Development and pilot testing of a mental healthcare plan in Nepal.
other · Level V
Where this comes from
- Record sourced from PubMed, PMID 26447173.
- Also identified by DOI 10.1192/bjp.bp.114.153718 and PMC identifier 4698553.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Mental health service delivery models that are grounded in the local context are needed to address the substantial treatment gap in low- and middle-income countries. To present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility. A mixed methods formative study was conducted. Routine monitoring and evaluation data, including client flow and reports of satisfaction, were obtained from patients (n = 135) during the pilot-testing phase in two health facilities. The resulting MHCP consists of 12 packages, divided over community, health facility and organisation platforms. Service implementation data support the real-life applicability of the MHCP, with reasonable treatment uptake. Key barriers were identified and addressed, namely dissatisfaction with privacy, perceived burden among health workers and high drop-out rates. The MHCP follows a collaborative care model encompassing community and primary healthcare interventions.
Medical subject headings
- Community Mental Health Services
- Health Workforce
- Mental Disorders
- Patient Care Planning
- Primary Health Care