{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:35:43Z","timestamp":1793381743420,"version":"4.5.0"},"update-to":[{"DOI":"10.12688\/openreseurope.23442.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000}},{"DOI":"10.12688\/openreseurope.23442.2","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000}}],"reference-count":15,"publisher":"CERN","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Cooperation in Science and Technology","award":["101128979-AngoSAP-ERASMUS-EDU-2023-CBHE"],"award-info":[{"award-number":["101128979-AngoSAP-ERASMUS-EDU-2023-CBHE"]}],"id":[{"id":"https:\/\/ror.org\/01bstzn19","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Open Res Europe"],"abstract":"<jats:p>Background\n                    Higher education institutions in Angola face increasing demand for mental health and psychoeducational support in the context of limited specialist workforce and service capacity. ANGOSAP is an Erasmus+\u00a0\u2212\u00a0funded capacity-building initiative designed to establish sustainable, university-embedded Psychological Support Services across four Angolan universities and to strengthen early access to support within higher education settings.\n                \n                \n                    Methods\n                    This Study describes the rationale, service model, and early implementation framework of ANGOSAP. The project uses a co-designed, stepped-care, task-sharing approach adapted to the context of each institution. Core components include campus-level standard operating procedures for intake, triage, risk assessment, safeguarding, and referral; competency-based training and supervision; student-facing psychoeducation, brief psychological interventions, and digital resources; formal referral pathways; and pragmatic monitoring. Early implementation success will be assessed using indicators: service reach, median waiting time from first contact to first appointment, first-appointment uptake, care-plan completion. Reliable clinical change monitored using PHQ-9, GAD-7, and WHO-5, alongside indicators of reach, access, safety, acceptability, and equity serious incidents, acceptability, and equity-stratified access and outcomes.\n                \n                \n                    Results\n                    No primary clinical outcomes or human participant data are reported in this Study Protocol. Preliminary outputs include a defined implementation pathway for university-based services, a minimum dataset for routine monitoring, quality and safety procedures, equity-oriented performance dashboards, and a cross-site learning structure to support iterative service refinement. These elements are intended to enable early-access, context-sensitive care while generating practice-based evidence during phased implementation.\n                \n                \n                    Conclusions\n                    ANGOSAP provides a structured protocol to test the feasibility of university-based psychological and psychoeducational support in Angola. By combining capacity building, supervision, referral integration, and routine monitoring, the project will generate practice-based evidence on reach, access, safety, acceptability, and early clinical change. These findings will inform service refinement across participating institutions and provide a roadmap for engaging national stakeholders, including health and higher education authorities, in future policy development.<\/jats:p>","DOI":"10.12688\/openreseurope.23442.3","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:14:08Z","timestamp":1789989248000},"update-policy":"https:\/\/doi.org\/10.68336\/openreseurope.updatepolicy","source":"Crossref","is-referenced-by-count":0,"title":["Task-Sharing and Stepped-Care Mental Health Services in Angolan Higher Education: A Multi-Site Implementation Protocol (ANGOSAP)"],"prefix":"10.68336","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1869-4840","authenticated-orcid":true,"given":"Alvaro","family":"Rodr\u00edguez-Mora","sequence":"first","affiliation":[{"name":"Universidad de Cadiz Departamento de Psicologia, Puerto Real, C\u00e1diz, 11519, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0738-2641","authenticated-orcid":true,"given":"Jose I.","family":"Navarro","sequence":"additional","affiliation":[{"name":"Universidad de Cadiz Departamento de Psicologia, Puerto Real, C\u00e1diz, 11519, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maril\u00f3","family":"G\u00f3mez-Dom\u00ednguez","sequence":"additional","affiliation":[{"name":"Oficina de Relaciones Internacionales, Universidad de Cadiz, C\u00e1diz, 11001, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8532-4051","authenticated-orcid":true,"given":"Nina","family":"Czarnecka","sequence":"additional","affiliation":[{"name":"Oficina de Relaciones Internacionales, Universidad de Cadiz, C\u00e1diz, 11001, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inidia","family":"Rubio","sequence":"additional","affiliation":[{"name":"Universidade Oscar Ribas, Luanda, Luanda Province, Angola"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Mariza M. da Cruz","sequence":"additional","affiliation":[{"name":"Universidade Oscar Ribas, Luanda, Luanda Province, Angola"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Engert","sequence":"additional","affiliation":[{"name":"RheinMain