A5049175625- Mental Health Treatment and Access
- Family Caregiving in Mental Illness
- Child and Adolescent Psychosocial and Emotional Development
- Global Maternal and Child Health
- Parasitic Diseases Research and Treatment
- Mental Health and Patient Involvement
- Health Systems, Economic Evaluations, Quality of Life
- Dementia and Cognitive Impairment Research
- Psychiatric care and mental health services
- Schizophrenia research and treatment
- Health, Medicine and Society
- Parasites and Host Interactions
- Clinical practice guidelines implementation
- Healthcare Systems and Reforms
- Chronic Disease Management Strategies
- Resilience and Mental Health
- Migration, Health and Trauma
- Disaster Response and Management
- Lymphatic System and Diseases
- Emergency and Acute Care Studies
- Employment and Welfare Studies
- Digital Mental Health Interventions
- Healthcare Systems and Practices
- Health disparities and outcomes
- Healthcare Policy and Management
Brighton and Sussex Medical School
2018-2025
University of Sussex
2018-2025
University of Brighton
2025
King's College London
2010-2021
Centre for Global Health Research
2019
Centre for Mental Health
2019
King's College Hospital
2019
The King's College
2019
Population Services International
2011-2014
World Health Organization
2012
In 2008 the WPA General Assembly approved Action Plan of Association for triennium Presidency Professor Mario Maj. One items is production guidelines on practical issues interest to psychiatrists worldwide (1,2. The present document, providing guidance lessons learned and mistakes avoid in implementation community mental health care, part that project. subsequent publications we shall describe more detail particular challenges solutions identified various regions worldwide. Mental problems...
Aims. This paper aims to provide an overview of evidence from low- and middle-income countries (LAMICs) worldwide address: the nature stigma discrimination, relevant context-specific factors, global patterns these phenomena their measurement quantitative qualitative interventions intended reduce occurrence impact. The background this study is that large majority studies concerned with identifying effective discrimination originate in high-income (HICs). therefore presents such from, to,...
Aims. The aims of this paper are to: (i) explore the experiences involvement mental health service users, their caregivers, centre heads and policy makers in system strengthening three low- middle-income countries (LMICs) (Ethiopia, Nepal Nigeria); (ii) analyse potential benefits barriers such involvement; (iii) identify strategies required to achieve greater user caregiver participation. Methods. A cross-country qualitative study was conducted, interviewing 83 stakeholders services....
It is essential to involve service users in efforts expand access mental health care integrated primary settings low- and middle-income countries (LMICs). However, there little evidence from LMICs guide this process. The aim of study was explore barriers to, facilitators of, user/caregiver involvement rural Ethiopia inform the development a scalable approach.Thirty nine semi-structured interviews were carried out with purposively selected (n = 13), caregivers 10), heads facilities 8) policy...
Background There is a global drive to improve access mental healthcare by scaling up integrated health into primary (PHC) systems in low- and middle-income countries (LMICs). Aims To investigate systems-level implications of efforts scale-up PHC districts six LMICs. Method Semi-structured interviews were conducted with 121 managers service providers. Transcribed analysed using framework analysis guided the Consolidated Framework for Implementation Research World Health Organization basic...
This paper is part of a series which describes the development community mental health care in regions around world (see 1). It one products Task Force appointed by WPA, as its Action Plan 2008–2011 2,3, to produce Guidance on Steps, Obstacles and Mistakes Avoid Implementation Community Mental Health Care. The purpose, methods main findings this have been previously published journal 4. In article, we describe these issues relation World Organization (WHO) European region. WHO Region...
Stigmatization of people with mental illness can contribute to adverse consequences, including poor access and physical health care; reduced life expectancy; exclusion from higher education employment; increased risk contact the criminal justice system; victimization; poverty homelessness1. The WPA Open Doors programme was initiated by one us (NS) in 1999 included both action research components 23 countries worldwide. This work led creation Stigma Section, establishing a series biannual...
There is increasing international recognition of the need to build capacity strengthen mental health systems. This a fundamental goal ‘Emerging systems in low- and middle-income countries’ (Emerald) programme, which being implemented six countries (LMICs) (Ethiopia, India, Nepal, Nigeria, South Africa, Uganda). paper discusses Emerald's capacity-building approaches outputs for three target groups system strengthening: (1) service users caregivers, (2) planners policy-makers, (3) researchers....
Attention is increasingly shifting towards the role of daily stressors in explaining mental health outcomes humanitarian emergencies.To assess current perceived needs association between past traumatic exposure and distress settings.A series mediator analyses were conducted, using data from Jordan (displaced Iraqi people) Nepal (Bhutanese refugees). The General Health Questionnaire (GHQ-12), newly developed Humanitarian Emergency Settings Perceived Needs Scale (HESPER) events list Composite...
We developed the Humanitarian Emergency Settings Perceived Needs (HESPER) Scale, a valid and reliable scale to rapidly assess perceived needs of populations in humanitarian settings low- middle-income countries.
Efforts to support the scale-up of integrated mental health care in low- and middle-income countries (LMICs) need focus on building human resource capacity system strengthening, as well direct provision care. In a companion editorial, we describe range capacity-building activities that are being implemented by multi-country research consortium (Emerald: Emerging systems countries) for (1) service users caregivers, (2) planners policy-makers (3) researchers six LMICs (Ethiopia, India, Nepal,...
Ethiopia is embarking upon a ground-breaking plan to address the high levels of unmet need for mental health care by scaling up integrated within primary care. Health system governance expected impact critically success or otherwise this important initiative. The objective study was explore barriers, facilitators and potential strategies promote good in relation scale-up Ethiopia.A qualitative conducted using in-depth interviews. Key informants were selected purposively from national...
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Abstract Background People with severe mental disorders (SMD) experience premature mortality mostly from preventable physical causes. The World Health Organization (WHO) have recently produced guidelines on the prevention and management of health conditions in SMD. This paper presents evidence which led to recommendations presented guidelines. Methods work followed methodological principles for WHO guideline development. Systematic reviews relation treatment seven key priority associated...
High-quality information to measure the need for, and uptake, cost, quality impact of care is essential in pursuit scaling up mental health low- middle-income countries (LMIC). The aim this study was identify indicators for measurement effective coverage treatment. We conducted a two-round Delphi (n = 93 experts from primarily LMIC Ethiopia, India, Nepal, Nigeria, South Africa Uganda), order generate prioritize set indicators. First, 52 unique were generated (based on total 876 responses...
Research on information systems for mental health in low and middle income countries (LMICs) is scarce. As a result, there lack of reliable service needs, treatment coverage the quality services provided. With aim informing development implementation sub-system that includes measurable indicators within Health Management Information Systems (HMIS), cross-country situation analysis HMIS was conducted six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa Uganda), participating 'Emerging...