Implementation Science for closing the treatment gap for mental disorders by translating evidence base into practice: experiences from the PRIME project
Restricted accessResearch articleFirst published online December, 2015
Implementation Science for closing the treatment gap for mental disorders by translating evidence base into practice: experiences from the PRIME project
This paper utilizes the experience of PRIME (Programme for Improving Mental health care) to exemplify how implementation science provides key insights and approaches to closing the treatment gap for mental disorders.
Conclusion:
The real-world application of strategies described in the implementation science literature, accompanied by use of alternative, rigorous evaluation methods to assess their impact on patient outcomes, can help in closing the mental health treatment gap in disadvantaged populations.
WhitefordHADegenhardtLRehmJ. Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. Lancet2013; 382: 1575–1586.
2.
KohnRSaxenaSLevavI. The treatment gap in mental health care. Bull World Health Org2004; 82: 858–866.
3.
PetersDHAdamTAlongeO. Implementation research: What it is and how to do it. BMJ (Clin Res)2013; 347: f6753.
4.
LundCTomlinsonMDe SilvaM. PRIME: A programme to reduce the treatment gap for mental disorders in five low- and middle-income countries. PLoS Med2012; 9: e1001359.
5.
ParryGJCarson-StevensALuffDF. Recommendations for evaluation of health care improvement initiatives. Acad Pediatr2013; 13(6 Suppl): S23–S30.
6.
IoannidisJP. Contradicted and initially stronger effects in highly cited clinical research. JAMA2005; 294: 218–228.
7.
SavignyDAdamT editors. Systems thinking for health systems strengthening. Alliance for Health Policy and Systems Research: WHO, 2009.
8.
WHO. mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings: Mental health Gap Action Programme (mhGAP). Geneva: WHO, 2010.
9.
JenkinsROthienoCOkeyoS. Short structured general mental health in service training programme in Kenya improves patient health and social outcomes but not detection of mental health problems – a pragmatic cluster randomised controlled trial. Int J Mental Health Syst2013; 7: 25.
10.
KilbourneAMNeumannMSPincusHA. Implementing evidence-based interventions in health care: Application of the replicating effective programs framework. Implement Sci2007; 2: 42.
11.
ShidhayeRShrivastaSMurharV. Development and piloting of a plan for integrating Mental Health in primary care in Sehore District, Madhya Pradesh, India. Br J Psychiatry In Press.
12.
StetlerCBLegroMWWallaceCM. The role of formative evaluation in implementation research and the QUERI experience. J Gen Intern Med2006; 21(Suppl 2): S1–S8.
