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Adapting Problem Management Plus for Implementation: Lessons Learned from Public Sector Settings Across Rwanda, Peru, Mexico and Malawi.

Title: Adapting Problem Management Plus for Implementation: Lessons Learned from Public Sector Settings Across Rwanda, Peru, Mexico and Malawi.
Authors: Coleman SF; Partners In Health, Boston, USA.; Mukasakindi H; Partners In Health/Inshuti Mu Buzima, Rwanda.; Rose AL; Department of Psychology, University of Maryland, College Park, USA.; Galea JT; School of Social Work and College of Public Health, University of South Florida, Tampa, USA; Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA.; Nyirandagijimana B; Partners In Health/Inshuti Mu Buzima, Rwanda.; Hakizimana J; Partners In Health/Inshuti Mu Buzima, Rwanda.; Bienvenue R; Partners In Health/Inshuti Mu Buzima, Rwanda.; Kundu P; Partners In Health/Inshuti Mu Buzima, Rwanda.; Uwimana E; Partners In Health/Inshuti Mu Buzima, Rwanda.; Uwamwezi A; Partners In Health/Inshuti Mu Buzima, Rwanda.; Contreras C; Partners In Health/Socios En Salud, Peru, Harvard Global Health Institute, Boston, USA.; Rodriguez-Cuevas FG; Partners In Health/Compañeros En Salud, Mexico.; London School of Hygiene & Tropical Medicine.; Maza J; Partners In Health/Compañeros En Salud, Mexico.; Ruderman T; Partners In Health/Abwenzi Pa Za Umoyo, Malawi.; Connolly E; Partners In Health/Abwenzi Pa Za Umoyo, Malawi; Division of Pediatrics and Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.; Chalamanda M; Partners In Health/Abwenzi Pa Za Umoyo, Malawi.; Kayira W; Partners In Health/Abwenzi Pa Za Umoyo, Malawi.; Kazoole K; Partners In Health/Abwenzi Pa Za Umoyo, Malawi.; Kelly KK; Partners In Health, Boston, USA.; Wilson JH; Partners In Health, Boston, USA.; Houde AA; Partners In Health, Boston, USA.; Magill EB; Icahn School of Medicine at Mount Sinai, New York, USA.; Raviola GJ; Partners In Health, Boston, USA.; Partners In Health, Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA; The Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, USA.; Smith SL; Partners In Health, Boston, MA; Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA; Department of Psychiatry, Brigham and Women's Hospital, Boston, USA.
Source: Intervention (Amstelveen, Netherlands) [Intervention (Amstelveen)] 2021 Jan-Jun; Vol. 19 (1), pp. 58-66. Date of Electronic Publication: 2021 Mar 31.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Wolters Kluwer - Medknow Country of Publication: India NLM ID: 101225175 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1571-8883 (Print) Linking ISSN: 15718883 NLM ISO Abbreviation: Intervention (Amstelveen) Subsets: PubMed not MEDLINE
Imprint Name(s): Publication: Mumbai : Wolters Kluwer - Medknow; Original Publication: Amstelveen, Netherlands : Intervention Foundation, c2003-
Abstract: Problem Management Plus (PM+) is a low-intensity psychological intervention developed by the World Health Organization that can be delivered by nonspecialists to address common mental health conditions in people affected by adversity. Emerging evidence demonstrates the efficacy of PM+ across a range of settings. However, the published literature rarely documents the adaptation processes for psychological interventions to context or culture, including curriculum or implementation adaptations. Practical guidance for adapting PM+ to context while maintaining fidelity to core psychological elements is essential for mental health implementers to enable replication and scale. This paper describes the process of contextually adapting PM+ for implementation in Rwanda, Peru, Mexico and Malawi undertaken by the international nongovernmental organization Partners In Health. To our knowledge, this initiative is among the first to adapt PM+ for routine delivery across multiple public sector primary care and community settings in partnership with Ministries of Health. Lessons learned contribute to a broader understanding of effective processes for adapting low-intensity psychological interventions to real-world contexts.
Competing Interests: Conflicts of interest There are no conflicts of interest.
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Grant Information: F31 MH123020 United States MH NIMH NIH HHS
Contributed Indexing: Keywords: Problem Management Plus (PM+); common mental health conditions; curriculum adaptation; public sector; task-sharing
Entry Date(s): Date Created: 20211013 Latest Revision: 20220813
Update Code: 20260130
PubMed Central ID: PMC8503941
PMID: 34642580
Database: MEDLINE

Journal Article