{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T14:26:10Z","timestamp":1779114370985,"version":"3.51.4"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T00:00:00Z","timestamp":1714089600000},"content-version":"unspecified","delay-in-days":116,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Camb. prisms Glob. ment. health"],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Mental health conditions, recognised as a global crisis, were further exacerbated by the COVID-19 pandemic. Access to mental health services remains limited, particularly in low-income regions. Task-sharing interventions, exemplified by Problem Management Plus (PM+), have emerged as potential solutions to bridge this treatment gap. This study presents an evaluation of the PM+ scale-up in Sub-Saharan Africa (Ethiopia and Benin) and Eastern Europe (Croatia and Bosnia and Herzegovina) as part of a mental health and psychosocial support programming including 87 adult participants. A mixed-method approach assesses the impact of the intervention. Quantitative analyses reveal significant reductions in self-reported problems, depression, anxiety and improved functioning. Qualitative data highlight four main themes: general health, family relationships, psychosocial problems and daily activities. These thematic areas demonstrate consistent improvements across clients, irrespective of the region. The findings underscore the impact of PM+ in addressing a broad spectrum of client issues, demonstrating its potential as a valuable tool for mitigating mental health challenges in diverse settings. This study contributes to the burgeoning body of evidence supporting PM+ and highlights its promise in enhancing mental health outcomes on a global scale, particularly for vulnerable populations.<\/jats:p>","DOI":"10.1017\/gmh.2024.52","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T00:51:20Z","timestamp":1714092680000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Enhancing mental health and well-being in adults from lower-resource settings: A mixed-method evaluation of the impact of problem management plus"],"prefix":"10.1017","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4746-1053","authenticated-orcid":false,"given":"Michela","family":"Marchetti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caterina","family":"Ceccarelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orso","family":"Muneghina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mara","family":"Stockner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Lai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuliana","family":"Mazzoni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,4,26]]},"reference":[{"key":"S2054425124000529_r14","volume-title":"Soci\u00e9t\u00e9 qu\u00e9b\u00e9coise de recherche en psychologie","author":"Hoehne","year":"2017"},{"key":"S2054425124000529_r41","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"S2054425124000529_r7","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20255"},{"key":"S2054425124000529_r23","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2015.11.005"},{"key":"S2054425124000529_r5","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113236"},{"key":"S2054425124000529_r18","first-page":"37","article-title":"Building mental health and psychosocial support capacity during a pandemic: The process of adapting problem management plus for remote training and implementation during COVID-19 in New York city, Europe and East Africa","volume":"19","author":"McBride","year":"2021","journal-title":"Intervention Journal of Mental Health and Psychosocial Support in Conflict Affected Areas"},{"key":"S2054425124000529_r40","first-page":"91","article-title":"Problem Management Plus adapted for group use to improve mental health in a war-affected population in the Central African Republic","volume":"19","author":"Dozio","year":"2021","journal-title":"Intervention Journal of Mental Health and Psychosocial Support in Conflict Affected Areas"},{"key":"S2054425124000529_r29","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-016-0075-5"},{"key":"S2054425124000529_r28","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02143-7"},{"key":"S2054425124000529_r35","unstructured":"World Health Organization (2016) Problem management plus (PM+): Individual psychological help for adults impaired by distress in communities exposed to adversity. 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