particularly when experts by experience (EBE) are structurally disadvantaged in communication skills or literacy. The processes of how knowledge is co-produced and negotiated are se…
What innovative practices and processes are used to deliver psychosocial care in India? A qualitative case study of three non-profit community mental health organisations
The global mental health field seeks to close the “treatment gap” for mental illness in low-and middle-income countries by scaling evidence-based interventions. The evidence base has often bypassed psychosocial interventions by local organizations who do not fit a biomedical approach to evidence building. In India, non-profit mental health organizations are addressing care gaps through novel approaches that emphasize social recovery and inclusion…
Improving mental ill-health with psycho-social group interventions in South Asia–A scoping review using a realist lens
This scoping review aimed to synthesise current evidence related to psycho-social groups as part of community-based mental health interventions in South Asia. We used a realist lens to pay attention to the contexts and mechanisms supporting positive outcomes. We included studies published from January 2007 to February 2022 that: were based in communities in South Asia, included a group component, reported on interventions with a clear psychosocia…
Does the Nae Umeed group intervention improve mental health and social participation? A pre–post study in Uttarakhand, India
There are few evidence-based interventions to support caregiver mental health developed for low- and middle-income countries. Nae Umeed is a community-based group intervention developed with collaboratively with local community health workers in Uttarakhand, India primarily to promote mental wellbeing for caregivers and others. This pre-post study aimed to evaluate whether Nae Umeed improved mental health and social participation for people with …
Scaling a group intervention to promote caregiver mental health in Uttarakhand, India
Caregivers are integral to health and social care systems in South Asian countries yet are themselves at higher risk of mental illness. Interventions to support caregiver mental health developed in high-income contexts may be contextually inappropriate in the Global South. In this mixed-methods study, we evaluated the implementation and scaling of a locally developed mental health group intervention for caregivers and others in Uttarakhand, India…
Critical reflections on the concept and impact of 'scaling up' in Global Mental Health
The field of Global Mental Health (GMH) aims to address the global burden of mental illness by focusing on closing the 'treatment gap' faced by many low- and middle-income countries (LMICs). To increase access to services, GMH prioritizes 'scaling up' mental health services, primarily advocating for the export of Western centred and developed biomedical and psychosocial 'evidence-based' approaches to the Global South. While this emphasis on scala…
Conducting research with young people at the margins – lessons learnt and shared through case studies in Cambodia, India, Sweden and Zambia
Building on the value of engaging with and enabling the participation of marginalised young people in research, the aim of this article was to profile practical and procedural issues faced when conducting studies with young people who experience some form of marginalisation. Drawing on observations and research experiences from four diverse case studies involving young people who were either imprisoned in Cambodia, living in informal urban commun…
The absurdity of research registration for community-oriented knowledge coproduction
box: ►Requirement for a priori registration of research builds on the colonial roots of global health, excluding community-based researchers from global conversations. ► When communities and community-based organisations (CBOs) coproduce knowledge, it is more relevant, acceptable, appropriate, responsive and effective in generating change. ► Recognising the inherent value of studies which are small, specific, local, descriptive, observational or …
We’ve got through hard times before”
People intersectionally disadvantaged by their social identity experienced high levels of mental distress during the COVID-19 crisis, yet did not collapse, and instead described diverse and innovative strategies which enabled them to cope through the COVID-19 lockdown. This study illustrates that research using an intersectional lens is valuable to design equitable policy such as the need for access to digital resources, and that disaggregated da…
Improving Social Inclusion for Young People Affected by Mental Illness in Uttarakhand, India
Promoting social inclusion for young people affected by psycho-social disability in India – a realist evaluation of a pilot intervention
India has 600 million young people, more than any other country in the world. Mental illness is the leading burden of disease for young people, and those affected experience restrictions in social participation that compromise recovery. The aim of this study was to assess the impact of a peer-led, community-based, participatory group intervention on social inclusion and mental health among 142 young people affected by psycho-social disability (PS…
Women’s freedom of movement and participation in psychosocial support groups
Mental health access and gender inequality are inseparable in the context of Northern India, and women's mental health cannot be addressed without first addressing underlying gender relations. Community-based mental health programs are an effective tool and can be used to strengthen communities collectively; however, attention towards the gender constraints that restrict women's freedom of movement and their ability to access care is required. To…
