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Trauma Intervention in Sub-Saharan African Children: A Systematic Literature Review
Tiamo Katsonga-Phiri1, Kathryn E Grant1, Molly Brown1
11 Department of Psychology, DePaul University, Chicago, IL, USA.
Insights
Mental health treatments adapted for children in sub-Saharan Africa show effectiveness. This systematic review highlights successful interventions despite limited mental health services in the region.
Area of Science:
- Global Mental Health
- Child Psychology
- Trauma Studies
Background:
- Sub-Saharan Africa faces significant trauma, leading to severe mental health challenges.
- The region has the least access to mental health services globally, despite high need.
- The World Health Organization (WHO) mandates increased mental health resources and capacity.
Purpose of the Study:
- To review existing literature on mental health treatments for children exposed to trauma in sub-Saharan Africa.
- To identify types of treatments used, their adaptation, administration, and outcomes.
- To assess the effectiveness of these interventions in the region.
Main Methods:
- Qualitative systematic review of 20 articles.
- Literature search focused on research conducted in sub-Saharan African countries.
- Analysis of treatment types, adaptation strategies, providers, and reported outcomes.
Main Results:
- A majority of reviewed treatments demonstrated effectiveness for child trauma populations in sub-Saharan Africa.
- Various adaptation strategies were employed to suit local contexts.
- Research indicates a growing effort to implement sustainable, evidence-based mental health care.
Conclusions:
- Adapted mental health treatments are effective for children experiencing trauma in sub-Saharan Africa.
- The findings support the ongoing efforts to build sustainable mental health capacity in underserved regions.
- Further research and implementation are crucial to address the mental health gap.
Abstract:
Sub-Saharan Africa is a part of the world that is highly affected by a large number of atrocities, causing a myriad of financial, physical health, and mental health consequences. Yet, unfortunately, according to the World Health Organization (WHO), this is also the part of the world that is least served by mental health services. In response, the WHO has created mandates to increase mental health resources and capacity in all countries. Researchers have taken on the work of introducing and adapting treatments in various sub-Saharan African countries with an aim to create sustainable, evidence-based treatment in a part of the world with high need. The current qualitative systematic review of the literature examines 20 articles that report on research conducted in sub-Saharan African countries with children who have suffered different types of traumas. This review answers questions concerning the types of treatments used, the people administering the treatments, the measures they take to adapt these treatments, and the types of outcomes that are seen. Overall, the majority of treatments being used are shown to be effective with the associated populations.
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