Duke University, Spring 2020

Date Topic
Instructor Eric Green
Course Number GLHLTH 660 / PSY 611 / RIGHTS 660 / CULANTH 611
Day/Time Thursdays, 1:25-3:55pm
Location Trent Hall 039A
Office Hours By appointment
Piazza link


In this course, we will focus on the global burden of mental health needs and the role of mental health research and clinical practice in global health initiatives. Across course topics, we will explore principles of psychology related to key issues in global mental health and cultural issues related to mental health treatments and outcomes. Our readings and discussions emphasize peer-reviewed literature comprised of both the core literature that pushed this field forward, as well as the most recent research. We will also learn about the personal experiences of individuals affected by mental health needs across vastly different contexts. A primary goal is for us to think critically about complex issues related to mental health care in diverse international settings. You will be asked to reflect on, discuss, and debate the challenging issues surrounding efforts to expand evidence-based mental health services globally.

FORMAT

Each class session will include discussion, activities, and team work on a shared assignment. We will begin each session with a silent 5-minute writing exercise based on the assigned materials to help you prepare to contribute.

REQUIREMENTS AND EVALUATION

You will complete two team assignments this semester (50% each). Each project will last for half of the semester, and you will switch teams at the mid-point. We will dedicate some time during each class for team-based work to minimize the amount of time teams need to meet in-person outside of class.

For each assignment, teams will select a topic and prepare a 3-4 page policy brief and accompanying slide deck. Teams will present their work in class as indicated on the schedule.

Your grade for each assignment will consist of the following:

  1. A team score that reflects my assessment of the overall quality of the final product [50%]
  2. An individual score that reflects my assessment of your preparation for class and team work (this includes showing up for class) [20%]
  3. An individual score from your teammates that reflects the team’s assessment of your contributions [30%]

Ranges for letter grades will be set at the end of the semester. Cumulative scores of at least 90, 80, and 70 will be guaranteed at least an A-, B-, and C-, respectively. There is no final exam, but you must be present for both presentations to receive full credit.

SCHEDULE OVERVIEW

Date Topic
Jan 9 Welcome
Jan 16 1. State of the field
Jan 23 2. Psychiatric categories and diagnoses
Jan 30 3. Culture, context, and social determinants of mental illness
Feb 6 4. Burden of disease
Feb 13 5. Measurement
Feb 20 Midterm presentations
Feb 27 6. Intervention approaches and cultural adaptation
Mar 5 7. Perinatal depression
Mar 12 Spring Break
Mar 19 8. Child and adolescent mental health
Mar 26 9. Mental health in humanitarian settings
Apr 2 10. Grand challenges and innovation
Apr 9 Final presentations


DETAILED SCHEDULE

1. State of the field


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2. Psychiatric categories and diagnoses

  • Gureje, O. & Stein, D.J. (2013). Disorders, diagnosis, and classification. In Patel et al. (Ed.) Global Mental Health: Principles and Practice (Ch. 2: pp. 27-40).
  • Jacob, K. S., & Patel, V. (2014). Classification of mental disorders: a global mental health perspective. The Lancet, 383(9926), 1433-1435.
  • Watters, E. (2010, January 8). The Americanization of Mental Illness. New York Times
  • Friedman, J.R. (2015). Who belongs in a psychiatric hospital? Post-socialist Romania in the age of globalizing psychiatry. In Kohrt & Mendenhall (Eds.) Global Mental Health: Anthropological Perspectives (Ch. 11).
  • Haroz, E. E., Ritchey, M., Bass, J. K., Kohrt, B. A., Augustinavicius, J., Michalopoulos, L., … & Bolton, P. (2017). How is depression experienced around the world? A systematic review of qualitative literature. Social Science & Medicine, 183, 151-162.


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3. Culture, context, and social determinants of mental illness

  • Kirmayer, L.J. & Swartz, L. (2013). Culture and global mental health. In Patel et al. (Ed.) Global Mental Health: Principles and Practice (Ch. 3: pp. 41-62).
  • Lund, C., Brooke-Sumner, C., Baingana, F., Baron, E. C., Breuer, E., Chandra, P., … & Medina-Mora, M. E. (2018). Social determinants of mental disorders and the Sustainable Development Goals: a systematic review of reviews. The Lancet Psychiatry, 5(4), 357-369.
  • Wutich, A., Brewis, A., Rosales Chavez, J.B., & Jaiswal, C.L. (2015). Water, worry, and Dona Paloma: Why water security is fundamental to global mental health. In Kohrt & Mendenhall (Eds.) Global Mental Health: Anthropological Perspectives (Ch. 3).
  • Dyregrov, A., Gupta, L., Gjestad, R., & Raundalen, M. (2002). Is the culture always right?. Traumatology, 8(3), 135-145.


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4. Burden of disease


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5. Measurement

  • Green, E. P., Tuli, H., Kwobah, E., Menya, D., Chesire, I., & Schmidt, C. (2018). Developing and validating a perinatal depression screening tool in Kenya blending Western criteria with local idioms: A mixed methods study. Journal of Affective Disorders, 228, 49-59.
  • Bolton, P. (2001). Cross-cultural validity and reliability testing of a standard psychiatric assessment instrument without a gold standard. Journal of Nervous and Mental Disorders, 189, 238-42.
  • Kohrt et al. (2011). Validation of cross-cultural child mental health and psychosocial research instruments: adapting the Depression Self-Rating Scale and Child PTSD Symptom Scale in Nepal. BMC Psychiatry, 11(1), 1-17. Sweetland, A. C., Belkin, G. S., & Verdeli, H. (2014). Measuring depression and anxiety in sub‐saharan Africa. Depression and Anxiety, 31(3), 223-232.


