Table 4 Approaches and mechanisms for successful service delivery
From: Barriers and drivers to service delivery in global mental health projects
Themes | Key recommendations |
|---|---|
Fragmented and poor care pathways | Integrate awareness-raising efforts as part of routine mental health service delivery |
Contextual and cultural adaptability | Invest in system strengthening to improve coordination between different levels of providers |
Invest in participatory formative research to better understand context and need | |
Lack of mental health human resources | Engage with key stakeholders from the initial stages of project design through to delivery to increase investment and uptake |
Utilize existing community resources, stepped-care approaches and task-sharing with non-specialist providers | |
Measurement and detection | Allocate funding towards developing measures that are easily adapted to different (low-income) settings |
Build capacity within local implementing agencies to carry out formative research on the validity and reliability of screening tools | |
Fidelity in the intervention protocol | Invest in feasibility and appropriateness studies prior to implementation |
Build an iterative design and feedback into delivery mechanisms to integrate key learnings for continued contextual adaptation |