Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Dec;12(Suppl 1):94-112.
doi: 10.1097/WTF.0000000000000070.

Dissemination and implementation of evidence based, mental health interventions in post conflict, low resource settings

Affiliations

Dissemination and implementation of evidence based, mental health interventions in post conflict, low resource settings

Laura K Murray et al. Intervention (Amstelveen). 2014 Dec.

Abstract

The burden of mental health problems in (post)conflict low- and middle-income countries (LMIC) is substantial. Despite growing evidence for the effectiveness of selected mental health programs in conflict-affected LMIC and growing policy support, actual uptake and implementation have been slow. A key direction for future research, and a new frontier within science and practice, is Dissemination and Implementation (DI) which directly addresses the movement of evidence-based, effective health care approaches from experimental settings into routine use. This paper outlines some key implementation challenges, and strategies to address these, while implementing evidence-based treatments in conflict-affected LMIC based on the authors' collective experiences. Dissemination and implementation evaluation and research in conflict settings is an essential new research direction. Future DI work in LMIC should include: 1) defining concepts and developing measurement tools, 2) the measurement of DI outcomes for all programming, and 3) the systematic evaluation of specific implementation strategies.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest for the authors.

Figures

Fig. 1
Fig. 1
Conceptual model of implementation research

References

    1. Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health. 2011;38:4–23. - PMC - PubMed
    1. Aarons GA, Sommerfeld DH, Wilging CE. The soft underbelly of system change: The role of leadership and organizational climate in turnover during statewide behavioral health reform. Psychological Services. 2011;8(4):269–281. - PMC - PubMed
    1. Abdulmalik J, Fadahunsi W, Kola L, Nwefoh E, Minas H, Eaton J, Gureje O. The Mental Health Leadership and Advocacy Program (mhLAP): a pioneering response to the neglect of mental health in Anglophone West Africa. International Journal of Mental Health Systems. 2014;8:5. - PMC - PubMed
    1. Barbui C, Dua T, Van OM, Yasamy MT, Fleischmann A, Clark N, Saxena S, et al. Challenges in developing evidence-based recommendations using the GRADE approach: the case of mental, neurological, and substance use disorders. PLoS Med. 2010;7:8. - PMC - PubMed
    1. Başoğlu M. Rehabilitation of traumatised refugees and survivors of torture. British Medical Journal. 2006;333(7581):1230–1231. - PMC - PubMed

LinkOut - more resources