2023-09-28 14:46:10 +00:00
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abstract: 'BackgroundGlobally, a treatment gap exists for individuals with severe
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mental illness, with 75\% of people with psychosis failing to receive
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appropriate care. This is most pronounced in low and middle-income
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countries, where there are neither the financial nor human resources to
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provide high-quality community-based care. Low-cost, evidence-based
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interventions are urgently needed to address this treatment gap. AimTo
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conduct a situation analysis to (i) describe the provision of
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psychosocial interventions within the context of existing care in two
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LMICs-India and Pakistan, and (ii) understand the barriers and
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facilitators of delivering a new psychosocial intervention. MethodA
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situation analysis including a quantitative survey and individual
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interviews with clinicians, patients and caregivers was conducted.
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Quantitative survey data was collected from staff members at 11 sites
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(private and government run hospitals) to assess organizational
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readiness to implement a new psychosocial intervention. To obtain
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in-depth information, 24 stakeholders including clinicians and service
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managers were interviewed about the typical care they provide and/or
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receive, and their experience of either accessing or delivering
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psychosocial interventions. This was triangulated by six interviews with
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carer and patient representatives. Results and discussionThe results
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highlight the positive views toward psychosocial interventions within
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routine care and the enthusiasm for multidisciplinary working. However,
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barriers to implementation such as clinician time, individual attitudes
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toward psychosocial interventions and organizational concerns including
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the lack of space within the facility were highlighted. Such barriers
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need to be taken into consideration when designing how best to implement
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and sustain new psychosocial interventions for the community treatment
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of psychosis within LMICs.'
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affiliation: 'Bird, VJ (Corresponding Author), Queen Mary Univ London, Wolfson Inst
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Populat Hlth, Unit Social \& Community Psychiat, London, England.
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Bird, Victoria Jane, Queen Mary Univ London, Wolfson Inst Populat Hlth, Unit Social
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\& Community Psychiat, London, England.
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Davis, Syjo; Ramachandran, Padmavati; Venkatraman, Lakshmi, Schizophrenia Res Fdn,
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Chennai, India.
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Jawed, Abeer; Qureshi, Onaiza; Shahab, Areeba, Interact Res \& Dev, Karachi, Pakistan.'
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article-number: '807259'
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author: Bird, Victoria Jane and Davis, Syjo and Jawed, Abeer and Qureshi, Onaiza and
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Ramachandran, Padmavati and Shahab, Areeba and Venkatraman, Lakshmi
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author-email: v.j.bird@qmul.ac.uk
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author_list:
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- family: Bird
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given: Victoria Jane
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- family: Davis
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given: Syjo
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- family: Jawed
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given: Abeer
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- family: Qureshi
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given: Onaiza
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- family: Ramachandran
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given: Padmavati
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- family: Shahab
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given: Areeba
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- family: Venkatraman
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given: Lakshmi
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da: '2023-09-28'
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doi: 10.3389/fpsyt.2022.807259
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files: []
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issn: 1664-0640
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journal: FRONTIERS IN PSYCHIATRY
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keywords: 'severe mental illness; psychosis; psychological interventions; India;
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Pakistan; low and middle-income countries; situation analysis'
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keywords-plus: 'MENTAL-HEALTH; TREATMENT GAP; DIALOG PLUS; DISORDERS; ILLNESS; PATIENT;
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NEEDS'
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language: English
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month: AUG 1
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number-of-cited-references: '38'
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orcid-numbers: 'Bird, Victoria/0000-0002-2053-7679
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Qureshi, Onaiza/0000-0002-3861-3473'
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papis_id: d97a4f6eb470aa7b90a5e81ce5b4f0d4
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ref: Bird2022implementingpsychoso
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researcherid-numbers: 'Bird, Victoria/N-1165-2013
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'
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times-cited: '2'
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title: Implementing psychosocial interventions within low and middle-income countries
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to improve community-based care for people with psychosis-A situation analysis
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000841641000001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '2'
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volume: '13'
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web-of-science-categories: Psychiatry
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year: '2022'
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