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Dr Daniela Fuhr

Dipl-Psych MSc DrPH

Assistant Professor
in Mental Health Systems

Room
101

LSHTM
15-17 Tavistock Place
London
WC1H 9SH
United Kingdom

Tel.
0044 20 7958 8138

My research addresses the treatment gap for common mental disorders, and focuses on the design and evaluation of mental health programmes for disadvantaged and vulnerable populations. I am particularly interested in low intensity interventions and task-sharing in low and middle-income countries. One important aspect of my work is to strengthen mental health systems in resource constrained settings, and to seek ways to overcome health system challenges to improve mental health outcomes. I am a mixed methods researcher, and have worked on both experimental and observational study designs. Before joining LSHTM, I worked at the WHO Department of Mental Health and Substance Abuse in Geneva for several years. 

I am Associate Editor of the BMC journal Conflict and Health.



Affiliations

Faculty of Public Health and Policy
Department of Health Services Research and Policy

Centres

Centre for Global Chronic Conditions
Global Mental Health
Health in Humanitarian Crises Centre

Teaching

I teach on the MSc in Global Mental Health, and co-organize the core module “Design and Evaluation of Mental Health Programmes”. The course seeks to provide students with the necessary skills and knowledge to develop and evaluate innovative mental health interventions which facilitate access to care, and make best use of the health system resources which are available in a setting. The course focuses on formative research and pilot studies and employs problem-based learning; examples of different mental health programmes from low and middle-income countries are presented in class. I also tutor on the MSc in Global Mental Health, and take on research degree students with an interest in Global Mental Health, and mental health implementation research. I am also Deputy Chair of the Global Mental Health exam board.

Research

I work on the STRENGHTS (Syrian Refugees Mental Health Care Systems) project which is funded by the European Commission Horizon 2020 scheme. STRENGHTS focuses on the mental health needs of Syrian refugees, and seeks to provide a  framework  for  scaling-up  the  delivery  and  uptake  of  Problem Management+ (PM+) in countries neighbouring Syria (Turkey, Lebanon, Egypt, Jordan) and major European host countries (Germany, the Netherlands, Sweden, Switzerland). PM+ is a transdiagnostic counselling intervention for PTSD, depression and anxiety disorders which has been developed by WHO. To inform the implementation of PM+, we are employing rapid appraisal methodology to analyse the responsiveness of the health system in addressing the mental health needs of Syrian refugees in the study countries, and are conducting cross-sectional population-level surveys and in-depth qualitative research to explore access to mental health care. We are also conducting Theory of Change workshops to prepare for the scaling up phase of the project.

I am also PI on a Wellcome funded seed grant which seeks to develop a community-based intervention for alcohol use disorders in Ukraine. Our population of interest focuses on the general population, including internally displaced people.

Previously, I worked on maternal depression in India and Pakistan; we have developed a cost-effective intervention for mothers with depression which is based on behavioural activation and ready to be implemented at scale in low and middle-income countries.   

Research Area
Complex interventions
Health services research
Health systems
Alcohol
Evaluation
Global Health
Mixed methods
Implementation research
Randomised controlled trials
Discipline
Epidemiology
Psychology
Social Sciences
Disease and Health Conditions
Addiction
Mental health
Region
Arab World
Europe & Central Asia (all income levels)
Middle East & North Africa (all income levels)
South Asia
World

Selected Publications

Mental health impact of social capital interventions: a systematic review.
Flores, E.C. ; Fuhr, D.C. ; Bayer, A.M. ; Lescano, A.G. ; Thorogood, N. ; Simms, V. ;
2017
Soc Psychiatry Psychiatr Epidemiol
The management of adult psychiatric emergencies in low-income and middle-income countries: a systematic review.
Nadkarni, A. ; Hanlon, C. ; Bhatia, U. ; Fuhr, D. ; Ragoni, C. ; de Azevedo Perocco, S.L. ; Fortes, S. ; Shidhaye, R. ; Kinyanda, E. ; Rangaswamy, T. ; Patel, V. ;
2015
Lancet Psychiatry
The effectiveness and cost-effectiveness of the peer-delivered Thinking Healthy Programme for perinatal depression in Pakistan and India: the SHARE study protocol for randomised controlled trials.
Sikander, S. ; Lazarus, A. ; Bangash, O. ; Fuhr, D.C. ; Weobong, B. ; Krishna, R.N. ; Ahmad, I. ; Weiss, H.A. ; Price, L. ; Rahman, A. ; Patel, V. ;
2015
Trials
Effectiveness of peer-delivered interventions for severe mental illness and depression on clinical and psychosocial outcomes: a systematic review and meta-analysis.
Fuhr, D.C.; Salisbury, T.T.; De Silva, M.J.; Atif, N.; van Ginneken, N.; Rahman, A.; Patel, V.;
2014
Soc Psychiatry Psychiatr Epidemiol
Estimating the coverage of mental health programmes: a systematic review.
De Silva, M.J. ; Lee, L. ; Fuhr, D.C. ; Rathod, S. ; Chisholm, D. ; Schellenberg, J. ; Patel, V. ;
2014
Int J Epidemiol
"Someone like us": Delivering maternal mental health through peers in two South Asian contexts.
Singla, D. ; Lazarus, A. ; Atif, N. ; Sikander, S. ; Bhatia, U. ; Ahmad, I. ; Nisar, A. ; Khan, S. ; Fuhr, D. ; Patel, V. ; Rahman, A. ;
2014
J Affect Disord
Alcohol other psychoactive substances in Africa and the Americas: Results from the WHO Global School-based Student Health Survey
Fuhr, D.C.; Fleischmann, A.; Riley, L.; Kann, L.; Poznyak, V.B.
2014
Journal of Substance Use
Contribution of suicide and injuries to pregnancy-related mortality in low-income and middle-income countries: a systematic review and meta-analysis
Fuhr, D.C.; Calvert, C.; Ronsmans, C.; Chandra, P.S.; Sikander, S.; de Silva, M.J.; Patel, V.
2014
The Lancet Psychiatry
See all Dr Daniela Fuhr's Publications