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  1. Article ; Online: COVID-19 and refugee and immigrant youth: A community-based mental health perspective.

    Endale, Tarik / St Jean, Nicole / Birman, Dina

    Psychological trauma : theory, research, practice and policy

    2020  Volume 12, Issue S1, Page(s) S225–S227

    Abstract: In this article, we comment on the experience of the Kovler Center Child Trauma Program (KCCTP) following the March 21, 2020, shelter at home order in Chicago due to COVID-19. The KCCTP is a program of Heartland Alliance International that was founded in ...

    Abstract In this article, we comment on the experience of the Kovler Center Child Trauma Program (KCCTP) following the March 21, 2020, shelter at home order in Chicago due to COVID-19. The KCCTP is a program of Heartland Alliance International that was founded in 2018 to provide community-based mental health and social services to immigrant and refugee youth and families who have experienced trauma. COVID-19 temporarily closed the doors of the center, suspending provision of in-person services in the community, and the program was forced to become remote overnight. The KCCTP rapidly transitioned to providing accessible information, active outreach, extensive case management, and flexible delivery of teletherapy and online psychosocial support, finding that attending to structural barriers and basic needs was crucial to family engagement and therapeutic success. Ongoing challenges include technological proficiency and access to computers, Internet, and private spaces. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
    MeSH term(s) Adolescent ; Behavioral Symptoms/therapy ; COVID-19 ; Case Management ; Chicago ; Child ; Community Mental Health Services/methods ; Coronavirus Infections ; Emigrants and Immigrants ; Humans ; Infection Control ; Pandemics ; Pneumonia, Viral ; Psychological Trauma/therapy ; Refugees ; Social Support ; Telemedicine
    Keywords covid19
    Language English
    Publishing date 2020-06-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2497028-1
    ISSN 1942-969X ; 1942-9681
    ISSN (online) 1942-969X
    ISSN 1942-9681
    DOI 10.1037/tra0000875
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19 and refugee and immigrant youth

    Endale, Tarik / St. Jean, Nicole / Birman, Dina

    Psychological Trauma: Theory, Research, Practice, and Policy

    A community-based mental health perspective.

    2020  Volume 12, Issue S1, Page(s) S225–S227

    Keywords Clinical Psychology ; Social Psychology ; covid19
    Language English
    Publisher American Psychological Association (APA)
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2497028-1
    ISSN 1942-969X ; 1942-9681
    ISSN (online) 1942-969X
    ISSN 1942-9681
    DOI 10.1037/tra0000875
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: COVID-19 and refugee and immigrant youth: A community-based mental health perspective

    Endale, Tarik / St Jean, Nicole / Birman, Dina

    Psychol Trauma

    Abstract: In this article, we comment on the experience of the Kovler Center Child Trauma Program (KCCTP) following the March 21, 2020, shelter at home order in Chicago due to COVID-19. The KCCTP is a program of Heartland Alliance International that was founded in ...

    Abstract In this article, we comment on the experience of the Kovler Center Child Trauma Program (KCCTP) following the March 21, 2020, shelter at home order in Chicago due to COVID-19. The KCCTP is a program of Heartland Alliance International that was founded in 2018 to provide community-based mental health and social services to immigrant and refugee youth and families who have experienced trauma. COVID-19 temporarily closed the doors of the center, suspending provision of in-person services in the community, and the program was forced to become remote overnight. The KCCTP rapidly transitioned to providing accessible information, active outreach, extensive case management, and flexible delivery of teletherapy and online psychosocial support, finding that attending to structural barriers and basic needs was crucial to family engagement and therapeutic success. Ongoing challenges include technological proficiency and access to computers, Internet, and private spaces. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #457460
    Database COVID19

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  4. Article: Mental health in Sierra Leone.

    Harris, Dawn / Endale, Tarik / Lind, Unn Hege / Sevalie, Stephen / Bah, Abdulai Jawo / Jalloh, Abdul / Baingana, Florence

    BJPsych international

    2021  Volume 17, Issue 1, Page(s) 14–16

    Abstract: Sierra Leone is a West African country with a population of just over 7 million. Many Sierra Leoneans lived through the psychologically distressing events of the civil war (1991-2002), the 2014 Ebola outbreak and frequent floods. Traditionally, mental ... ...

