Mental health impacts everyone, but some groups face unique challenges. In Singapore, foreign domestic workers (FDWs) play a vital role in many households. Research shows that 24% of FDWs experience poor mental health, with depressive symptoms being a major issue. A recent study tested a 4-week cognitive behavioral therapy (CBT)-based training program to address this. The program aimed to improve depression literacy, CBT knowledge, and attitudes toward seeking professional help.

The study involved 40 female Filipino FDWs. Researchers split them into two groups: one received CBT-based training, while the other remained on a waitlist. Participants were assessed before, immediately after, and two months following the training. Although the results showed no significant differences between the groups, both demonstrated improvements in depression literacy, CBT knowledge, and attitudes toward seeking help. These positive changes lasted even two months later, suggesting the program’s potential for long-term impact.
Participants expressed high satisfaction with the program, highlighting its value. While the study did not prove the program’s superiority over the waitlist group, the within-group improvements show promise. Future research could explore adaptations, such as extending the training or adding telehealth options, to enhance effectiveness.
CBT and Beyond: The Role of Telehealth and EMDR Therapy
While the study focused on CBT-based training, telehealth and therapies like Eye Movement Desensitization and Reprocessing (EMDR) are transforming mental health care. Telehealth makes it easier for individuals, including FDWs, to access support from home. EMDR therapy, effective for trauma-related conditions, offers another powerful tool for addressing mental health challenges.
Why Mental Health Literacy Matters
Programs like CBT-based training reduce stigma and encourage individuals to seek help. For FDWs, who often face isolation and limited resources, such initiatives can be life-changing. Equipping them with knowledge and skills empowers them to take charge of their mental well-being.
Looking Ahead: Innovations in Mental Health Care
The findings highlight the need for continued innovation in mental health care. Whether through in-person training, telehealth, or therapies like EMDR, the goal remains clear: to make mental health care accessible, effective, and stigma-free for all.
Dr. Sara C is a top-rated therapist specializing in EMDR, CBT, and DBT therapies. Serving clients across Newport Beach, CA; Beverly Hills, CA; San Diego, CA; Portland, OR; Jacksonville, OR; Dallas, TX; and Houston, TX, she is dedicated to providing the best telehealth therapy in California, Texas, and Oregon.
In case of a mental health emergency, please call 911 or seek immediate professional help.
Source:
Wong, M. H. M., Keng, S., Buck, P. J., Suthendran, S., Wessels, A., & Østbye, T. (2019). Effects of mental health paraprofessional training for Filipina foreign domestic workers in Singapore. Journal of Immigrant and Minority Health, 22(3), 571–579. https://doi.org/10.1007/s10903-019-00907-4