Role of mental health trainings for health workers in the treatment of mental disorders: A systematic review

Abstract

To bridge significant mental health treatment gaps, it is essential that the healthcare workforce can detect and manage mental health conditions. We aim to synthesise evidence of effective mental health training interventions aimed at health workers to increase their ability to treat mental disorders in India. We systematically searched Systematic review of eight electronic academic databases from January 2012 to August 2022 was performed. All primary research studies were eligible if conducted among healthcare workers in South and South-East Asia and reported education and training interventions to improve detection and management of mental health conditions. Quality of studies were assessed using Modified Cochrane Collaboration, ROBINS-I, and Mixed Methods Appraisal Tools and data synthesised by narrative synthesis. Results are reported according to Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. We included 28 of 3256 screened articles. Thirty-six reported improvements in knowledge and skills in the detection and management of mental health conditions. Training was predominantly delivered to health workers for treating mental disorders. Commonly used training included the World Health Organization's mhGAP guidelines and Cognitive Behavioural Therapy and were successfully tailored and delivered to health workers. Training was found to be acceptable and effective. Only one study analysed cost effectiveness. Few targeted severe mental illnesses and upskilling mental health specialists or offered long-term follow-up or supervision.