abstract: 'The mental health needs of children in low-and-middle income countries

  (LMICs) often go unmet due to a lack of qualified mental health

  professionals. Task-shifting the provision of mental health services to

  teachers may facilitate access to care. Family engagement in

  task-shifting may support mental health outcomes but is understudied in

  this context. The current study explored teacher and caregiver

  perceptions of family engagement within a teacher-led, task-shifted

  mental health intervention in an LMIC. Primary school teachers from five

  schools in Darjeeling, India delivered evidence-based, indicated mental

  health care to children with mental health needs throughout the school

  day. We conducted semi-structured interviews (SSIs) with teachers (n=17)

  and caregivers (n=21). SSIs were coded for themes related to family

  engagement. Teachers and caregivers were compared based on perceived

  levels of engagement. Participants reported three patterns of

  engagement: families who fully engaged; families who felt positively

  about teachers but displayed little engagement; and families with

  limited engagement. Barriers included logistical challenges and

  misconceptions about the programme. Many teachers implicated family

  engagement as a facilitator of the programme, suggesting that family

  involvement may support intervention outcomes. Future work could involve

  the development of an intervention component to better facilitate

  engagement in this context.'
affiliation: 'Matergia, M (Corresponding Author), Univ Colorado, Ctr Global Hlth,
  Colorado Sch Publ Hlth, Anschutz Med Campus,131999 E Montview Blvd, Aurora, CO 80045
  USA.

  Cruz, CM (Corresponding Author), Univ N Carolina, Dept Psychiat, Sch Med, 101 Manning
  Dr,CB 7160, Chapel Hill, NC 27599 USA.

  Vanderburg, Juliana L.; Cruz, Christina M., Univ N Carolina, Sch Psychol Program,
  Sch Educ, Chapel Hill, NC USA.

  Bhattarai, Surekha; Giri, Priscilla, Darjeeling Ladenla Rd Prerna, Darjeeling, India.

  Ferrarone, Peter, London Sch Hyg \& Trop Med, Dept Global Hlth \& Dev, London, England.

  Lamb, Molly M., Colorado Sch Publ Hlth, Dept Epidemiol, Aurora, CO USA.

  Lamb, Molly M.; Hampanda, Karen; Matergia, Michael, Univ Colorado, Ctr Global Hlth,
  Colorado Sch Publ Hlth, Anschutz Med Campus,131999 E Montview Blvd, Aurora, CO 80045
  USA.

  Giardina, Aileen A.; Matergia, Michael, Broadleaf Hlth \& Educ Alliance, Stroudsburg,
  PA USA.

  Hampanda, Karen, Univ Colorado, Dept Obstet \& Gynaecol, Anschutz Med Campus, Aurora,
  CO 80045 USA.

  Gaynes, Bradley N.; Cruz, Christina M., Univ N Carolina, Dept Psychiat, Sch Med,
  101 Manning Dr,CB 7160, Chapel Hill, NC 27599 USA.

  Gaynes, Bradley N., Univ N Carolina, Dept Epidemiol, Gillings Sch Global Publ Hlth,
  Chapel Hill, NC USA.'
author: Vanderburg, Juliana L. and Bhattarai, Surekha and Ferrarone, Peter and Giri,
  Priscilla and Lamb, Molly M. and Giardina, Aileen A. and Hampanda, Karen and Gaynes,
  Bradley N. and Matergia, Michael and Cruz, Christina M.
author-email: christina\_cruz@med.unc.edu
author_list:
- family: Vanderburg
  given: Juliana L.
- family: Bhattarai
  given: Surekha
- family: Ferrarone
  given: Peter
- family: Giri
  given: Priscilla
- family: Lamb
  given: Molly M.
- family: Giardina
  given: Aileen A.
- family: Hampanda
  given: Karen
- family: Gaynes
  given: Bradley N.
- family: Matergia
  given: Michael
- family: Cruz
  given: Christina M.
da: '2023-09-28'
doi: 10.1080/17441692.2021.2002924
earlyaccessdate: DEC 2021
eissn: 1744-1706
files: []
issn: 1744-1692
journal: GLOBAL PUBLIC HEALTH
keywords: 'Task-shifting; global mental health; family engagement; child mental

  health; LMIC'
keywords-plus: PARENT; INTERVENTIONS; PROGRAM
language: English
month: NOV 2
number: '11'
number-of-cited-references: '31'
orcid-numbers: 'Lamb, Molly/0000-0002-2331-2555

  Gaynes, Bradley/0000-0002-8283-5030

  Giardina, Aileen/0000-0001-5792-4341

  Hampanda, Karen/0000-0002-7577-5500

  Giri, Priscilla/0000-0001-9419-8553

  Vanderburg, Juliana/0000-0001-9283-0842

  Cruz, Christina/0000-0003-4466-1487'
pages: 2946-2961
papis_id: e35a3ee581b4dfa8e3b61f16b0a83c76
ref: Vanderburg2022teachercaregiver
times-cited: '3'
title: Teacher and caregiver perceptions of family engagement in teacher-led task-shifted
  child mental health care in a low-and-middle-income country
type: article
unique-id: WOS:000730056600001
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '17'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2022'