    Abstract Sierra Leone is a West African country with a population of just over 7 million. Many Sierra Leoneans lived through the psychologically distressing events of the civil war (1991-2002), the 2014 Ebola outbreak and frequent floods. Traditionally, mental health services have been delivered at the oldest mental health hospital in sub-Saharan Africa, with no services available anywhere else in the country. Mental illness remains highly stigmatised. Recent advances include revision of the Mental Health Policy and Strategic Plan and the strengthening of mental health governance and district services. Many challenges lie ahead, with the crucial next steps including securing a national budget line for mental health, reviewing mental health legislation, systematising training of mental health specialists and prioritising the procurement of psychotropic medications. National and international commitment must be made to reduce the treatment gap and provide quality care for people with mental illness in Sierra Leone.
    Language English
    Publishing date 2021-07-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2905058-3
    ISSN 2058-6264 ; 2056-4740
    ISSN (online) 2058-6264
    ISSN 2056-4740
    DOI 10.1192/bji.2019.17
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Barriers and drivers to stakeholder engagement in global mental health projects.

    Murphy, Jill / Qureshi, Onaiza / Endale, Tarik / Esponda, Georgina Miguel / Pathare, Soumitra / Eaton, Julian / De Silva, Mary / Ryan, Grace

    International journal of mental health systems

    2021  Volume 15, Issue 1, Page(s) 30

    Abstract: Background: Engagement with diverse stakeholders, including policy makers, care providers and service users and communities, is essential for successful implementation of global mental health interventions. Despite being a fundamental factor in the ... ...

    Abstract Background: Engagement with diverse stakeholders, including policy makers, care providers and service users and communities, is essential for successful implementation of global mental health interventions. Despite being a fundamental factor in the implementation process, evidence about challenges and drivers to stakeholder engagement is limited in the global mental health literature.
    Methods: We conducted semi-structured qualitative interviews with 29 recipients of Grand Challenges Canada Global Mental Health funding to assess barriers and drivers to global mental health implementation across a portfolio of projects. We used framework analysis to identify key themes related to implementation barriers and drivers. This paper reports on barriers and drivers to stakeholder engagement, with results related to capacity development and service delivery reported elsewhere in this journal.
    Results: Barriers and drivers to stakeholder engagement were identified across four themes: (1) Contextual Considerations, (2) Resources, (3) Participation, Uptake and Empowerment, and (4) Stigma. While complex contextual challenges create barriers, mechanisms such as formative research can facilitate a deeper contextual understanding that supports effective implementation planning. Limited financial and human resources and competing priorities can lead to substantial challenges. Investing in and leveraging existing local resources and expertise can help to mitigate these barriers. The challenge of achieving active participation from stakeholders and diverging expectations about the nature of participation were identified as barriers, while providing opportunities for meaningful participation and empowerment acted as drivers. Stigma at the institutional, community and individual level was also identified as a substantial barrier to engagement.
    Conclusion: The findings of this study are relevant to implementers in global mental health. They also have implications for global mental health funding agencies and policy organizations, who can support improved stakeholder engagement by investing in high-quality formative research, supporting capacity building for policy engagement, investing in longer-term funding schemes to support sustainable partnerships and scale-up, thus fostering successful engagement and supporting effective implementation of global mental health innovations.
    Language English
    Publishing date 2021-04-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2382266-1
    ISSN 1752-4458
    ISSN 1752-4458
    DOI 10.1186/s13033-021-00458-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Barriers and drivers to service delivery in global mental health projects.

    Qureshi, Onaiza / Endale, Tarik / Ryan, Grace / Miguel-Esponda, Georgina / Iyer, Srividya N / Eaton, Julian / De Silva, Mary / Murphy, Jill

    International journal of mental health systems

    2021  Volume 15, Issue 1, Page(s) 14

    Abstract: Background: Research in global mental health (GMH) has previously documented how contextual factors like political instability, poverty and poorly-funded health infrastructure continue to compromise effective and equitable mental health service delivery. ...

