Grace Kathryn Ryan

Grace Kathryn Ryan
London School of Hygiene and Tropical Medicine | LSHTM · Department of Population Health

PhD Candidate

About

58
Publications
9,346
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Citations
Introduction
Grace Kathryn Ryan currently works in the Global Mental Health group of the Department of Population Health, London School of Hygiene and Tropical Medicine. Grace does research in global mental health, with a regional focus on sub-Saharan Africa. Her main areas of research are mental health information systems and the involvement of people with lived experience in mental health research and service delivery.
Additional affiliations
October 2013 - present
London School of Hygiene and Tropical Medicine
Position
  • Research Associate

Publications

Publications (58)
Article
Purpose of review: The Lancet Commission on global mental health and sustainable development claims the field of global mental health is undergoing a 'transformational shift' toward an ethic of 'nothing about us without us'. Yet a systematic review published in 2016 identified few examples of meaningful participation by service users in mental hea...
Article
Full-text available
Background: Reducing readmissions among frequent users of psychiatric inpatient care could result in substantial cost savings to under-resourced mental health systems. Studies from high-income countries indicate that formal peer support can be an effective intervention for the reduction of readmissions among frequent users. Although in recent year...
Article
Full-text available
Background: 71% of countries in the World Health Organisation's (WHO's) African Region have a stand-alone mental health policy or plan, but only 14% have fully implemented it. In Nigeria, integration of mental health into primary care has been a stumbling block to the implementation of the 1991 National Mental Health Policy, 2013 Policy on Mental...
Article
Full-text available
Background: A recent editorial urged those working in global mental health to "change the conversation" on coronavirus disease (Covid-19) by putting more focus on the needs of people with severe mental health conditions. UPSIDES (Using Peer Support In Developing Empowering mental health Services) is a six-country consortium carrying out implementa...
Article
Full-text available
Community-based mental health initiatives are uniquely positioned to understand the mental health needs of their local population and provide relevant, culturally appropriate and sustainable responses. However, at the grassroots level, mental health initiatives in low- and middle-income countries face key challenges, such as inadequate funding, bar...
Article
Full-text available
Objectives: Current translation guidelines do not include sufficiently flexible translation approaches for different study materials. We aimed to develop a proportionate methodology to inform translation of all types of study materials in global health trials. Design: The design included three stages: (1) categorisation of study materials, (2) i...
Article
Full-text available
Objective: Using Peer Support in Developing Empowering Mental Health Services (UPSIDES) is evaluating implementation of a peer support worker (PSW) intervention at six recruiting sites (Germany, India, Israel, Tanzania, and Uganda) (ISRCTN26008944). The aim of this study is to evaluate the pre-trial pilot phase. Method: The initial training to prep...
Article
Full-text available
Since 2016, Promotion of Human Rights of Persons with Disabilities in Bangladesh (PHRPB) has been working to include people with psychosocial disabilities in their community-based inclusive development work, and to increase access to formal mental health care. Field visits were carried out to PHRPBD catchment areas in Dhaka and Chittagong for a cas...
Article
Background Initial training is essential for the mental health peer support worker (PSW) role. Training needs to incorporate recent advances in digital peer support and the increase of peer support work roles internationally. There is a lack of evidence on training topics that are important for initial peer support work training and on which traini...
Article
Full-text available
Background Published by the World Health Organization (WHO) and United Nations High Commissioner for Refugees (UNHCR) in 2015, the mental health Gap Action Programme Humanitarian Intervention Guide (mhGAP-HIG) recommends brief versions of structured psychological interventions for people experiencing symptoms of common mental disorders (CMDs). mhGA...
Article
Full-text available
Background Engagement with diverse stakeholders, including policy makers, care providers and service users and communities, is essential for successful implementation of global mental health interventions. Despite being a fundamental factor in the implementation process, evidence about challenges and drivers to stakeholder engagement is limited in...
Article
Full-text available
Background Given the underinvestment in global mental health to-date, it is important to consider how best to maximize the impact of existing investments. Theory of Change (ToC) is increasingly attracting the interest of funders seeking to evaluate their own impact. This is one of four papers investigating Grand Challenges Canada’s (GCC’s) first gl...
Article
Full-text available
Background Research in global mental health (GMH) has previously documented how contextual factors like political instability, poverty and poorly-funded health infrastructure continue to compromise effective and equitable mental health service delivery. There is a need to develop more feasible and evidence-based solutions through implementation res...
Article
Full-text available
Background The global shortage of mental health workers is a significant barrier to the implementation and scale-up of mental health services. Partially as a result of this shortage, approximately 85% of people with mental, neurological and substance-use disorders in low- and middle-income countries do not receive care. Consequently, developing and...
Article
This study aims to assess the prevalence of depression among public university students in Bangladesh, with a larger and more diverse sample than those included in previous studies. Across-sectional study was conducted between April and September 2018 at two public universities in Bangladesh. Data was collected on socio-demographic characteristics,...