An asymmetric burden
Caring for a family member with a psycho-social disability can be both rewarding and burdensome. This study analyses the experiences of caregivers of people with psychosocial disabilities (PPSDs) in rural communities in North India using relational gender theory. In-depth interviews with 18 female and male caregivers of PPSDs probed the social, emotional and health impacts of their caregiving role. Nine themes were identified that were grouped un…
Strengthening community mental health competence-A realist informed case study from Dehradun, North India
Few accounts exist of programmes in low- and middle-income countries seeking to strengthen community knowledge and skills in mental health. This case study uses a realist lens to explore how a mental health project in a context with few mental health services, strengthened community mental health competence by increasing community knowledge, creating safer social spaces and engaging partnerships for action. We used predominantly qualitative metho…
Social Distance and Community Attitudes Towards People with Psycho-Social Disabilities in Uttarakhand, India
Under the banyan tree - exclusion and inclusion of people with mental disorders in rural North India
These findings underline the urgent need for initiatives that increase mental health literacy, access to services and social inclusion of PWMD in North India, and highlight the possibilities of using human rights frameworks in situations of physical and economic violence. The findings also highlight the urgent need to reduce stigma and take actions in policy and at all levels in society to increase inclusion of people with mental distress and dis…
Process and impact evaluation of the Greater Christchurch Urban Development Strategy Health Impact Assessment
as one of the few evaluations of HIA that have been published to date, this paper makes a substantial contribution to the literature on the impact, utility and effectiveness of HIA
Critical reflections on the concept and impact of 'scaling up' in Global Mental Health
The field of Global Mental Health (GMH) aims to address the global burden of mental illness by focusing on closing the 'treatment gap' faced by many low- and middle-income countries (LMICs). To increase access to services, GMH prioritizes 'scaling up' mental health services, primarily advocating for the export of Western centred and developed biomedical and psychosocial 'evidence-based' approaches to the Global South. While this emphasis on scala…
Strengthening community mental health competence-A realist informed case study from Dehradun, North India
Few accounts exist of programmes in low- and middle-income countries seeking to strengthen community knowledge and skills in mental health. This case study uses a realist lens to explore how a mental health project in a context with few mental health services, strengthened community mental health competence by increasing community knowledge, creating safer social spaces and engaging partnerships for action. We used predominantly qualitative metho…
An asymmetric burden
Caring for a family member with a psycho-social disability can be both rewarding and burdensome. This study analyses the experiences of caregivers of people with psychosocial disabilities (PPSDs) in rural communities in North India using relational gender theory. In-depth interviews with 18 female and male caregivers of PPSDs probed the social, emotional and health impacts of their caregiving role. Nine themes were identified that were grouped un…
Social Distance and Community Attitudes Towards People with Psycho-Social Disabilities in Uttarakhand, India
How Do Psychosocial Support Groups in North India Support Collective Action for Mental Health? A Qualitative Study Using a Caring Methodology
In resource‐poor settings in South Asia, there are many informal assets in communities that support mental health. Using participatory approaches and a ‘caring methodology’ we aimed to examine whether women's psychosocial support groups improved mental health knowledge, safe social spaces, and collective action. We also hoped to act collectively for mental health through the project and to reflexively consider how this methodology cared for parti…
Developing Effective Community Collaborations
There is widespread and growing support and requirement for researchers and larger organisations to collaborate with communities. This ensures that social, educational, or health programmes are relevant and acceptable and address the needs of groups that experience inequity. There is limited research about the processes and approaches that impact successful collaboration. The aim of this study was to identify the best‐practice processes used to d…
Improving Social Inclusion for Young People Affected by Mental Illness in Uttarakhand, India
Process and impact evaluation of the Greater Christchurch Urban Development Strategy Health Impact Assessment
as one of the few evaluations of HIA that have been published to date, this paper makes a substantial contribution to the literature on the impact, utility and effectiveness of HIA
Under the banyan tree - exclusion and inclusion of people with mental disorders in rural North India
These findings underline the urgent need for initiatives that increase mental health literacy, access to services and social inclusion of PWMD in North India, and highlight the possibilities of using human rights frameworks in situations of physical and economic violence. The findings also highlight the urgent need to reduce stigma and take actions in policy and at all levels in society to increase inclusion of people with mental distress and dis…
Strengthening community mental health competence-A realist informed case study from Dehradun, North India
