Lay Health Worker Involvement in Evidence-Based Treatment Delivery: A Conceptual Model to Address Disparities in Care
Lay Health Worker Involvement in Evidence-Based Treatment Delivery: A Conceptual Model to Address Disparities in Care
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DOI：
10.1146/annurev-clinpsy-050817084825
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发表时间：
2018-01-01
期刊：
影响因子：
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通讯作者：
Miranda, Jeanne
中科院分区：
文献类型：
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作者：
Barnett, Miya L.;Lau, Anna S.;Miranda, Jeanne
动员非专业卫生工作者（LHWs）提供循证治疗（ebt）是一项人力战略，旨在解决服务不足社区的精神卫生差距问题。可以利用基层卫生服务人员以各种方式支持获得EBTs，从为专业提供者提供的EBTs开展外展活动到作为主要治疗提供者。这一重要综述概述了低收入国家、中等收入国家和高收入国家（HICs）如何利用低卫生组织支持或提供的ebt。我们为LHWs提出了一个概念模型，以解决服务差异的驱动因素，这与所提供的ebt的总体供应和对这些治疗的需求有关。该审查提供了说明性案例，说明如何在全球和国内利用精神卫生工作者来增加获得精神卫生服务的机会。报告还讨论了关于实施lhw支持或交付的ebt的挑战和建议。
Mobilizing lay health workers (LHWs) to deliver evidence-based treatments (EBTs) is a workforce strategy to address mental health disparities in underserved communities. LHWs can be leveraged to support access to EBTs in a variety of ways, from conducting outreach for EBTs delivered by professional providers to serving as the primary treatment providers. This critical review provides an overview of how LHW-supported or -delivered EBTs have been leveraged in low-, middle-, and high-income countries (HICs). We propose a conceptual model for LHWs to address drivers of service disparities, which relate to the overall supply of the EBTs provided and the demand for these treatments. The review provides illustrative case examples that demonstrate how LHWs have been leveraged globally and domestically to increase access to mental health services. It also discusses challenges and recommendations regarding implementing LHW-supported or -delivered EBTs.