Preprint
BACKGROUND Initial training is essential for the mental health peer support worker (PSW) role. Training needs to incorporate recent advances in digital peer support and the increase of peer support work roles internationally. There is a lack of evidence on training topics that are important for initial peer support work training and on which traini...
Article
Full-text available
Background Human rights watchdogs have described conditions in Nigerian correctional facilities and detention centers as damaging to the physical and mental health of inmates. While the prevalence of mental disorders is high, access to appropriate healthcare is grossly inadequate. Understanding the current state of prison inmates’ mental health and...
Preprint
Full-text available
Background Given the underinvestment in global mental health to-date, it is important to consider how best to maximize the impact of existing investments. Theory of Change (ToC) is increasingly attracting the interest of funders seeking to evaluate their own impact. This is the first of four papers investigating Grand Challenges Canada’s (GCC’s) fi...
Preprint
Full-text available
Background: Engagement with diverse stakeholders, including policy makers, care providers and end users, is essential for successful implementation of global mental health interventions. Despite being a fundamental factor in the implementation process, evidence about challenges and drivers to stakeholder engagement is limited in the global mental h...
Preprint
Full-text available
Background The global shortage of mental health workers is a significant barrier to the implementation and scale-up of mental health services. Partially as a result of this shortage, approximately 85% of people with mental, neurological and substance-use disorders in low- and middle-income countries do not receive care. Consequently, developing and...
Preprint
Full-text available
Background: Research within global mental health (GMH) has extensively documented how contextual factors like political instability, poverty and poorly-funded health infrastructures continue to compromise effective and equitable mental health service delivery. There is a need to develop more feasible and evidence-based solutions through implementat...
Preprint
Full-text available
Background Since 2016, Promotion of Human Rights of Persons with Disabilities in Bangladesh (PHRPB) has been working to include people with psychosocial disabilities in their community-based inclusive development work, and to increase access to formal mental health care. Methods Field visits were carried out to PHRPBD catchment areas in Dhaka and C...
Preprint
Full-text available
Background Since 2016, Promotion of Human Rights of Persons with Disabilities in Bangladesh (PHRPB) has been working to include people with psychosocial disabilities in their community-based inclusive development work, and to increase access to formal mental health care.Methods Field visits were carried out to PHRPBD catchment areas in Dhaka and Ch...
Article
Full-text available
Due to severe shortages of specialist mental health personnel in low- and middle-income countries (LMICs), psychological therapies are increasingly being delivered by non-specialist health workers (NSHWs). Previous reviews have investigated the effectiveness of NSHW-delivered psychological therapies, including cognitive behavioural therapy (CBT), i...
Article
Full-text available
Background: Peer support is an established intervention involving a person recovering from mental illness supporting others with mental illness. Peer support is an under-used resource in global mental health. Building upon comprehensive formative research, this study will rigorously evaluate the impact of peer support at multiple levels, including...
Preprint
Full-text available
Background: Human rights watchdogs have described conditions in Nigerian correctional facilities and detention centers as damaging to the physical and mental health of inmates. While the prevalence of mental disorders is high, access to appropriate healthcare is grossly inadequate. Understanding the current state of prison inmates’ mental health an...
Preprint
Full-text available
Background: Human rights watchdogs have described conditions in Nigerian correctional facilities and detention centers as damaging to the physical and mental health of inmates. While the prevalence of mental disorders is high, access to appropriate healthcare is grossly inadequate. Understanding the current state of prison inmates’ mental health an...
Preprint
Full-text available
Background: Human rights watchdogs have described conditions in Nigerian correctional facilities and detention centers as damaging to the physical and mental health of inmates. While the prevalence of mental disorders is high, access to appropriate healthcare is grossly inadequate. Understanding the current state of prison inmates’ mental health an...
Article
Full-text available
Purpose: The evidence base for peer support work in mental health is established, yet implementation remains a challenge. The aim of this systematic review was to identify influences which facilitate or are barriers to implementation of mental health peer support work. Methods: Data sources comprised online databases (n = 11), journal table of c...
Preprint
Full-text available
Background: Peer support is an established intervention involving a person recovering from mental illness to support others with mental illness.. Peers are an under-used resource in global mental health. Building upon comprehensive formative research, this study will rigorously evaluate the impact of peer support at multiple levels, including: serv...
Article
Background Peer support work roles are being implemented internationally, and increasingly in lower-resource settings. However, there is no framework to inform what types of modifications are needed to address local contextual and cultural aspects. Aims To conduct a systematic review identifying a typology of modifications to peer support work for...
Preprint
Background: Peer support is an established intervention involving a person in recovery from mental illness being engaged to offering support to others with mental illness. Peers are an under-used resource in global mental health. Building upon comprehensive formative research, this study will rigorously evaluate the impact of peer support at the le...