Few accounts exist of programmes in low- and middle-income countries seeking to strengthen community knowledge and skills in mental health. This case study uses a realist lens to explore how a mental health project in a context with few mental health services, strengthened community mental health competence by increasing community knowledge, creating safer social spaces and engaging partnerships for action. We used predominantly qualitative metho…
Social Distance and Community Attitudes Towards People with Psycho-Social Disabilities in Uttarakhand, India
Promoting social inclusion for young people affected by psycho-social disability in India – a realist evaluation of a pilot intervention
India has 600 million young people, more than any other country in the world. Mental illness is the leading burden of disease for young people, and those affected experience restrictions in social participation that compromise recovery. The aim of this study was to assess the impact of a peer-led, community-based, participatory group intervention on social inclusion and mental health among 142 young people affected by psycho-social disability (PS…
Women’s freedom of movement and participation in psychosocial support groups
Mental health access and gender inequality are inseparable in the context of Northern India, and women's mental health cannot be addressed without first addressing underlying gender relations. Community-based mental health programs are an effective tool and can be used to strengthen communities collectively; however, attention towards the gender constraints that restrict women's freedom of movement and their ability to access care is required. To…
An asymmetric burden
Caring for a family member with a psycho-social disability can be both rewarding and burdensome. This study analyses the experiences of caregivers of people with psychosocial disabilities (PPSDs) in rural communities in North India using relational gender theory. In-depth interviews with 18 female and male caregivers of PPSDs probed the social, emotional and health impacts of their caregiving role. Nine themes were identified that were grouped un…
We’ve got through hard times before”
People intersectionally disadvantaged by their social identity experienced high levels of mental distress during the COVID-19 crisis, yet did not collapse, and instead described diverse and innovative strategies which enabled them to cope through the COVID-19 lockdown. This study illustrates that research using an intersectional lens is valuable to design equitable policy such as the need for access to digital resources, and that disaggregated da…
Improving Social Inclusion for Young People Affected by Mental Illness in Uttarakhand, India
The absurdity of research registration for community-oriented knowledge coproduction
box: ►Requirement for a priori registration of research builds on the colonial roots of global health, excluding community-based researchers from global conversations. ► When communities and community-based organisations (CBOs) coproduce knowledge, it is more relevant, acceptable, appropriate, responsive and effective in generating change. ► Recognising the inherent value of studies which are small, specific, local, descriptive, observational or …
Conducting research with young people at the margins – lessons learnt and shared through case studies in Cambodia, India, Sweden and Zambia
Building on the value of engaging with and enabling the participation of marginalised young people in research, the aim of this article was to profile practical and procedural issues faced when conducting studies with young people who experience some form of marginalisation. Drawing on observations and research experiences from four diverse case studies involving young people who were either imprisoned in Cambodia, living in informal urban commun…
Developing relevant community mental health programmes in North India
Knowledge co-production can improve the quality and accessibility of health, and also benefit service users, allowing them to be recognised as skilled and capable. Yet despite these clear benefits, there are inherent challenges in the power relations of co-production, particularly when experts by experience (EBE) are structurally disadvantaged in communication skills or literacy. The processes of how knowledge is co-produced and negotiated are se…
What innovative practices and processes are used to deliver psychosocial care in India? A qualitative case study of three non-profit community mental health organisations
The global mental health field seeks to close the “treatment gap” for mental illness in low-and middle-income countries by scaling evidence-based interventions. The evidence base has often bypassed psychosocial interventions by local organizations who do not fit a biomedical approach to evidence building. In India, non-profit mental health organizations are addressing care gaps through novel approaches that emphasize social recovery and inclusion…
Improving mental ill-health with psycho-social group interventions in South Asia–A scoping review using a realist lens
This scoping review aimed to synthesise current evidence related to psycho-social groups as part of community-based mental health interventions in South Asia. We used a realist lens to pay attention to the contexts and mechanisms supporting positive outcomes. We included studies published from January 2007 to February 2022 that: were based in communities in South Asia, included a group component, reported on interventions with a clear psychosocia…
Does the Nae Umeed group intervention improve mental health and social participation? A pre–post study in Uttarakhand, India
