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  1. Article ; Online: Using COVID-19 responses to help strengthen the mental health system in Lebanon.

    El Chammay, Rabih / Roberts, Bayard

    Psychological trauma : theory, research, practice and policy

    2020  Volume 12, Issue S1, Page(s) S281–S283

    Abstract: This paper describes national-level mental health responses to COVID-19 in Lebanon. It then notes factors that have supported the mental health response, including how COVID-19 represents a window of opportunity to help strengthen the mental health ... ...

    Abstract This paper describes national-level mental health responses to COVID-19 in Lebanon. It then notes factors that have supported the mental health response, including how COVID-19 represents a window of opportunity to help strengthen the mental health system in Lebanon. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
    MeSH term(s) COVID-19 ; Coronavirus Infections ; Humans ; Lebanon ; Mental Disorders/therapy ; Mental Health Services/organization & administration ; Mental Health Services/standards ; Pandemics ; Pneumonia, Viral
    Keywords covid19
    Language English
    Publishing date 2020-06-15
    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/tra0000732
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Promoting follow-up attendance among mental health patients at a primary healthcare center in Lebanon: A randomized controlled trial.

    Kontar, Jana / Osseiran, Ali / Makki, Fadi / El Chammay, Rabih

    SAGE open medicine

    2022  Volume 10, Page(s) 20503121221135990

    Abstract: Objective: In 2015, the Lebanese Ministry of Public Health launched the 2015-2020 National Mental Health Strategy in an effort to integrate Mental Health into Primary Healthcare centers. One of the key objectives of the strategy was to increase the ... ...

    Abstract Objective: In 2015, the Lebanese Ministry of Public Health launched the 2015-2020 National Mental Health Strategy in an effort to integrate Mental Health into Primary Healthcare centers. One of the key objectives of the strategy was to increase the detection, assessment, and management of mental disorders including depression. In addition to diagnosis and patient education, a successful management of depression requires that patients systematically follow-up with their healthcare provider to ensure that they are on the optimal path to recovery. This study evaluates the impact of a visual self-assessment card to increase patients' attendance to a follow-up appointment with their healthcare provider.
    Methods: A clustered randomized controlled trial was implemented at a Primary Healthcare center located in South Lebanon. The final sample consisted of 405 patients (209 treated and 196 untreated patients) who were diagnosed with mild-to-severe depression using the Patient Health Questionnaire (PHQ-9 > 4). Patients were asked to attend a follow-up appointment with their health provider 2-3 weeks following the initial assessment. Treated patients were provided with a visual self-assessment card that tracked their daily mood changes and reminded them of their follow-up appointment.
    Results: Overall, the results provide evidence supporting the use of the self-assessment card to remind mental health patients of their follow-up appointments. Patients who received the card were 9 percentage points more likely to attend their follow-up appointment (
    Conclusion: Efforts focused on increasing compliance with follow-up appointments should be at the cornerstone of mental health integration approaches. Not only do our findings suggest a great potential for cost-effective interventions but also highlight new avenues to optimize on the use of reminders to promote compliance.
    Language English
    Publishing date 2022-11-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2735399-0
    ISSN 2050-3121
    ISSN 2050-3121
    DOI 10.1177/20503121221135990
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  3. Article: A policy implementer's perspective.

    El Chammay, Rabih

    World psychiatry : official journal of the World Psychiatric Association (WPA)

    2017  Volume 16, Issue 1, Page(s) 43–44

    Language English
    Publishing date 2017-01-27
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2236130-3
    ISSN 2051-5545 ; 1723-8617
    ISSN (online) 2051-5545
    ISSN 1723-8617
    DOI 10.1002/wps.20379
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  4. Article ; Online: Policy Makers' Tough Choices for Psychological Interventions in Global Mental Health: Learning From Multisite Studies.

    Kohrt, Brandon A / El Chammay, Rabih / Dossen, S Benedict

    JAMA psychiatry

    2020  Volume 77, Issue 5, Page(s) 452–454

    MeSH term(s) Administrative Personnel ; Child ; Cognitive Behavioral Therapy ; Humans ; Kenya ; Mental Health ; Parental Death ; Psychosocial Intervention ; Stress Disorders, Post-Traumatic ; Tanzania
    Language English
    Publishing date 2020-01-22
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2701203-7
    ISSN 2168-6238 ; 2168-622X
    ISSN (online) 2168-6238
    ISSN 2168-622X
    DOI 10.1001/jamapsychiatry.2019.4267
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  5. Article ; Online: Using COVID-19 responses to help strengthen the mental health system in Lebanon.

