A5016094240- Mental Health Treatment and Access
- Health Policy Implementation Science
- Schizophrenia research and treatment
- Mental Health and Patient Involvement
- Health disparities and outcomes
- Family Caregiving in Mental Illness
- Community Health and Development
- Child Abuse and Trauma
- Child and Adolescent Psychosocial and Emotional Development
- Public Health Policies and Education
- Global Maternal and Child Health
- Homelessness and Social Issues
- Health, psychology, and well-being
- Intimate Partner and Family Violence
- Primary Care and Health Outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Healthcare Decision-Making and Restraints
- Food Security and Health in Diverse Populations
- Health Promotion and Cardiovascular Prevention
- COVID-19 and Mental Health
- Substance Abuse Treatment and Outcomes
- Evaluation and Performance Assessment
- Psychiatric care and mental health services
- Racial and Ethnic Identity Research
- Migration, Health and Trauma
Michigan State University
2018-2025
Michigan United
2023-2024
George Mason University
2023
Virginia Commonwealth University
2023
University of Central Florida
2023
Seattle University
2023
University of Washington
2023
Addis Ababa University
2015-2022
University of Michigan–Flint
2019-2020
University of Bahrain
2014-2015
As part of a situational analysis for research programme on the integration mental health care into primary (Programme Improving Mental Health Care-PRIME), we conducted baseline study aimed at determining broad indicators population level psychosocial distress in predominantly rural community Ethiopia. The was population-based cross-sectional survey 1497 adults selected through multi-stage random sampling process. Population evaluated by estimating magnitude common disorder symptoms (CMD;...
Background Sustainability science is an emerging area within implementation science. There limited evidence regarding strategies to best support the continued delivery and sustained impact of evidence-based interventions (EBIs). To build such evidence, clear definitions, ways operationalize specific and/or relevant sustainment are required. Taxonomies compilations as Expert Recommendations for Implementing Change (ERIC) were developed describe organize strategies. This study aimed adapt,...
Aims. In low-income countries, care for people with severe mental disorders (SMDs) who manage to access treatment is usually emergency-based, intermittent or narrowly biomedical. The aim of this study was inform development a scalable district-level health plan meet the long-term needs SMD in rural Ethiopia. Methods. present carried out as formative work Pr ogramme I mproving M ental Car E which seeks develop, implement and evaluate district level model integrating into primary care. Six...
In low-and middle-income countries, integration of mental health into primary care is recommended to reduce the treatment gap. this study we explored barriers initial and ongoing engagement people with severe disorders (SMD) in rural Ethiopia after implementing integrated healthcare services. A qualitative approach was employed. In-depth interviews were conducted 50 key informants: service users/caregivers engaged (n = 17), non-engagers their caregivers 10), those who had initiated but...
Background The focus of discussion in addressing the treatment gap is often on biomedical services. However, community resources can benefit health service scale-up resource-constrained settings. These assets be captured systematically through resource mapping, a method used social action research. Resource mapping informative developing complex mental interventions, particularly settings with limited formal resources. Method We employed within Programme for Improving Mental Health Care...
Abstract Background The “treatment gap” (TG) for mental disorders, widely advocated by the WHO in low-and middle-income countries, is an important indicator of extent to which a health system fails meet care needs people with disorder at population level. While there limited research on TG these even greater paucity studies looking beyond unidimensional understanding. This study explores several dimensions construct psychosis Sodo, rural district Ethiopia, and its implications building more...
Scaling up mental healthcare through integration into primary care remains the main strategy to address extensive unmet health need in low-income countries. For integrated achieve its goal, a clear understanding of organisational processes that can promote and hinder delivery is essential. Theory Change (ToC), method employed planning, implementation evaluation complex community initiatives, an innovative approach has potential assist development comprehensive plan (MHCP), which inform care....
The provision of mental healthcare through integration into primary care is expected to improve access care, but not all population groups may benefit equally. aim this study was inform delivery a new care-based health service in rural Ethiopia by identifying potential barriers equitable and strategies overcome them. A qualitative conducted as formative work for the PRogramme Improving Mental healthcarE (PRIME), project supporting integrated district south central Ethiopia. In-depth...
Injury related to self-harm is one of the leading causes global disease burden. As a formative work for programme implement comprehensive mental healthcare in rural district Ethiopia, we determined 12-month prevalence non-fatal suicidal behaviour as well factors associated with this understand potential burden district. Population-based (n = 1485) and facility-based 1014) cross-sectional surveys adults, using standardised, interview-based measures suicidality (items on suicide from Composite...
Integration of mental healthcare into non-specialist settings is advocated to expand access care for people with severe disorders (SMD) in low-income countries. However, the impact upon equitable disenfranchised members society has not been investigated. The purpose this study was (1) estimate contact coverage SMD a new service primary (PHC) rural Ethiopian district, and (2) investigate equity residents, women, physical impairments low socio-economic status.Community key informants were...
Sustainability and health inequities are key challenges in public healthcare. Research suggests that only about half of evidence-based interventions (EBIs) sustained over time, settings populations experiencing systemic structural barriers to (e.g., poverty, racism, stigma, discrimination) experience even greater sustainability. In this article, we argue an enhanced focus on sustainability the field implementation science is critical order maximize long-term benefits broader societal impacts...
Abstract Background For women in most low- and middle-income countries, the diagnosis with serious mental illness (SMI) leads to stigma challenges related starting or maintaining marriages. The purpose of this qualitative study was explore perspectives on marriage, divorce family roles SMI rural Ethiopia. Methods A conducted a setting Butajira, South Central total 39 in-depth interviews were carried out service users ( n = 11), caregivers 12), religious leaders 6), health extension workers...
Interagency teams are considered an evidence-based change practice, but there is a paucity of research examining them in criminal justice (CJ) and behavioral health (BH) reform contexts. This study draws on qualitative interviews (n = 52) survey data 791) from BH CJ leaders across the United States to examine who them, what they do, effective strategies for building sustaining them. Findings indicated that CJ-BH interagency often incorporate agencies range CJ, BH, social service, agencies....
Abstract Background The criminal justice system is the largest provider of mental health services in USA. Many jurisdictions are interested reducing use for problems. national Stepping Up Initiative helps agencies within counties work together more effectively to reduce number individuals with illness jails and improve access community. This study will compare matched comparison over time (1) examine effectiveness (2) test hypothesized implementation mechanisms inform multi-agency efforts...
Tens of millions individuals with mental health problems interact the U.S. criminal legal system (including 911, police, jail detention and sentences, courts, probation parole) each year. The authors sought to identify recommended practices for system-involved report percentages counties population living in which practice is present.
Alcohol use disorder (AUD) is a highly stigmatized condition, often associated with negative stereotypes such as being morally weak, incompetent, unpredictable, and aggressive. People AUD are at risk of experiencing self-stigma, social-cognitive experience in which people think others hold about them, expect to be treated unfairly, and/or believe that personally accurate. Women the criminal justice system particular self-stigma due intersecting sources disadvantage. Given can lead treatment...