Lay Counselor Perspectives of Providing a Child-Focused Mental Health Intervention for Children

Task-Shifting in the Education and Health Sectors in Kenya

Dados Bibliográficos

ID15529892
AutoresShannon Dorsey (0000-0001-6240-0294, University of Washington, autor correspondente), Rosemary D Meza (0000-0002-4849-7250, University of Washington), Prerna Martins (0000-0002-6897-0666, University of Washington), Prerna Martin, Christine L Gray (0000-0002-0751-1626, Duke University), Noah S Triplett (0000-0003-2325-3599, University of Washington), Caroline Soi (0000-0002-7213-5567, University of Washington), Grace S Woodard (0000-0002-6747-6914, University of Washington), Leah Lucid (University of Washington), Cyrilla Amanya (Action in the Community Environment), Augustine I Wasonga (Action in the Community Environment), Augustine Wasonga, Kathryn Whetten (0000-0002-4841-7695, Duke Institute for Health Innovation)
Ano2019
Volume10
Páginas860-860
Data de publicação2019-12-17
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1664-0640 • E-ISSN: 1664-0640
EditoraFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2019.00860
PMID31920736
OpenAlexW2995190676
IdiomaEN
Citações recebidas7
Referências citadas46

The global mental health treatment gap has increasingly been addressed using task-shifting; however, very little research has focused on lay counselors' perspectives on the acceptability, feasibility, and appropriateness of mental health interventions in specific government-supported sectors that might scale up and sustain mental health care for children and adolescents. In western Kenya, these sectors include Education and Health. Data come from a large hybrid effectiveness-implementation study examining implementation practices and policies in either or both sectors that support successful implementation of a child-focused intervention, Trauma-focused Cognitive Behavioral Therapy (TF-CBT), for children and adolescents who had experienced parental death. We examined lay counselors' self-report of acceptability, feasibility, and appropriateness of TF-CBT. Lay counselors were teachers (n = 30) from the Education sector and Community Health Volunteers (CHVs; n = 30) from the Health sector, who were part of Sequence 1 of a large stepped-wedge, cluster randomized trial. Lay counselor self-report surveys included reflective and formative measurement of acceptability, feasibility, and appropriateness administered after lay counselors in both sectors had experience delivering the locally-adapted, group-based TF-CBT intervention. Descriptive statistics (means, standard deviations) were used to understand counselors' perspectives stratified by sector. Both teachers and CHVs endorsed high acceptability, feasibility, and appropriateness of TF-CBT, with lay counselors' responses on items from the formative measures providing some insight into specific aspects of acceptability, feasibility, and appropriateness that may be important to consider when planning for implementation support. These early findings suggest that both sectors may hold promise for task-shifting of mental health care for children and adolescents but also underline the importance of considering the multiple facets of these three implementation outcomes as well as lay counselor context (Education vs. Health)

Child health · Family medicine · Intervention (counseling · Medical education · Mental health · Psychiatry · Task (project management · Applied Psychology · Child and Adolescent Health · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Early Childhood Education and Development · Medicine · Psychology