    El Chammay, Rabih / Roberts, Bayard

    Psychological Trauma: Theory, Research, Practice, and Policy

    2020  Volume 12, Issue S1, Page(s) S281–S283

    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/tra0000732
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Using COVID-19 responses to help strengthen the mental health system in Lebanon

    El Chammay, Rabih / Roberts, Bayard

    Psychol Trauma

    Abstract: This paper describes national-level mental health responses to COVID-19 in Lebanon. It then notes factors that have supported the mental health response, including how COVID-19 represents a window of opportunity to help strengthen the mental health ... ...

    Abstract This paper describes national-level mental health responses to COVID-19 in Lebanon. It then notes factors that have supported the mental health response, including how COVID-19 represents a window of opportunity to help strengthen the mental health system in Lebanon. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #598517
    Database COVID19

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  7. Article ; Online: Power dynamics and participation within humanitarian coordination groups: A case study of the MHPSS Taskforce in Lebanon.

    Lokot, Michelle / Zreik, Thurayya / El Masri, Rozane / Chaar, Sandy / Ali, Rayane / Meksassi, Bassel / Asmar, Michele Kosremelli / McKee, Martin / Roberts, Bayard / El Chammay, Rabih

    PLOS global public health

    2024  Volume 4, Issue 3, Page(s) e0003041

    Abstract: The humanitarian sector has often been criticised for its hierarchical power dynamics. Such dynamics often centre the priorities of 'international' actors, thereby marginalising the knowledge and expertise of those closest to the setting and play out in ... ...

    Abstract The humanitarian sector has often been criticised for its hierarchical power dynamics. Such dynamics often centre the priorities of 'international' actors, thereby marginalising the knowledge and expertise of those closest to the setting and play out in various fora, including coordination mechanisms. While guidance emphasises the importance of supporting local systems and government structures rather than creating parallel humanitarian structures, this approach is not consistently applied, creating challenges. We used a case study approach to explore how power relations influence the practice of the Mental Health and Psychosocial Support Taskforce in Lebanon, a nationally-led coordination mechanism chaired by the Ministry of Public Health with UN agencies as co-chairs. We conducted 34 semi-structured interviews with Taskforce members and other stakeholders coordinating with the Taskforce, including local non-governmental organisations (NGOs), international NGOs, United Nations agencies and government ministries. Interview transcripts were collaboratively analysed using Dedoose. We conducted feedback workshops with participants and integrated their feedback into analysis. We found that UN agencies and international NGOs are perceived as holding more decision-making power due to their access to funding and credibility-both shaped by the humanitarian system. Our findings also suggest that power dynamics arising mainly from differences in seniority, relations between 'local' and 'expat' staff, and language used in meetings may affect, to varying degrees, decision-making power and members' voices. We also show how the agenda/focus of meetings, meeting format, language, and existing relationships with Taskforce leaders can influence levels of participation and decision-making in Taskforce meetings, ranging from lack of participation through being informed or consulted about decisions to decisions made in partnership. Our findings have broader implications for coordinating service delivery within the humanitarian sector, emphasising the need to reflect upon power imbalances critically and continually and to ensure a shared understanding of decision-making processes.
    Language English
    Publishing date 2024-03-14
    Publishing country United States
    Document type Journal Article
    ISSN 2767-3375
    ISSN (online) 2767-3375
    DOI 10.1371/journal.pgph.0003041
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  8. Article ; Online: Feasibility and uptake of a digital mental health intervention for depression among Lebanese and Syrian displaced people in Lebanon: a qualitative study.

    Abi Ramia, Jinane / Abi Hana, Racha / Noun, Philip / Cuijpers, Pim / Carswell, Kenneth / Van't Hof, Edith / Heim, Eva / Zoghbi, Edwina / Sijbrandij, Marit / El Chammay, Rabih

    Frontiers in public health

    2024  Volume 11, Page(s) 1293187

    Abstract: Introduction: Digital interventions are increasingly regarded as a potential solution for the inaccessibility of mental health treatment across low-and-middle-income settings, especially for common mental disorders. Step-by-Step (SbS) is a digital, ... ...

