World Health Organization guidelines for management of acute stress, PTSD, and bereavement : key challenges on the road ahead
Date
2014-12
Journal Title
Journal ISSN
Volume Title
Publisher
PLoS
Abstract
The implementation of new WHO mental health guidelines for conditions and
disorders specifically related to stress is likely to face obstacles, particularly in
low- and middle-income countries.
N Formulation of evidence-based guidelines is complicated by limited knowledge
regarding (a) the effectiveness of commonly implemented interventions, (b) the
effectiveness of established evidence-based interventions when used in
situations of ongoing adversity, and (c) the effectiveness of widely used
cultural practices in LMICs. The application of the guidelines requires improved
knowledge on how to reduce potentially harmful practices that are widely
applied.
N The implementation of recommendations regarding psychotherapeutic interventions
will require an approach that balances (a) strengthening the
availability and capacity of specialists to train and supervise and (b) shifting
to the delivery of psychotherapy by non-specialists.
N The strengthening of evidence for managing these conditions will require
collaborative efforts by researchers and practitioners in a manner that is mindful
of local sociocultural and health system realities.
Description
CITATION: Tol, W.A. et al. 2014. World Health Organization guidelines for management of acute stress, PTSD, and bereavement: Key challenges on the road ahead. PLoS Medicine, 11(12):e1001769, doi:10.1371/journal.pmed.1001769.
The original publication is available at http://journals.plos.org/plosmedicine
The original publication is available at http://journals.plos.org/plosmedicine
Keywords
World Health Organization, Post-traumatic stress disorder -- Treatment -- Standards -- Developing countries, Stress (Psychology) -- Treatment -- Standards -- Developing countries, Bereavement -- Psychological aspects -- Treatment -- Standards -- Developing Countries
Citation
Tol, W.A. et al. 2014. World Health Organization guidelines for management of acute stress, PTSD, and bereavement: Key challenges on the road ahead. PLoS Medicine, 11(12):e1001769, doi:10.1371/journal.pmed.1001769.