Mental health interventions with people of color Video
Mental Health in Communities of Color Mental health interventions with people of color
Evidence on the adaptation of this and other similar programs in resource-constrained settings like China is very limited.
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This study aimed to explore the views of key stakeholders on the implementation issues and contextual factors relevant to the scale-up of MHFA in China. Methods: Informed by the Consolidated Framework for Implementation Research, five implementation domains of intervention characteristics, characteristics of individuals, contextual adaptation, outer and inner setting, and implementation process were investigated through semi-structured in-depth interviews. Twenty-four stakeholders with diverse expertise in the Chinese mental health system were interviewed.
Transcripts were coded using NVivo 12 software and thematically analyzed. Results: Fifteen themes and 52 sub-themes were identified in relation to the five domains.
Participants saw MHFA as meeting the need for more evidence-based interventions to improve population mental health. Previous participants in MHFA training were satisfied with the course, but their intentions to help and levels of self-efficacy varied.
Contextual adaptation of course content, delivery formats, and financing models, was seen as essential. External health policies and some socioeconomic factors e. Low levels of engagement in health interventions and lack of supportive social norms were identified as potential barriers while executive support, quality control, and sustainable funding were viewed as facilitators of implementation.
Original Research ARTICLE
Conclusion: MHFA training meets some very important current societal and public health needs in China. To achieve its potential impact, significant contextual adaptation is required, particularly in terms of course content, delivery formats, and financing models. Overcoming low levels of engagement in community-based mental health interventions and combating stigma will also be critical for its scale-up. Introduction Mental, neurological, and substance use disorders affect a significant portion of the global population with a high burden, folor in low- and middle-income countries LMICs 1. The latest epidemiological data show increases in the prevalence of these disorders in China, with an estimated month prevalence of any of the above disorders of 9.]
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