Non-clinical Psychosocial Mental Health Support Programmes for People with Diverse Language and Cultural Backgrounds

A Critical Rapid Review

Dados Bibliográficos

ID11638838
AutoresNathalia Costa (0000-0002-2271-5408, The University of Queensland, autor correspondente), Rebecca Olson (0000-0002-7721-8708, The University of Queensland), Karime Mescouto (0000-0002-4107-6883, The University of Queensland), Jenny Setchell (0000-0002-1946-4492, The University of Queensland), Plage (0000-0001-7217-3806, The University of Queensland), Tinashe Dune (0000-0001-5758-7525, Australian College of Applied Psychology), Jennifer Creese (0000-0002-6763-5997, University of Leicester), Sameera Suleman (0009-0009-6229-5960), Rita Prasad-Ildes, Zheng Yen Ng (0000-0001-9576-5337, The University of Queensland)
Ano2025
Volume49
Fascículo3
Páginas585-648
Data de publicação2025-01-29
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCulture Medicine and Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 0165-005X • E-ISSN: 1573-076X
EditoraSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s11013-024-09893-1
PMID39881104
OpenAlexW4406949245
IdiomaEN
Citações recebidas5
Referências citadas111

Low accessibility to mainstream psychosocial services disadvantages culturally and linguistically diverse (CALD) populations, resulting in delayed care and high rates of unsupported psychological distress. Non-clinical interventions may play an important role in improving accessibility to psychosocial support, but what characterises best practice in this space remains unclear. This critical rapid review addressed this gap by searching for, and critically analysing, existing research on non-clinical psychosocial support services, drawing from a critical realist framework and Brossard and Chandler’s (Brossard and Chandler, Explaining mental illness: Sociological perspectives, Bristol University Press, 2022) taxonomy of positions on culture and mental health. We searched PubMed, PsycInfo, LILACS, Scopus and Sociological Abstracts to identify non-clinical psychosocial support interventions for first-generation immigrant CALD populations delivered by lay-health workers. Thirty-eight studies were included: 10 quantitative, 7 mixed-methods and 21 qualitative. Most studies were conducted in North America ( n = 19) and Europe ( n = 7), with few conducted in low-income countries (Tanzania and Lebanon, n = 3 each, Kenya [ n = 1]). Studies often focussed on specific interventions (e.g. psychoeducation) for targeted populations (e.g. refugees, Latinx immigrants); multimodal interventions (e.g. psychological support and food distribution) for broad populations were less common. Thirty-five different outcome scales were identified across quantitative and mixed-methods studies, with most covering depression, stress and trauma. Most studies identified significant improvements for at least one psychosocial outcome despite interventions being relatively short in sessions. Findings from qualitative studies highlighted varied engagement with theory-informed models of service, and identified important barriers to non-clinical psychosocial support services, including precarious resourcing. Our analysis suggests most studies were underpinned by split-relativist frameworks and focussed on interventions aimed at helping clients navigate the eurocentricity and complexity of mainstream services. Recognising the eurocentrism of universalist frameworks, working from a culturally relativist position, prioritising social determinants of health and using models that centre clients, flexibility, context, culture and community are likely to ensure best practice for non-clinical psychosocial support interventions

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