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COVID-19 disruptions in sub-Saharan Africa will have substantial health consequences
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David Citrin is an Affiliate Assistant Professor in the Departments of Global Health and Anthropology at the University of Washington, and helped establish the South Asia Center s Nepal Studies Initiative in the Henry M. Jackson School of International Studies. He also serves as an Implementation Research Advisor for Possible and a Research Collaborator with Medic. Over the past sixteen years, his work has focused on the ethics of global health and global health partnerships; designing digital tools and health information systems to support frontline workers in providing equitable care, and for monitoring and evaluation; and mixed methods implementation research to strengthen public sector healthcare systems. Citrin received both his MPH in Global Health (2011) and his PhD in Medical Anthropology (2012) from the University of Washington, where he teaches a course on Multidisciplinary Perspectives in Global Health. He served as co-editor of HIMALAYA, the journal of the Association for
This is the optimal time for the public health and business communities to lead, finding unity of purpose and colla… https://t.co/WLQSy9tRvz
Our #HarvardChan21 graduates are now Harvard Chan School alumni! Alumni Association President Carmon Davis, MD 90,… https://t.co/xI4efWVLwq
Congrats to Lawson Ung, SM 21! He is a #HarvardChan21 grad and an entering PhD student this fall @HarvardGSAS! Ung… https://t.co/zxi73SbUfl
Harvard Chan School has joined the Partnership for Central America, a @WhiteHouse initiative led by @VP Harris call… https://t.co/qkpf7qBiqM
Nat Gyenes (@GyenesNat), founding director of the Digital Health Lab at @Meedan, congratulates the Class of 2021: … https://t.co/lEnCXeuKxE
Abstract
Open Dialogue is a need-adapted approach to mental health care that was originally developed in Finland. Like other need-adapted approaches, Open Dialogue aims to meet consumer’s needs and promote collaborative person-centred dialogue to support recovery. Need-adapted mental health care is distinguished by flexibility and responsiveness. Fidelity, defined from an implementation science perspective as the delivery of distinctive interventions in a high quality and effective fashion is a key consideration in health care. However, flexibility presents challenges for evaluating fidelity, which is much easier to evaluate when manualization and reproducible processes are possible. Hence, it remains unclear whether Open Dialogue and other need-adapted mental health interventions can be meaningfully evaluated for fidelity. The aim of this paper was to critically appraise and advance the evaluation of fidelity in need-adapted mental health care, using Open Dialogue as a case study
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