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Can lay health workers contribute to the prevention and management of adverse childhood experiences in low- and middle-income countries

Bibliographic Data

ID21257366
AuthorsSubash Thapa (0000-0002-1182-8511, Charles Sturt University, corresponding author), Anila Khatiwada (University of Southern Denmark), Kedir Yimam Ahmed (0000-0003-3797-5234, Camden and Campbelltown Hospitals), Julaine Allan (0000-0001-9299-5866, Charles Sturt University)
Year2025
Volume8
Pages100524
Publication date2025-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSSM - Mental Health (JOURNAL)
Journal identifiersISSN: 2666-5603 • E-ISSN: 2666-5603
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.ssmmh.2025.100524
OpenAlexW4413950963
LanguageEN
References cited43

Community-based mental health initiatives led by lay health workers (LHWs) across low- and middle-income countries (LMICs) have demonstrated some success in improving mental health outcomes for the general population. However, evidence is lacking on their effect on improving childhood mental health. There is potential to utilize this workforce to address the underlying causes of mental health burdens rooted in child maltreatment and familial dysfunction. Expanding the role of LHWs to address adverse childhood experiences (ACEs) offers a promising strategy for improving child and family mental health and well-being. LHWs can serve as first-line responders by identifying at-risk children and families and addressing the problems through parental education and support. However, the success of such interventions depends on providing adequate training and supervision to LHWs, as well as ensuring that a robust referral system exists at the primary health care level to address the mental health needs of affected children and families. LHWs, who are properly trained and supervised, can potentially play an important role in addressing ACEs and associated mental disorders in LMICs

Adverse Childhood Experiences · Business · Developing country · Economic growth · Economics · Environmental health · Low and middle income countries · Low income · Psychiatry · Socioeconomics · Child Abuse and Trauma · Child and Adolescent Health · Medicine · Migration, Health and Trauma

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