    Abstract Background: Research in global mental health (GMH) has previously documented how contextual factors like political instability, poverty and poorly-funded health infrastructure continue to compromise effective and equitable mental health service delivery. There is a need to develop more feasible and evidence-based solutions through implementation research. This paper, one in a series pertaining to implementation in GMH projects worldwide, focuses on implementation factors influencing mental health service delivery.
    Methods: This is a qualitative study carried out as part of a Theory of Change-driven evaluation of Grand Challenges Canada's (GCC's) Global Mental Health portfolio. Purposive sampling was used to recruit twenty-nine GCC grantees for interviews. A semi-structured interview schedule was used to guide the interviews which were recorded and subsequently transcribed. Transcripts were double-coded and analyzed in NVivo 11 using framework analysis. This paper reports results related to detection and treatment of mental illness, mental health promotion and prevention of mental illness.
    Results: Key barriers included: lack of appropriate human resources and expertise for service delivery; lack of culturally appropriate screening tools and interventions; and difficulties integrating services with the existing mental health system. Formative research was a key driver facilitating the cultural adaptation of mental health detection, treatment, promotion and preventative approaches. Recruiting local providers and utilizing mHealth for improving screening, monitoring and data management were also found to be successful approaches in reducing workforce burden, improving sustainability, mental health literacy, participant engagement and uptake.
    Conclusions: The study identifies a number of key barriers to and drivers of successful service delivery from the perspective of grantees implementing GMH projects. Findings highlight several opportunities to mitigate common challenges, providing recommendations for strengthening systems- and project-level approaches for delivering mental health services. Further, more inclusive research is required to inform guidance around service delivery for successful implementation, better utilization of funding and improving mental health outcomes among vulnerable populations in low-resource settings.
    Language English
    Publishing date 2021-01-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2382266-1
    ISSN 1752-4458
    ISSN 1752-4458
    DOI 10.1186/s13033-020-00427-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Barriers and drivers to capacity-building in global mental health projects.

    Endale, Tarik / Qureshi, Onaiza / Ryan, Grace Kathryn / Esponda, Georgina Miguel / Verhey, Ruth / Eaton, Julian / De Silva, Mary / Murphy, Jill

    International journal of mental health systems

    2020  Volume 14, Issue 1, Page(s) 89

    Abstract: Background: The global shortage of mental health workers is a significant barrier to the implementation and scale-up of mental health services. Partially as a result of this shortage, approximately 85% of people with mental, neurological and substance- ... ...

    Abstract Background: The global shortage of mental health workers is a significant barrier to the implementation and scale-up of mental health services. Partially as a result of this shortage, approximately 85% of people with mental, neurological and substance-use disorders in low- and middle-income countries do not receive care. Consequently, developing and implementing scalable solutions for mental health capacity-building has been identified as a priority in global mental health. There remains limited evidence to inform best practices for capacity building in global mental health. As one in a series of four papers on factors affecting the implementation of mental health projects in low- and middle-income countries, this paper reflects on the experiences of global mental health grantees funded by Grand Challenges Canada, focusing on the barriers to and drivers of capacity-building.
    Methods: Between June 2014 and May 2017, current or former Grand Challenges Canada Global Mental Health grantees were recruited using purposive sampling. N = 29 grantees participated in semi-structured qualitative interviews, representing projects in Central America and the Caribbean (n = 4), South America (n = 1), West Africa (n = 4), East Africa (n = 6), South Asia (n = 11) and Southeast Asia (n = 3). Based on the results of a quantitative analysis of project outcomes using a portfolio-level Theory of Change framework, six key themes were identified as important to implementation success. As part of a larger multi-method study, this paper utilized a framework analysis to explore the themes related to capacity-building.
    Results: Study participants described barriers and facilitators to capacity building within three broad themes: (1) training, (2) supervision, and (3) quality assurance. Running throughout these thematic areas were the crosscutting themes of contextual understanding, human resources, and sustainability. Additionally, participants described approaches and mechanisms for successful capacity building.
    Conclusions: This study demonstrates the importance of capacity building to global mental health research and implementation, its relationship to stakeholder engagement and service delivery, and the implications for funders, implementers, and researchers alike. Investment in formative research, contextual understanding, stakeholder engagement, policy influence, and integration into existing systems of education and service delivery is crucial for the success of capacity building efforts.
    Language English
    Publishing date 2020-12-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2382266-1
    ISSN 1752-4458
    ISSN 1752-4458
    DOI 10.1186/s13033-020-00420-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Lay-delivered talk therapies for adults affected by humanitarian crises in low- and middle-income countries.

    Ryan, Grace K / Bauer, Andreas / Endale, Tarik / Qureshi, Onaiza / Doukani, Asmae / Cerga-Pashoja, Arlinda / Brar, Savvy K / Eaton, Julian / Bass, Judith K

    Conflict and health

    2021  Volume 15, Issue 1, Page(s) 30

    Abstract: Background: Published by the World Health Organization (WHO) and United Nations High Commissioner for Refugees (UNHCR) in 2015, the mental health Gap Action Programme Humanitarian Intervention Guide (mhGAP-HIG) recommends brief versions of structured ... ...