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6. Intervention approaches and cultural adaptation

  • Hanlon, C., Fekadu, A., & Patel, V. (2013). Interventions for mental disorders. In Patel et al. (Ed.) Global Mental Health: Principles and Practice (Ch. 12: pp. 252-276).
  • Singla, D. R., Kohrt, B. A., Murray, L. K., Anand, A., Chorpita, B. F., & Patel, V. (2017). Psychological treatments for the world: lessons from low-and middle-income countries. Annual Review of Clinical Psychology, 13, 149-181.
  • Singla, D. R., Raviola, G., & Patel, V. (2018). Scaling up psychological treatments for common mental disorders: a call to action. World Psychiatry, 17(2), 226–227. doi:10.1002/wps.20532
  • Patel, V., Weobong, B., Weiss, H. A., Anand, A., Bhat, B., Katti, B., … & Vijayakumar, L. (2017). The Healthy Activity Program (HAP), a lay counsellor-delivered brief psychological treatment for severe depression, in primary care in India: a randomised controlled trial. The Lancet, 389(10065), 176-185.
  • Bolton, P., Bass, J., Neugebauer, R., Verdeli, H., Clougherty, K. F., Wickramaratne, P., … & Weissman, M. (2003). Group interpersonal psychotherapy for depression in rural Uganda. JAMA, 289(23), 3117-3124.
  • Lau, A. S. (2006). Making the case for selective and directed cultural adaptations of evidence‐based treatments: examples from parent training. Clinical Psychology: Science and Practice, 13(4), 295-310.
  • (skim) WHO (2016). mhGAP Intervention Guide: Version 2.0.
  • (skim) Stirman, S. W., Baumann, A. A., & Miller, C. J. (2019). The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions. Implementation Science, 14(1), 58.


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7. Perinatal depression

  • Belluck, P. (2014, June 16). After baby, an unraveling. New York Times.
  • Thinking Healthy Manual
  • Rahman, A., Malik, A., Sikander, S., Roberts, C., & Creed, F. (2008). Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster-randomised controlled trial. The Lancet, 372(9642), 902-909.
  • Fuhr, D. C., Weobong, B., Lazarus, A., Vanobberghen, F., Weiss, H. A., Singla, D. R., … & Joshi, A. (2019). Delivering the Thinking Healthy Programme for perinatal depression through peers: an individually randomised controlled trial in India. The Lancet Psychiatry, 6(2), 115-127.
  • Maselko, J., Sikander, S., Bhalotra, S., Bangash, O., Ganga, N., Mukherjee, S., … & Kanwal, M. (2015). Effect of an early perinatal depression intervention on long-term child development outcomes: follow-up of the Thinking Healthy Programme randomised controlled trial. The Lancet Psychiatry, 2(7), 609-617.


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8. Child and adolescent mental health

  • Kieling, C., Graeff-Martins, A.S., Hamoda, H., & Rohde, L.A. (2014). Child and adolescent mental health. In Patel et al. (Ed.) Global Mental Health: Principles and Practice (Ch. 15: pp. 335-350).
  • Klasen, H., & Crombag, A. C. (2013). What works where? A systematic review of child and adolescent mental health interventions for low- and middle-income countries. Social Psychiatry and Psychiatric Epidemiology, 48(4), 595-611.
  • Burkey, M. D., Hosein, M., Morton, I., Purgato, M., Adi, A., Kurzrok, M., … & Tol, W. A. (2018). Psychosocial interventions for disruptive behaviour problems in children in low‐and middle‐income countries: a systematic review and meta‐analysis. Journal of Child Psychology and Psychiatry, 59(9), 982-993.
  • Boivin, M. J., Kakooza, A. M., Warf, B. C., Davidson, L. L., & Grigorenko, E. L. (2015). Reducing neurodevelopmental disorders and disability through research and interventions. Nature, 527(7578), S155.
  • Puffer, E. S., Annan, J., Sim, A. L., Salhi, C., & Betancourt, T. S. (2017). The impact of a family skills training intervention among Burmese migrant families in Thailand: a randomized controlled trial. PLoS One, 12(3), e0172611.


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9. Mental health in humanitarian settings

  • Tol et al. (2014). Mental health and psychosocial support in humanitarian settings. In Patel et al. (Ed.) Global Mental Health: Principles and Practice (Ch. 17: pp. 384-400).
  • Charlson, F., van Ommeren, M., Flaxman, A., Cornett, J., Whiteford, H., & Saxena, S. (2019). New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis. The Lancet, 394(10194), 240-248.
  • Bass, J. K., Annan, J., McIvor Murray, S., Kaysen, D., Griffiths, S., Cetinoglu, T., … & Bolton, P. A. (2013). Controlled trial of psychotherapy for Congolese survivors of sexual violence. New England Journal of Medicine, 368(23), 2182-2191.
  • El-Shaarawi, N. (2015). Life in transit: Mental health, temporality, and urban displacement for Iraqi refugees. In Kohrt & Mendenhall (Eds.) Global Mental Health: Anthropological Perspectives (Ch. 4).


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10. Grand challenges and innovation


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ABOUT THIS SYLLABUS

This syllabus is based on previous iterations of the course taught by Brandon Kohrt, Bonnie Kaiser, and Eve Puffer. I’m responsible for all bad ideas and mistakes. I will announce any changes to this plan.