心理健康
认知
干预(咨询)
萧条(经济学)
随机对照试验
医学
整群随机对照试验
护理部
心理学
临床心理学
精神科
外科
经济
宏观经济学
出处
期刊:Oxford University Press eBooks
[Oxford University Press]
日期:2023-08-01
卷期号:: 237-242
标识
DOI:10.1093/med/9780197548721.003.0043
摘要
Abstract This chapter examines the effectiveness of using non-specialists to provide mental health services. Trained mental health workers are a scarce resource globally, and task sharing has been implemented in primary care settings to improve access to evidence-based mental health treatment. This cluster randomized controlled trial conducted across 40 sites in rural Pakistan assesses the efficacy of non-specialists to provide cognitive behavioral therapy–based services for mothers with perinatal depression and outcomes for both mothers and infants 12 months post-delivery. Depression and disability were nearly 50% lower in the intervention group compared to the control group. Nutritional indicators of infants were same in both groups at 6 and 12 months. It concludes with a case study to examine concrete ways to implement recommendations from the study.
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