Presentation
Title: Organisational Readiness for UPSIDES Peer Support: Materials, Strategies and First Experiences Authors: Ramona Hiltensperger 1, Rebecca Nixdorf 2, Alina Grayzman 3, Grace Ryan 4, Richard Mpango5 & Bernd Puschner 1 Institutions: 1 Department of Psychiatry II, Ulm University, Germany 2 Center for Psychosocial Medicine, University Medical Ce...
Article
Full-text available
Background: Peers are people with lived experience of mental illness. Peer support is an established intervention in which peers offer support to others with mental illness. A large proportion of people living with severe mental illness receive no care. The care gap is largest in low- and middle-income countries, with detrimental effects on indivi...
Article
The Refugee Health Information System (RHIS) for humanitarian settings was developed by the United Nations High Commissioner for Refugees (UNHCR) in 2004. As of 2009, it contained seven categories related to mental, neurological and substance use (MNS) conditions: epilepsy/seizure, alcohol/substance use disorder, mental retardation/intellectual dis...
Poster
Full-text available
How to implement the UPSIDES peer support intervention across continents and cultures in a sustainable manner?
Article
Full-text available here: https://www.lshtm.ac.uk/newsevents/expert-opinion/no-global-health-without-mental-health
Article
Full-text available
Introduction There is a severe shortage of specialist mental healthcare providers in low-income and middle-income countries (LMICs) affected by humanitarian crises. In these settings, talking therapies may be delivered by non-specialists, including lay workers with no tertiary education or formal certification in mental health. This systematic revi...
Article
Making Universal Health Coverage a reality: bridging the gap between Global Mental Health and practical integration into local health systems - J. Eaton, G. Ryan
Data
Full-text available
Tables for Ali GC, Ryan GK, De Silva M (2016) Validated Screening Tools for Common Mental Disorders in Low and Middle Income Countries: A Systematic Review. PLoS ONE 11(6):e0156939.
Article
Full-text available
BACKGROUND: A wide range of screening tools are available to detect common mental disorders (CMDs), but few have been specifically developed for populations in low and middle income countries (LMIC). Cross-cultural application of a screening tool requires that its validity be assessed against a gold standard diagnostic interview. Validation studies...
Article
BACKGROUND: A wide range of screening tools are available to detect common mental disorders (CMDs), but few have been specifically developed for populations in low and middle income countries (LMIC). Cross-cultural application of a screening tool requires that its validity be assessed against a gold standard diagnostic interview. Validation studies...
Article
The adage that business is 5% strategy and 95% implementation is equally true for global mental health. Although the strategy of what to do is increasingly evidenced by the growing number of randomised controlled trials in low-income and middle-income countries,1,2 how to implement these interventions in routine practice, to enable real improvement...
Article
Full-text available
While Rwanda has achieved impressive gains in contraceptive coverage, unmet need for family planning is high, and barriers to accessing quality reproductive health services remain. Few studies in Rwanda have qualitatively investigated factors that contribute to family planning use, barriers to care, and quality of services from the community perspe...
Conference Paper
Underinvestment, “brain drain” and the world’s lowest graduation rates have left sub-Saharan Africa with fewer human resources to meet populations’ mental health needs than any other region. Task-sharing with non-specialists is a widely accepted strategy to cope with lack of staff. However, there is little evidence for engaging people with lived ex...
Conference Paper
Shortages of skilled specialist staff have long been recognized as barriers to scaling up mental health services in low- and middle-income countries (LMIC) worldwide. While task-sharing and capacity-building strategies are often proposed to address shortages of clinical staff, less attention is paid to the need for a robust community of researchers...
Conference Paper
Background: The Ministry of Health Rwanda (RMoH) has identified gaps in reproductive health policy and education that threaten adolescents' rights to care. However, there is a lack of qualitative evidence on how social factors affect adolescents' reproductive health. This study elicited youth perspectives in Rwanda's southern Kayonza district, wher...
Conference Paper
Background: For more than 25 years, Partners in Health (PIH) has built community-based platforms for health delivery. From roots in Haiti, to countries around the world, this model includes a global network of accompagnateurs, community health workers (CHWs) supported by health systems to assist with diagnosis and care for infectious diseases, incl...
Conference Paper
Background: Rwanda remains one of the most densely populated countries in Africa, with a population growth rate of 2.7%. Rwanda's Vision 2020 outlines a framework for increasing family planning uptake to curb population growth, while improving population welfare. In order to increase uptake and retention in family planning programs, it is critical...
Conference Paper
Background: For the past 25 years, Partners In Health (PIH) has delivered care in resource-limited settings through health delivery platforms linking community-based care to health facilities. Since 2005, PIH and sister organization, Inshuti Mu Buzima (IMB), have worked in partnership with the Government of Rwanda to restructure and strengthen the...
Article
the highly anthropological mission of ‘‘provincializing Europe’’ (p. 16) 1 from historiographies of South and Southeast Asia. Here, she explicitly challenges ‘‘the master narrative of modernity as defined by ‘European’ experience’’ (p. 16) by filling ‘‘a remarkable lacuna in the modern history of leprosy as a global question’’ (p. 6). As medical an...

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