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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

Task sharing to close the mental health treatment gap in developing countries: The field experience of Médecins Sans Frontières

Task sharing to address the mental health treatment gap in developing countries : medecins sans frontières operational experience

Task sharing, when supported by standardized tools, ongoing training, and specialist supervision, offers a scalable way to expand access to mental health services in developing countries.

This presentation aims to share the experience of Médecins Sans Frontières (MSF; Doctors Without Borders) in scaling up services through task sharing in developing countries where access to specialist mental health professionals is limited. MSF has been running mental health and psychosocial support (MHPSS) programs in these countries for thirty years and delivered 506,300 mental health consultations in 2024. Non-specialist health workers play a central role in this model: lay providers are trained to deliver structured psychological interventions, while general practitioners are trained to assess, diagnose, and manage mental disorders. Implementation relies on standardized and simplified clinical tools, including the World Health Organization's PM+ and mhGAP guidelines, as well as MSF's Single-Session Protocol and pharmacological protocol, with ongoing training and clinical supervision as core components. This approach has expanded access while maintaining quality of care; standardized tools, capacity building, and regular specialist supervision were identified as facilitating factors. The main challenges are ensuring the quality and safety of care, high staff turnover, and preventing excessive workloads and burnout among providers. According to the authors, success depends on investing in supervisory capacity and adapting specialist roles accordingly.

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