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Objective: The objective of this scoping review is to identify and map the characteristics of adaptations to implementation frameworks for minority ethnic groups, to improve health equity. Introduction: Despite the potential of implementation science, critical gaps remain within the field to facilitate health equity, particularly for people from minority ethnic groups. Most of the existing implementation frameworks do not address issues of power, structural racism and inequality. In response to calls to the field to prioritise ethnic equity approaches, theoretical and empirical adaptations to implementation frameworks have been made to improve health equity for minority ethnic groups during implementation. These have not been mapped in one paper. Inclusion criteria: Participants are people from minority ethnic groups with a diagnosed or suspected health problem, symptoms of a health condition or seeking healthcare. The concept is papers describing, using, or evaluating implementation frameworks which have been adapted to improve health equity for people from minority ethnic groups. The context is any physical or mental health intervention or innovation, in any health system/setting, in middle-high income countries. Methods: Bibliographic searches of MEDLINE, Embase, PsycINFO and CINAHL will be conducted, spanning the period from 2004 to current. Following a pilot test, titles, abstracts and then full text will be screened in EndNote/Rayyan by one researcher according to predetermined criteria. At each stage of screening, 10% of references will be screened by a second researcher. Extracted data will be presented in multiple tables and will be analysed narratively.

Supplemental material, sj-docx-1-isp-10.1177_00207640221140291 for Trends, challenges, and priorities for shared decision making in mental health: The first umbrella review by Marta Chmielowska, Yaara Zisman-Ilani, Rob Saunders and Stephen Pilling in International Journal of Social Psychiatry

The aim of this review is to identify what evidence currently exists which explores Chinese International students’ mental health and psychological wellbeing in western universities. More specifically, we aim to describe and synthesise: (a) Evidence for the prevalence and range of diagnosed mental health disorders and those experiencing subthreshold symptoms and (b)Evidence of the effectiveness of psychological interventions or preventions in reducing symptoms of mental health disorders and mental health challenges in Chinese international students.

Supplemental material, sj-docx-1-isp-10.1177_00207640221140291 for Trends, challenges, and priorities for shared decision making in mental health: The first umbrella review by Marta Chmielowska, Yaara Zisman-Ilani, Rob Saunders and Stephen Pilling in International Journal of Social Psychiatry

This is a pre-registration on whether the psychological therapy outcomes for young people (aged 16 -24 years) differ from those of older people (25 - 65 years) in the NHS Englad Data of the Increased Access for Psychological Therapy (IAPT) .

Depression is a common and debilitating mental health disorder, with lifetime prevalence rates approaching 17% (Global Burden of Disease Study (GBDS); 2018, 2022). There are two core symptoms of depression; 1) anhedonia, defined as a loss of interest or pleasure in doing things, and 2) low mood (Kroenke et al., 2001). These core symptoms are routinely asked about when patients seek consultations with General Practitioners/Physicians (GPs) for common mental health complaints to screen for potential depression, and when they seek treatment from professionals for depression. Most typically, these symptoms are measured with self-report questionnaires such as the Patient Health Questionnaire PHQ-2 (Kroenke et al., 2003) or PHQ-9 (Kroenke et al., 2001), where a single item asking whether respondents have been bothered by ‘little interest or pleasure in doing things’ is used to screen for anhedonia. This study will investigate the relationship between symptoms of depression and treatment outcome. We will focus on anhedonia, since this has been hypothesised to be related to low attendance and poor treatment outcome (Khazanov et al., 2021).

This is a protocol detailing the planned analyses for a number of studies within a single project. The studies are related by drawing on the same sample or subsets of the overall sample, and sharing one of two broad aims (detailed below). The purpose of the overall project is to investigate a patient-centred metric of change during routinely delivered psychological therapy for depression or anxiety disorders among adults in Improving Access to Psychological Therapies (IAPT) services. To do this, the project aims to calculate minimum clinically important differences (MCIDs) for symptom change before and once ending therapy; that is, the smallest amount of change pre-post treatment needed on a measure of symptoms for it to be deemed important by a patient.

A study protocol for the use of individual participant data from randomised controlled trials

Combination treatment with psychiatric medication and psychological therapy is generally considered to be more effective than psychotherapy alone for common mental health disorders, that is depression and some anxiety disorders, especially when the condition is more severe (National Collaborating Centre for Mental Health, 2010; NICE, 2011; Cuijpers et al., 2020) . However, this has not been tested in routine treatment settings. We will analyse a large dataset of routinely collected information from four Improving Access to Psychological Therapies (IAPT) services (National Health Service community and primary care mental health services) where patients are treated for common mental health disorders. Around half of IAPT patients are prescribed a psychiatric medication when initially assessed by services. We will analyse the effect of combination treatment versus psychological therapy alone on symptom score change and a variety of clinical outcomes, whilst controlling for baseline severity of condition and other confounders.

The current study will attempt to explore the intersection between ethnicity and gender for factors associated with IAPT treatment outcomes, beyond just access and engagement, using aggregated IAPT data from four NHS Trusts in London, England.

Additional file 7. Quality of life outcomes. Additional information on quality of life outcomes of the interventions.

Additional file 1. Search Strategy. The search strategy used to source texts.

Additional file 7. Quality of life outcomes. Additional information on quality of life outcomes of the interventions.

Additional file 8. Costs. Additional information on cost analyses reported within studies.

Additional file 8. Costs. Additional information on cost analyses reported within studies.

Additional file 2. Outcome Hierarchy. The tool used to select which outcomes to extract when multiple items for each outcomes were reported.

Additional file 6. Mental health outcomes. Additional information on mental health outcomes of the interventions.

Additional file 5. Housing First Trial additional papers. A list of additional publications relating to the Housing First Trial conducted in Canada, not extracted in this review due to irrelevant outcomes and overlapping data.

Additional file 4. ROB description across domains. Further description of variations in study quality across domains.

Additional file 6. Mental health outcomes. Additional information on mental health outcomes of the interventions.

Additional file 5. Housing First Trial additional papers. A list of additional publications relating to the Housing First Trial conducted in Canada, not extracted in this review due to irrelevant outcomes and overlapping data.

BACKGROUND: The characteristics of Emergency Department (ED) attendances due to mental or behavioural health disorders need to be described to enable appropriate development of services. We aimed to describe the epidemiology of mental health-related ED attendances within health care systems free at the point of access, including clinical reason for presentation, previous service use, and patient sociodemographic characteristics. METHOD: Systematic review and meta-analysis of observational studies describing ED attendances by patients with common mental health conditions. FINDINGS: 18 studies from seven countries met eligibility criteria. Patients attending due to mental or behavioural health disorders accounted for 4% of ED attendances; a third were due to self-harm or suicidal ideation. 58.1% of attendees had a history of psychiatric illness and up to 58% were admitted. The majority of studies were single site and of low quality so results must be interpreted cautiously. CONCLUSIONS: Prevalence studies of mental health-related ED attendances are required to enable the development of services to meet specific needs.

SPIRIT 2013 Checklist: Recommended items to address in a clinical trial protocol and related documents. (DOC 123Â kb)

CORE CRT Service Improvement Programme Trial â Reporting Checklist. (DOCX 44 kb)

CORE CRT Service Improvement Programme â Participant Consent Form. (DOCX 120 kb)