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An evaluation of a common elements treatment approach for youth in Somali refugee camps
Murray, LK1; Hall, BJ2,3; Dorsey, S4; Ugueto, AM5; Puffer, ES6,7; Sim, A8; Ismael, A9; Bass, J1; Akiba, C1; Lucid, L4; Harrison, J4; Erikson, A10; Bolton, PA1
2018-04-25
Source PublicationGLOBAL MENTAL HEALTH
ISSN2054-4251
Volume5
Abstract

Background. This paper reports on: (1) an evaluation of a common elements treatment approach (CETA) developed for comorbid presentations ofdepression, anxiety, traumatic stress, and/or externalizing symptoms among children in three Somali refugee camps on the Ethiopian/Somali border, and (2) an evaluation of implementation factors from the perspective of staff, lay providers, and families who engaged in the intervention. 

Methods. This project was conducted in three refugee camps and utilized locally validated mental health instruments for internalizing, externalizing, and posttraumatic stress (PTS) symptoms. Participants were recruited from either a validity study or from referrals from social workers within International Rescue Committee Programs. Lay providers delivered CETA to youth (CETA-Youth) and families, and symptoms were re-assessed post-treatment. Providers and families responded to a semi-structured interview to assess implementation factors. 

Results. Children who participated in the CETA-Youth open trial reported significant decreases in symptoms of internalizing (d = 1.37), externalizing (d = 0.85), and posttraumatic stress (d = 1.71), and improvements in well-being (d = 0.75). Caregivers also reported significant decreases in child symptoms. Qualitative results were positive toward the acceptability and appropriateness of treatment, and its feasibility. 

Conclusions. This project is the first to examine a common elements approach (CETA: defined as flexible delivery of elements, order, and dosing) with children and caregivers in a low-resource setting with delivery by lay providers. CETA-Youth may offer an effective treatment that is easier to implement and scale-up versus multiple focal interventions. A fullscale randomized clinical trial is warranted.

KeywordTransdiagnostic Youth Implementation Science Refugee Cognitive Behavioral Therapy Interventions
DOI10.1017/gmh.2018.7
Indexed BySSCI
Language英语
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000430835400001
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Cited Times [WOS]:3   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Social Sciences
DEPARTMENT OF PSYCHOLOGY
Affiliation1.Johns Hopkins Bloomberg Sch Publ Hlth, Dept Mental Hlth & Int Hlth, Baltimore, MD USA
2.Univ Macau, Fac Social Sci, Dept Psychol, Global Community Mental Hlth Res Grp, Macau, Peoples R China
3.Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA
4.Univ Washington, Dept Psychol, Seattle, WA 98195 USA
5.Univ Texas Hlth Sci Ctr Houston UTHlth, McGovern Med Sch, Dept Psychiat & Behav Sci, Houston, TX USA
6.Duke Univ, Dept Psychol & Neurosci, Durham, NC USA
7.Duke Univ, Duke Global Hlth Inst, Durham, NC USA
8.Univ Oxford, Ctr Evidence Based Intervent, Dept Social Policy & Intervent, Oxford, England
9.IRC, Addis Ababa, Ethiopia
10.Int Rescue Comm, New York, NY USA
Recommended Citation
GB/T 7714
Murray, LK,Hall, BJ,Dorsey, S,et al. An evaluation of a common elements treatment approach for youth in Somali refugee camps[J]. GLOBAL MENTAL HEALTH,2018,5.
APA Murray, LK.,Hall, BJ.,Dorsey, S.,Ugueto, AM.,Puffer, ES.,...&Bolton, PA.(2018).An evaluation of a common elements treatment approach for youth in Somali refugee camps.GLOBAL MENTAL HEALTH,5.
MLA Murray, LK,et al."An evaluation of a common elements treatment approach for youth in Somali refugee camps".GLOBAL MENTAL HEALTH 5(2018).
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