BEHAVIOURAL ACTIVATION(BA) The Active Ingredients Project

B A a l t e r s t h e v i c i o u s c y c le of depres s e d / a n x i o u s m o o d N e g a t i v e C y c l e P o s i t i v e C y c l e Stop doing things that matter Getting less out of life Feeling sad/ anxious Feel better Do more of what matters Get more out of life BEHAVIOURAL ACTIVATION(BA) The Active Ingredients Project PROCESS OF BA POLICY RECOMMENDATIONS BA as a prevention and treatment strategy for adolescents and young adults Capacity Building 1 Scalable training and supervision in BA for specialist and non- specialist providers (manualised and digitised trainings) to reach out to youth across settings 2 Enabling youth participation and leadership in the implementation and scaling up of BA based mental health programs Multi-Sectoral Collaboration 1 Budgetary allocation to support mental health initiatives including BA programs in diverse settings 2 Inter-sectoral collaboration and the role of government and non-government bodies in the implementation of evidence-based mental health programs Interventions in Educational and Community Settings 1 Application of BA across various settings (schools/ universities/ clinics/ communities) to identify efficient, contextually sensitive and cost effective models 2 Promotion of activity clubs based on principles of BA for prevention and management of mental health problems 3 Easily accessible self-help material for young people (books, videos, app, web-based programs) Behavioral activation comprises of the following elements and is customizable based on a person’s needs: METHODOLOGY To identify the role of BA as an Active Ingredient focused on Young People aged 14-24 years with Depression And Anxiety, we conducted a Mixed Methods Review using the following sources: Quantitative Review Randomized controlled trials (RCTs) with BA as the main intervention and in combination with Cognitive Behaviour Therapy (CBT) Qualitative Review Studies covering experiences of using BA and strategies for coping with depression and anxiety Youth Advisors Group Discussions with youth advisors who had lived experiences of depression and anxiety REVIEW FINDINGS Overcoming Barriers and Additional Skills Training Setting Goals Scheduling Pleasurable/ Meaningful Activities Monitoring Mood and Actions In what contexts does BA work? 1 For depression in youth — 1/3 studies showed that BA was effective by itself while 16/22 studies showed that BA within CBT was effective 2 Flexible in modalities and formats of delivery (individual or group, face to face or digital) 3 Works well in both short and long intervention duration How does BA work? 1 BA is action-oriented, improves mood, activity levels and daily life functioning. 2 Most young people habitually cope with depression and/or anxiety through behaviour change and find it effective What can future research address? 1 Given the high co-occurrence of anxiety and depression in young people - to examine the role of BA across a range of anxiety, depression and other comorbid problems 2 Effectiveness of BA in diverse socio-economic and cultural contexts. 3 Role of social support and skill building (problem solving, social skills) in sustaining behavioral changes

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Transcript of BEHAVIOURAL ACTIVATION(BA) The Active Ingredients Project

Page 1: BEHAVIOURAL ACTIVATION(BA) The Active Ingredients Project

BA alters the vicious cyc

le of

dep

ress

ed/a

nxious m

ood

Negative Cycle Positive Cycle

Stop doing things that

matter Getting less out of life

Feeling sad/

anxious Feel

better

Do more of what matters

Get more out

of life

BEHAVIOURAL ACTIVATION(BA)The Active Ingredients Project

PROCESS OF BA

POLICY RECOMMENDATIONS

BA as a prevention and treatment strategy for adolescents and young adults

Capacity Building

1 Scalable training and supervision in BA for specialist and non-

specialist providers (manualised and digitised trainings) to reach out to youth across settings

2Enabling youth participationand leadership in the

implementation and scaling up of BA based mental health programs

Multi-Sectoral Collaboration

1Budgetary allocation to supportmental health initiatives including

BA programs in diverse settings

2 Inter-sectoral collaboration and the role of government

and non-government bodies in the implementation of evidence-based mental health programs

Interventions in Educational and Community Settings

1 Application of BA across various settings (schools/ universities/

clinics/ communities) to identify efficient, contextually sensitive and cost effective models

2Promotion of activity clubsbased on principles of BA for

prevention and management of mental health problems

3Easily accessible self-helpmaterial for young people (books,

videos, app, web-based programs)

Behavioral activation comprises of the following elements and is customizable based on a person’s needs:

METHODOLOGY

To identify the role of BA as an Active Ingredient focused on Young People aged 14-24 years with Depression And Anxiety, we conducted a Mixed Methods Review using the following sources:

Quantitative Review

Randomized controlled trials (RCTs) with BA as the main intervention and in combination with Cognitive Behaviour Therapy (CBT)

Qualitative Review

Studies covering experiences of using BA and strategies for coping with depression and anxiety

Youth Advisors Group

Discussions with youth advisors who had lived experiences of depression and anxiety

REVIEW FINDINGS

Overcoming Barriers and

Additional Skills Training

Setting Goals

Scheduling Pleasurable/ Meaningful

Activities