    Abstract Background: Published by the World Health Organization (WHO) and United Nations High Commissioner for Refugees (UNHCR) in 2015, the mental health Gap Action Programme Humanitarian Intervention Guide (mhGAP-HIG) recommends brief versions of structured psychological interventions for people experiencing symptoms of common mental disorders (CMDs). mhGAP-HIG acknowledges a growing body of evidence suggesting these interventions can be delivered by lay workers to people affected by humanitarian crises in low- and middle-income countries (LMICs). However, there has not yet been a systematic review and synthesis of this evidence. This paper reports the results of a systematic review of qualitative, quantitative, and mixed-methods studies assessing the implementation and/or effectiveness of talk therapies for CMDs when provided by lay workers in LMICs to adults who have survived or are currently living in humanitarian situations.
    Methods: Seven electronic databases were searched: MEDLINE, Embase, PsycINFO, PsycEXTRA, Global Health, Cochrane Library, and ClinicalTrials.gov . We also hand-searched the contents pages of three academic journals, reference lists of 30 systematic reviews, and online resource directories of two mental health networks. A preliminary list of included studies was circulated to topical experts for review, and all included studies were backward and forward searched. All titles, abstracts, and full-texts were independently double-screened. Quality appraisal and data extraction were carried out by a single reviewer and checked by a second reviewer, using standardised tools. Any disagreements were discussed and referred to a third reviewer as needed.
    Results: We identified 23 unique studies and carried out a narrative synthesis of patient and implementation outcome data. Every evaluation of the effectiveness of lay-delivered talk therapies for adults affected by humanitarian crises in LMICs showed some treatment effect for at least one CMD, and often multiple CMDs. Implementation research generally found these interventions to be acceptable, appropriate and feasible to implement, with good fidelity to manualised therapies.
    Conclusion: Although results are promising, particularly for individually-delivered talk therapies based on cognitive behavioural therapy techniques, there is a high degree of heterogeneity in this literature. We make several recommendations on how to improve the quality and generalisability of research on this topic, to facilitate further evidence synthesis.
    Trial registration: PROSPERO registration number: CRD42017058287 .
    Language English
    Publishing date 2021-04-23
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2273783-2
    ISSN 1752-1505
    ISSN 1752-1505
    DOI 10.1186/s13031-021-00363-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Prevalence of human papillomavirus and

    Leon, Maria E / Kassa, Endale / Bane, Abate / Gemechu, Tufa / Tilahun, Yared / Endalafer, Nigatu / McKay-Chopin, Sandrine / Brancaccio, Rosario N / Ferro, Gilles / Assefa, Mathewos / Ward, Elizabeth / Tommasino, Massimo / Aseffa, Abraham / Schüz, Joachim / Jemal, Ahmedin / Gheit, Tarik

    Infectious agents and cancer

    2019  Volume 14, Page(s) 19

    Abstract: Background: Ethiopia lies in the high-risk corridor of esophageal squamous cell carcinoma in East Africa, where individuals with this malignancy often do not report established risk factors, suggesting unidentified etiologies. Here, we report the ... ...

    Abstract Background: Ethiopia lies in the high-risk corridor of esophageal squamous cell carcinoma in East Africa, where individuals with this malignancy often do not report established risk factors, suggesting unidentified etiologies. Here, we report the prevalence of mucosal human papillomavirus (HPV) and of
    Methods: DNA extraction was performed from fresh frozen tissue and oral cell pellets obtained with saline solution gargling subsequently fixed with ethanol. Mucosal HPV and
    Results: HPV DNA was detected in 1 of 62 tumor specimens (2, 95% confidence interval (CI): 0-9%), corresponding to HPV16 type. HPV DNA was detected in the oral cavity of 7 cases (11, 95% CI: 5-22%) and 4 of 56 matched healthy controls (7, 95% CI: 2-17%), with multiple HPV types detected. Detection of
    Conclusions: The prevalence of mucosal-type HPV was very low, whereas
    Language English
    Publishing date 2019-08-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2251117-9
    ISSN 1750-9378
    ISSN 1750-9378
    DOI 10.1186/s13027-019-0233-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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