    Abstract Introduction: Digital interventions are increasingly regarded as a potential solution for the inaccessibility of mental health treatment across low-and-middle-income settings, especially for common mental disorders. Step-by-Step (SbS) is a digital, guided self-help intervention for depression found effective in two Randomized Controlled Trials (RCTs) in Lebanon. For research implementation and further scale-up, this paper reports the results of a qualitative evaluation of SbS among the Lebanese and others and displaced Syrians in Lebanon.
    Methods: Thirty-four Key Informant Interviews (KIIs) were executed with participants of the RCTs, SbS staff members, and external stakeholders. Questions garnered feedback about the feasibility, acceptability, enabling factors, and barriers to adhering to the research, implementation, and the SbS intervention. A thematic analysis was conducted using NVivo, and key themes, topics, and recommendations, on research methods and the intervention itself, were generated and reported.
    Results: Results showed a high level of acceptability of SbS among Lebanese and Syrians and identified sub-groups for whom acceptance or use might be lower, such as older adults and people with limited access to the internet or smartphones. Furthermore, interviews identified the main enabling factors and barriers to adherence related to the research design, content, and delivery approach. Barriers related to feasibility included lengthy assessments as part of the RCTs, and mistrust related to delays in study compensations. Other common challenges were forgetting login credentials, poor internet connection, being busy and competing needs. Enabling factors and best practices included motivating participants to use the intervention through the weekly support provided by helpers, setting an oral contract for commitment, and dividing the compensations into several installments as part of the RCTs. Recommendations regarding sustainability were given.
    Discussion: The findings show that overall, SbS is feasible, acceptable, and much needed in Lebanon among the Lebanese and Syrians. This assessment identifies reasons for low adherence to the research and the intervention and presents improvement solutions. Recommendations generated in this paper inform the upscale of SbS and the planning, design, and implementation of future digital interventions in research and service provision settings in the mental health field.
    MeSH term(s) Aged ; Humans ; Depression/therapy ; Feasibility Studies ; Lebanon ; Mental Health ; Middle Eastern People ; Syria ; Digital Health ; Qualitative Research ; Refugees/psychology
    Language English
    Publishing date 2024-01-22
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1293187
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  9. Article ; Online: Syrian crisis and mental health system reform in Lebanon.

    El Chammay, Rabih / Ammar, Walid

    Lancet (London, England)

    2014  Volume 384, Issue 9942, Page(s) 494

    MeSH term(s) Health Care Reform/organization & administration ; Health Services/supply & distribution ; Humans ; International Cooperation ; Lebanon/epidemiology ; Mental Health Services/organization & administration ; Refugees ; Syria/ethnology ; Warfare
    Language English
    Publishing date 2014-08-09
    Publishing country England
    Document type Letter
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(14)61329-5
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    In stock of ZB MED Cologne/Königswinter

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  10. Article ; Online: Reconsidering Rigidity in the Diagnosis of Neuroleptic Malignant Syndrome: A Case Report.

    El Khoury, Rhea / Kassab, Anthony / Dagher, Ramez / Javelot, Herve / El Chammay, Rabih / Richa, Sami

    Journal of psychiatric practice

    2020  Volume 26, Issue 4, Page(s) 320–323

    Abstract: Neuroleptic malignant syndrome (NMS) is a rare but potentially fatal syndrome classically encountered in patients receiving typical antipsychotic agents. However, many physicians have also reported the occurrence of NMS with atypical antipsychotics, ... ...

    Abstract Neuroleptic malignant syndrome (NMS) is a rare but potentially fatal syndrome classically encountered in patients receiving typical antipsychotic agents. However, many physicians have also reported the occurrence of NMS with atypical antipsychotics, notably with atypical presentations. In this report, we present a case in which a patient's antipsychotic regimen during a psychotic episode (which involved both typical and atypical antipsychotics) subsequently led to NMS. During his stay, the patient developed an altered level of consciousness, elevation of creatine phosphokinase, hemodynamic instability, and a fever. However, the patient did not have signs of rigidity, the cardinal sign of this syndrome. The authors concluded that patients could develop NMS without rigidity while receiving an antipsychotic. Given this presentation, the authors suggest that clinicians have a high level of suspicion for NMS to avoid misdiagnosis and subsequent adverse consequences. Hence, clinicians must be vigilant about atypical presentations of NMS without rigidity.
    MeSH term(s) Adult ; Antipsychotic Agents/adverse effects ; Antipsychotic Agents/therapeutic use ; Creatine Kinase/metabolism ; Diagnostic Errors/prevention & control ; Humans ; Male ; Neuroleptic Malignant Syndrome/diagnosis ; Neuroleptic Malignant Syndrome/drug therapy ; Neuroleptic Malignant Syndrome/etiology ; Psychotic Disorders/complications ; Psychotic Disorders/drug therapy
    Chemical Substances Antipsychotic Agents ; Creatine Kinase (EC 2.7.3.2)
    Language English
    Publishing date 2020-07-20
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2022726-7
    ISSN 1538-1145 ; 1527-4160
    ISSN (online) 1538-1145
    ISSN 1527-4160
    DOI 10.1097/PRA.0000000000000478
    Database MEDical Literature Analysis and Retrieval System OnLINE

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