University of Applied Sciences, Wiesbaden, Hesse, 65022, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Prei\u00dfer","sequence":"additional","affiliation":[{"name":"RheinMain University of Applied Sciences, Wiesbaden, Hesse, 65022, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7104-724X","authenticated-orcid":false,"given":"Jer\u00f3nimo S.","family":"Mendes Evaristo","sequence":"additional","affiliation":[{"name":"Universidade do Namibe, Namibe, Namibe Province, Angola"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"VilmaTeresa","family":"Dos Santos Jos\u00e9","sequence":"additional","affiliation":[{"name":"Universidade do Namibe, Namibe, Namibe Province, Angola"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Marie","family":"Kiombo","sequence":"additional","affiliation":[{"name":"Universidade Lueji A\u2019Nkonde, Dundo, Angola"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mbaz","family":"Nauege","sequence":"additional","affiliation":[{"name":"Universidade Lueji A\u2019Nkonde, Dundo, Angola"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evaristo","family":"Vitangui Gando","sequence":"additional","affiliation":[{"name":"Instituto Superior de Ci\u00eancias da Educa\u00e7\u00e3o do Bi\u00e9, Bi\u00e9, Angola"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7646-2912","authenticated-orcid":true,"given":"Henriques","family":"Jamba Dachala","sequence":"additional","affiliation":[{"name":"Instituto Superior de Ci\u00eancias da Educa\u00e7\u00e3o do Bi\u00e9, Bi\u00e9, Angola"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"13904","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"110633","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-025-06932-y"},{"key":"110634","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2024.102425"},{"key":"110635","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00395-3"},{"key":"110636","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)00757-8"},{"key":"110637","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-25012-0"},{"key":"110638","doi-asserted-by":"publisher","DOI":"10.2196\/55205"},{"key":"110639","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02143-7"},{"key":"110640","doi-asserted-by":"publisher","DOI":"10.1017\/gmh.2024.11"},{"key":"110641","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(24)00222-0"},{"key":"110642","unstructured":"World Health Organization: Mental Health Atlas 2017: Angola-Member State Profile. 2017. Reference Source (https:\/\/cdn.who.int\/media\/docs\/default-source\/mental-health\/mental-health-atlas-2017-country-profiles\/ago.pdf)"},{"key":"110643","unstructured":"World Health Organization: Suicide worldwide in 2019 Global Health Estimates. 2021. Reference Source (https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/3bd4ac79-4347-420e-b675-948d36ab3d90\/content)"},{"key":"110644","doi-asserted-by":"publisher","DOI":"10.1186\/s12991-024-00513-1"},{"key":"110645","unstructured":"World Health Organization Regional Office for Africa: WHO Angola Annual Report 2024. 2024. (WHO|Regional Office for Africa) Reference Source (https:\/\/www.afro.who.int\/countries\/angola\/publication\/who-angola-annual-report-2024)"},{"key":"110646","unstructured":"World Bank (compiling WHO data): Suicide mortality rate (per 100,000 population) - Angola. 2021. Reference Source (https:\/\/tradingeconomics.com\/angola\/suicide-mortality-rate-per-100000-population-wb-data.html)"},{"key":"110647","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-11783-6"}],"container-title":["Open Research Europe"],"original-title":[],"link":[{"URL":"https:\/\/open-research-europe.ec.europa.eu\/articles\/6-154\/v3\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ore.eu\/ore\/article\/download\/1349\/version\/2285\/4567","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ore.eu\/ore\/article\/download\/1349\/version\/2285\/4568","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ore.eu\/ore\/article\/download\/1349\/version\/2285\/4567","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:12:27Z","timestamp":1793380347000},"score":1,"resource":{"primary":{"URL":"https:\/\/ore.eu\/ore\/article\/view\/1349\/version\/2285"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,21]]},"references-count":15,"URL":"https:\/\/doi.org\/10.12688\/openreseurope.23442.3","relation":{"is-version-of":[{"id-type":"doi","id":"10.12688\/openreseurope.23442.1","asserted-by":"subject"},{"id-type":"doi","id":"10.12688\/openreseurope.23442.2","asserted-by":"subject"}],"has-review":[{"id-type":"doi","id":"10.21956\/openreseurope.27148.r81497","asserted-by":"object"}]},"ISSN":["2732-5121"],"issn-type":[{"value":"2732-5121","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,21]]},"assertion":[{"value":"2026-09-21","name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}},{"value":"This work is part of the information transfer process of Project 101128979 \u2014 AngoSAP, funded by the European Union under the Capacity Building program, and coordinated by the University of C\u00e1diz (Spain)\n\n                    The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","name":"funding_statement","label":"Funding Statement","group":{"name":"funding_information","label":"Funding Information"}}],"article-number":"154"}}