Skip to main content

Table 1 Types of NSHWs in included records

From: Implementation outcomes of cognitive behavioural therapy delivered by non-specialists for common mental disorders and substance-use disorders in low- and middle-income countries: a systematic review

Type of NSHW

Definition

Trained & supervised by:

Study

Author (year)

Lay health workers (e.g. community health workers or Lady Health Workers)

Non-specialist workers linked to the local health system (part of formal health workforce)

Living locally; often mobile in the community

Empathy, interpersonal skills, motivation

Gatekeepers to the community for new interventions

Senior health promotion officers or Mental health specialists

Friendship Bench Programme

Chibanda (2016)

Chibanda (2017)

Problem-solving therapy

Munodawafa (2017)

Nyatsanza (2016)

Lay counsellors (e.g. lay-helpers)

Selection based on competency assessment (delivery & skills)

Intensive supervision needed

Lay health workers or Mental health specialists

Common Elements Treatment Approach

Murray (2014)

Bolton (2014)

Healthy Activity Programme

Chowdhary (2016)

Trauma-focused CBT vs. Problem-solving therapy

Dawson (2018)

Problem Management Plus

Khan (2017)

Counselling for Alcohol Problems

Nadkarni (2015)

Nadkarni (2017)

Peers

Similar lived experience as service users

Age, gender and language matching as facilitators

Less formal boundaries/more flexibility in delivery

Non-specialist facilitators

Thinking Healthy Peer

Atif (2016)

Atif (2017)

Singla (2014)

Paraprofessional counsellors

Little or no background in counselling or psychology

Trained and supervised to deliver manualised therapy

Mental health specialists

Cognitive processing therapy

Bass (2013)

Group intervention

Tol (2008)

Culturally adapted group CBT

Papas (2010)

Papas (2011)