Improving access to evidence-based interventions for trauma-exposed adults in low- and middle-income countries

Third Author's Department

Psychology Department

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https://doi.org/10.1002/jts.23031

All Authors

Debra Kaminer, Duane Booysen, Kate Ellis, Christian Haag Kristensen, Anushka R. Patel, Katy Robjant, Srishti Sardana

Document Type

Research Article

Publication Title

Journal of Traumatic Stress

Publication Date

8-1-2024

doi

10.1002/jts.23031

Abstract

In low- and middle-income countries (LMICs), the mental health consequences of trauma exposure pose a substantial personal, societal, and economic burden. Yet, the significant need for evidence-based mental health treatment remains largely unmet. To unlock the potential for mental health care for trauma survivors in lower-resource contexts, it is critical to map treatment barriers and identify strategies to improve access to evidence-based, culturally appropriate, and scalable interventions. This review, based on an International Society for Traumatic Stress (ISTSS) briefing paper, describes the treatment gap facing adults with traumatic stress in LMICs and identifies the barriers that contribute to this gap. We then highlight strategies for enhancing access to effective treatments for these populations, including task-sharing, the use of culturally adapted and multiproblem interventions, and digital tools to scale access to appropriate care. Finally, we offer recommendations for policymakers, researchers, and service providers to guide an agenda for action to close the treatment gap for trauma survivors in LMICs.

First Page

563

Last Page

573

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