There are few evidence-based interventions to support caregiver mental health developed for low- and middle-income countries. Nae Umeed is a community-based group intervention developed with collaboratively with local community health workers in Uttarakhand, India primarily to promote mental wellbeing for caregivers and others. This pre-post study aimed to evaluate whether Nae Umeed improved mental health and social participation for people with …
Scaling a group intervention to promote caregiver mental health in Uttarakhand, India
Caregivers are integral to health and social care systems in South Asian countries yet are themselves at higher risk of mental illness. Interventions to support caregiver mental health developed in high-income contexts may be contextually inappropriate in the Global South. In this mixed-methods study, we evaluated the implementation and scaling of a locally developed mental health group intervention for caregivers and others in Uttarakhand, India…
Critical reflections on the concept and impact of 'scaling up' in Global Mental Health
The field of Global Mental Health (GMH) aims to address the global burden of mental illness by focusing on closing the 'treatment gap' faced by many low- and middle-income countries (LMICs). To increase access to services, GMH prioritizes 'scaling up' mental health services, primarily advocating for the export of Western centred and developed biomedical and psychosocial 'evidence-based' approaches to the Global South. While this emphasis on scala…
Inverting the deficit model in global mental health
Global mental health [GMH] scholarship and practice has typically focused on the unmet needs and barriers to mental health in communities, developing biomedical and psychosocial interventions for integration into formal health care platforms in response. In this article, we analyse four diverse settings to disrupt the emphasises on health system weaknesses, treatment gaps and barriers which can perpetuate harmful hierarchies and colonial and medi…
Developing Effective Community Collaborations
There is widespread and growing support and requirement for researchers and larger organisations to collaborate with communities. This ensures that social, educational, or health programmes are relevant and acceptable and address the needs of groups that experience inequity. There is limited research about the processes and approaches that impact successful collaboration. The aim of this study was to identify the best‐practice processes used to d…
Nurturing transformative participation
The importance of involving people with lived experiences of mental health difficulties and the communities they inhabit, in interventions for them is now widely recognised. However, there is a lack of scrutiny around the theory and practice of how - and to what extent - participation occurs in global mental health interventions. The aim of this review was to examine existing literature and consult with community groups in low and middle income s…
Effectiveness of a resilience, gender equity and mental health group intervention for young people living in informal urban communities in North India
BACKGROUND: Mental health problems are the leading cause of disease burden among young people in India. While evidence shows that youth mental health and resilience can be improved with group interventions in school settings, such an intervention has not been robustly evaluated in informal urban settings. OBJECTIVE: This study aimed to evaluate whether the Nae Disha 3 group intervention could improve youth resilience, mental health and gender equ…
How Do Psychosocial Support Groups in North India Support Collective Action for Mental Health? A Qualitative Study Using a Caring Methodology
In resource‐poor settings in South Asia, there are many informal assets in communities that support mental health. Using participatory approaches and a ‘caring methodology’ we aimed to examine whether women's psychosocial support groups improved mental health knowledge, safe social spaces, and collective action. We also hoped to act collectively for mental health through the project and to reflexively consider how this methodology cared for parti…
(Wl-1355)-Neeche jana – Going down from Lahaul to Kullu
A couple travel by bicycle through Zanskar, Ladakh and Lahaul for four weeks in October 2024. They spend time with a roadworker crew from Jharkhand preparing to go down (‘neeche jana’) home for Diwali and the winter. They talk to a couple they have known for 15 years living in a high-up village in Lahaul. For the first time in recent memory, everyone in that village also ‘neeche ja rahe hai’ (is going down to Kullu for the winter. ‘Neeche jana’ i…
An observational study of intergenerational sex differences in mortality in Aotearoa New Zealand
Internationally, there are observable sex differentials in mortality in many countries, most notably in affluent countries, with women living longer than men. To understand if this is also the case in Aotearoa New Zealand (NZ), we visualise the precise nature and evolution of sex differentials in mortality by age over time, within a wider context of increasing life expectancy and falling mortality. This allows us to determine if NZ mirrors other …
‘She Got Me Through the Toughest Times
Introduction In a context of eroding trust in health care, understanding high‐quality relationships between health care providers and service users is important. Engaged relationships are linked to greater engagement in therapy, increased access and utilisation of services and improved outcomes. This study aimed to examine how unregulated health workers (kaimahi) develop and sustain high‐quality relationships with whānau (families) in three effec…
Medicine (17 obras) · Mental health (17 obras) · Psychiatry (16 obras) · Psychology (16 obras) · Mental Health Treatment and Access (15 obras) · Sociology (15 obras) · Political science (13 obras) · Community Health and Development (9 obras) · Psychological intervention (9 obras) · Qualitative research (9 obras)