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Br J Psychiatry. 2016 Jan;208 Suppl 56:s21-8. doi: 10.1192/bjp.bp.114.153718. Epub 2015 Oct 7.

Development and pilot testing of a mental healthcare plan in Nepal.

Author information

1
M. J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Center for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; N. P. Luitel, MA, P. Pokhrel, BA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; V. Patel, MRCPsych, PhD, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London and Sangath Centre, Goa, India mark.jordans@hntpo.org.
2
M. J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Center for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; N. P. Luitel, MA, P. Pokhrel, BA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; V. Patel, MRCPsych, PhD, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London and Sangath Centre, Goa, India.

Abstract

BACKGROUND:

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.

AIMS:

To present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility.

METHOD:

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.

RESULTS:

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.

CONCLUSIONS:

The MHCP follows a collaborative care model encompassing community and primary healthcare interventions.

PMID:
26447173
PMCID:
PMC4698553
DOI:
10.1192/bjp.bp.114.153718
[Indexed for MEDLINE]
Free PMC Article

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