Teacher and caregiver perceptions of family engagement in teacher-led task-shifted child mental health care in a low-and-middle-income country

Matergia, M (通讯作者),Univ Colorado, Ctr Global Hlth, Colorado Sch Publ Hlth, Anschutz Med Campus,131999 E Montview Blvd, Aurora, CO 80045 USA.;Cruz, CM (通讯作者),Univ N Carolina, Dept Psychiat, Sch Med, 101 Manning Dr,CB 7160, Chapel Hill, NC 27599 USA.
2022-11-2
The mental health needs of children in low-and-middle income countries (LMICs) often go unmet due to a lack of qualified mental health professionals. Task-shifting the provision of mental health services to teachers may facilitate access to care. Family engagement in task-shifting may support mental health outcomes but is understudied in this context. The current study explored teacher and caregiver perceptions of family engagement within a teacher-led, task-shifted mental health intervention in an LMIC. Primary school teachers from five schools in Darjeeling, India delivered evidence-based, indicated mental health care to children with mental health needs throughout the school day. We conducted semi-structured interviews (SSIs) with teachers (n=17) and caregivers (n=21). SSIs were coded for themes related to family engagement. Teachers and caregivers were compared based on perceived levels of engagement. Participants reported three patterns of engagement: families who fully engaged; families who felt positively about teachers but displayed little engagement; and families with limited engagement. Barriers included logistical challenges and misconceptions about the programme. Many teachers implicated family engagement as a facilitator of the programme, suggesting that family involvement may support intervention outcomes. Future work could involve the development of an intervention component to better facilitate engagement in this context.
GLOBAL PUBLIC HEALTH
卷号:17|期号:11|页码:2946-2961
ISSN:1744-1692|收录类别:SSCI
语种
英语
来源机构
University of North Carolina; University of North Carolina Chapel Hill; University of London; London School of Hygiene & Tropical Medicine; Colorado School of Public Health; Colorado School of Public Health; University of Colorado System; University of Colorado Anschutz Medical Campus; University of Colorado System; University of Colorado Anschutz Medical Campus; University of North Carolina; University of North Carolina Chapel Hill; University of North Carolina School of Medicine; University of North Carolina; University of North Carolina Chapel Hill
资助机构
AACAP
资助信息
The research in this publication was made possible through the American Academy of Child and Adolescent Psychiatry (AACAP) Pilot Research Award for Junior Faculty and Child and Adolescent Psychiatry Fellows, supported by AACAP; its contents are the responsibility of the authors and do not necessarily reflect the official views of AACAP.
被引频次(WOS)
3
被引频次(其他)
3
180天使用计数
1
2013以来使用计数
2
EISSN
1744-1706
出版年
2022-11-2
DOI
10.1080/17441692.2021.2002924
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生
关键词
Task-shifting global mental health family engagement child mental health LMIC