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Development and pilot testing of a mental healthcare plan in Nepal

Published online by Cambridge University Press:  02 January 2018

M. J. D. Jordans ,
N. P. Luitel ,
P. Pokhrel  and
V. Patel
M. J. D. Jordans
Affiliation:
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
Affiliation:
Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal
P. Pokhrel
Affiliation:
Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal
V. Patel
Affiliation:
Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London and Sangath Centre, Goa, India
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Abstract

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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.

Type
Papers
Information
The British Journal of Psychiatry , Volume 208 , Issue s56: Mental health plans in five low- and middle-income countries: PRogramme for Improving Mental health carE (PRIME) , January 2016 , pp. s21 - s28
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
Copyright
Copyright © Royal College of Psychiatrists, 2016

Footnotes

This document is an output from the PRIME Research Programme Consortium, funded by the UK Department of International Development (DFID) for the benefit of low- and middle-income countries. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. The authors had full control of all primary data.

Declaration of interest

None.

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