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Review
. 2020 Oct 8:14:74.
doi: 10.1186/s13033-020-00405-3. eCollection 2020.

Community-based psychosocial substance use disorder interventions in low-and-middle-income countries: a narrative literature review

Jan Manuel Heijdra Suasnabar  1   2 , Bethany Hipple Walters  1
Affiliations
Review

Community-based psychosocial substance use disorder interventions in low-and-middle-income countries: a narrative literature review

Jan Manuel Heijdra Suasnabar et al. Int J Ment Health Syst. .

Abstract

Background: Mental health and substance use disorders (SUDs) are the world's leading cause of years lived with disability; in low-and-middle income countries (LIMCs), the treatment gap for SUDs is at least 75%. LMICs face significant structural, resource, political, and sociocultural barriers to scale-up SUD services in community settings.

Aim: This article aims to identify and describe the different types and characteristics of psychosocial community-based SUD interventions in LMICs, and describe what context-specific factors (policy, resource, sociocultural) may influence such interventions in their design, implementation, and/or outcomes.

Methods: A narrative literature review was conducted to identify and discuss community-based SUD intervention studies from LMICs. Articles were identified via a search for abstracts on the MEDLINE, Academic Search Complete, and PsycINFO databases. A preliminary synthesis of findings was developed, which included a description of the study characteristics (such as setting, intervention, population, target SUD, etc.); thereafter, a thematic analysis was conducted to describe the themes related to the aims of this review.

Results: Fifteen intervention studies were included out of 908 abstracts screened. The characteristics of the included interventions varied considerably. Most of the psychosocial interventions were brief interventions. Approximately two thirds of the interventions were delivered by trained lay healthcare workers. Nearly half of the interventions targeted SUDs in addition to other health priorities (HIV, tuberculosis, intimate partner violence). All of the interventions were implemented in middle income countries (i.e. none in low-income countries). The political, resource, and/or sociocultural factors that influenced the interventions are discussed, although findings were significantly limited across studies.

Conclusion: Despite this review's limitations, its findings present relevant considerations for future SUD intervention developers, researchers, and decision-makers with regards to planning, implementing and adapting community-based SUD interventions.

Keywords: Alcohol use disorder; Community psychiatry; Community-based mental health; Implementation; Mental health; Psychosocial; Substance use disorder.

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Conflict of interest statement

Competing interestsThe authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Screening and selection of eligible studies
See this image and copyright information in PMC

References

    1. United Nations. THE 2030 AGENDA FOR SUSTAINABLE DEVELOPMENT. 2015. https://sustainabledevelopment.un.org/content/documents/21252030. Agenda for Sustainable Development web.pdf.
    1. World Health Organization . Mental Health Action Plan 2013–2020. Geneva: World Health Organization; 2013.
    1. World Health Organization. Mental health included in the UN Sustainable Development Goals. 2016. https://www.who.int/mental_health/SDGs/en/.
    1. Semrau M, Evans-Lacko S, Alem A, Ayuso-Mateos JL, Chisholm D, Gureje O, et al. Strengthening mental health systems in low- and middle-income countries: the Emerald programme. BMC Med. 2015;13(1):1–10. - PMC - PubMed
    1. Prince M, Rahman A, Mayston R, Weobong B. Mental health and the global health and development agendas. In: Patel V, Minas H, Prince MJ, Cohen A, editors. Global mental health: principles and practice. New York: Springer; 2014. p. 102.

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