Friday 4:00 – 5:15 Symposium II
Presentor: Shannon Dorsey
Shannon Dorsey, University of Washington; Laura Murray, Johns Hopkins University; Michael D Pullmann, University of Washington; Emily Haroz, Johns Hopkins University; Jeremy Kane, Johns Hopkins University; Paul Bolton, Johns Hopkins University
Perhaps nowhere are efficiency and effectiveness more important than in low and middle income countries, where the burden of mental disorders is large, comorbidity is common, and there is a dearth of mental health professionals. To achieve scale up, innovative approaches that move beyond a reliance both on professionals and on singularly-focused disorders is critical.
The Common Elements Treatment Approach (CETA), a modular treatment designed to address Posttraumatic Stress (PTS), depression, and anxiety was developed for delivery by lay counselors with little to no formal mental health training. Lay counselors and their local supervisors were trained in decision making for module selection and module dose. We will report on two completed RCTs which both showed high effect sizes: Thai Burma border with Burmese refugees (N = 347; ES: 1.19 PTS, 1.16 depression, 0.79 anxiety) and in Southern Iraq (N=149; ES: 2.40 PTS, 1.82 depression, 1.60 anxiety). Clinical outcomes will be reviewed as the “litmus test??? for effectiveness of implementation strategies