| SPECIAL SECTION |
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| Year : 2014 | Volume
: 12
| Issue : 4 | Page : 94-112 |
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Dissemination and implementation of evidence based, mental health interventions in post conflict, low resource settings
Laura K Murray1, Wietse Tol2, Mark Jordans3, Goran Sabir4, Ahmed Mohammed Amin5, Paul Bolton6, Judith Bass7, Francisco Javier Bonilla-Escobar8, Graham Thornicroft9
1 Associate Scientist and Clinical Psychologist at Johns Hopkins School of Public Health; Department of Mental Health and part of the Applied Mental Health Research Group (AMHR)
2 Assistant Professor at Johns Hopkins School of Public Health; Department of Mental Health and the Program Director of the Peter C. Alderman Foundation
3 Head of Research, Research and Development Department at Health Net TPO & Senior Lecturer, Center for Global Mental Health, Health Service and Population Research Department Institute of Psychiatry King’s College London
4 Zangana is a project manager at Heartland Alliance International, and an Iraqi medical doctor
5 director at Wchan Organization for Victims of Human Rights Violations and a Lecturer at Sulemani Polytechnic University – Department of Community Health
6 Associate Scientist at Johns Hopkins School of Public Health; Department of International Health and Mental Health, and part of the Applied Mental Health Research Group (AMHR)
7 Associate Professor at Johns Hopkins School of Public Health; Department of Mental Health; and part of the Applied Mental Health Research Group (AMHR)
8 Epidemiology, Auxiliary Professor and Research Assistant at Instituto CISALVA, Universidad del Valle, Cali, Colombia., Colombia
9 Professor of Community Psychiatry at the Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King’s College London
Correspondence Address:
 Source of Support: None, Conflict of Interest: None
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The burden of mental health problems in (post)conflict low and middle income countries is substantial. Despite growing evidence for the effectiveness of selected mental health programmes in conflict affected low resource settings and growing policy support, actual uptake and implementation have been slow. A key direction for future research, and a new frontier within science and practice, is dissemination and implementation which directly addresses the transfer of evidence based, effective health care approaches from experimental settings into routine use. This paper outlines some key implementation challenges, and strategies to address these, while implementing evidence based treatments in conflict affected low and middle income countries, based on the authors' collective experiences. Dissemination and implementation evaluation and research in conflict settings is an essential new research direction. Future dissemination and implementation work in low and middle income countries should include: 1) defining concepts and developing measurement tools; 2) the measurement of dissemination and implementation outcomes for all programming; and 3) the systematic evaluation of specific implementation strategies.
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