Could anyone direct me towards relevant research regarding the adaptation of Cognitive and Behavioral Therapy based healthcare practices in social margins (homelessness, minorites, exiles) ? I am trying to understand the apparant lack of research in France on this topic.
Thank you!
Timothee, this is an interesting area of research. Perhaps you can look at the research conducted in this area by Fuchs et al. (2016) on people from marginalised backgrounds, McAdam and Mirza's (2009) work on marginalised young people addicted to alcohol and drugs and the 2013 work by Fuchs et al. on the use of mindfulness based therapies to examine non-dominant or marginalised cultures. Interesting stuff to build on.
France is a country with a lot to offer in psychodynamics. As all types of therapy is expensive, it is difficult to understand how marginalized person could afford it in
case it is not offered for free in an institution or so.
Hi,
I have been working on a systematic literature review and metanalysis of RCTs conducted in LMICs where the intervention has been facilitated by professionally trained lay counselors. Of the 19 included RCTs six utilized a form of CBT as the intervention, though not the most successful of the interventions analyzed- Here they are:
1. Jordans MJ, Komproe IH, Tol WA, Kohrt BA Luitel NP, Macy RD, de Jong J. Evaluation of a classroom-based psychosocial intervention in conflict-affected Nepal: a cluster randomized controlled trial. J Child Psychol Psychiatry. 2010;51(7):818–826. doi: 10.1111/j.1469-7610.2010.02209.x PMID: 20102428
2. Murray LK, Skavenski S, Kane JC, Mayeya J, Dorsey S, Cohen JA, et al. Effectiveness of trauma-focused cognitive behavioral therapy among trauma-affected children in Lusaka, Zambia. JAMA Pediatr. 2015 Aug;169(8):761–9. doi:10.1001/jamapediatrics.2015.0580 PMID: 26111066
3. Tol WA, Komproe IH, Jordans MJ, Ndayisaba P, Ntamutumba P, Sipsma H, et al. School-based mental health intervention for children in war-affected Burundi: a cluster randomized trial. BMC Med. 2014 Apr 1;12(56):1–12. doi.org/10.1186/1741-7015-12-56 PMID: 24690470
4. Tol WA, Komproe IH, Jordans MJ, Vallipuram A, Sipsma H, Sivayokan S, et al. Outcomes and moderators of a preventive school based mental health intervention for children affected by war in Sri Lanka: a cluster randomized trial. World Psychiatry. 2012 Jun;11(2):114–22. doi:10.1016/j.wpsyc.2012.05.008 PMID: 22654944
5. Tol WA, Komproe IH, Susanty D, Jordans MJ, Macy RD, de Jong JT. School-based mental health intervention for children affected by political violence in Indonesia: a cluster randomized trial. JAMA. 2008;300(6):655–662. doi.org/10.1001/jama.300.6.655
6. Ali BS, Rahbar MH, Naeem S, Gul A, Mubeen S, Iqbal A. The effectiveness of counseling on anxiety and depression by minimally trained counselors: a randomized controlled rial. Am J Psychother. 2003;57(3):324–36. doi: 10.1176/appi.psychotherapy.2003.57.3.324 PMID: 12961817 Suzanne