Hemmo Mahmoud, Akhtar Aemal, Kohrt Brandon A, Pedersen Gloria, Alkamel Abdul Fattah, Martin Sölch Chantal, Schafer Alison, Spaaij Julia, Bryant Richard, Morina Naser
Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Department of Psychology, University of Fribourg, Fribourg, Switzerland.
Glob Ment Health (Camb). 2025 Jun 11;12:e72. doi: 10.1017/gmh.2025.10023. eCollection 2025.
The global challenge of closing the treatment gap highlights the need for innovative interventions. Problem Management Plus (PM+), developed by the World Health Organization (WHO), is an evidence-based brief psychological intervention designed to address this gap by involving non-specialist helpers. In this study, 'non-specialists' or 'helpers' are individuals without formal training in mental health, who have been trained in and have been delivering individual PM+ for more than 1.5 years. To enhance quality in mental health care, especially with non-specialists, WHO and the United Nations International Children's Emergency Fund (UNICEF) have launched the Ensuring Quality in Psychosocial and Mental Health Care (EQUIP) platform, an open-access resource for competency-based training. This study evaluates the acceptability and preliminary utility of EQUIP assessment tools. Thirteen helpers were assessed using the ENhancing Assessment of Common Therapeutic Factors (ENACT) and the PM+ assessment tool, culturally adapted and translated for Arabic-speaking helpers in Switzerland. The results indicate that the EQUIP tools can identify strengths and areas for improvement, provide valuable feedback for training, and thus have great potential for enhancing mental health care quality.
缩小治疗差距这一全球挑战凸显了创新干预措施的必要性。世界卫生组织（WHO）开发的问题管理强化版（PM+）是一种循证简短心理干预措施，旨在通过让非专业辅助人员参与来解决这一差距。在本研究中，“非专业人员”或“辅助人员”是指未接受过心理健康方面正规培训，但已接受过个体PM+培训并提供该服务超过1.5年的人员。为提高精神卫生保健质量，特别是非专业人员的保健质量，WHO和联合国儿童基金会（UNICEF）推出了心理社会和精神卫生保健质量保障（EQUIP）平台，这是一个基于能力培训的开放获取资源。本研究评估了EQUIP评估工具的可接受性和初步效用。使用针对瑞士讲阿拉伯语的辅助人员进行文化改编和翻译的共同治疗因素强化评估（ENACT）和PM+评估工具，对13名辅助人员进行了评估。结果表明，EQUIP工具能够识别优势和改进领域，为培训提供有价值的反馈，因此在提高精神卫生保健质量方面具有巨大潜力。
