Dedicated and designated approaches to task-shared psychological interventions

Document Type



Brain and Mind Institute


Leveraging community health workers (CHWs) to deliver interventions is an evidenced-based approach to reducing the mental treatment gap in health systems in low-income and middle-income countries. However, how best to sustainably integrate CHWs into mainstream public health services remains an issue.In The Lancet, Bronwyn Myers and colleagues try to address whether CHWs should have designated or dedicated roles in the provision of psychological interventions within public health systems in low-income and middle-income countries. Their work with CHWs based at primary health clinics in South Africa shows that both approaches were equally effective in reducing symptoms of depression but that only the dedicated approach led to a reduction in alcohol use disorder symptom severity.

Publication (Name of Journal)

The Lancet