District mental healthcare plans for five low- and middle-income countries: commonalities, variations and evidence gaps

Charlotte Hanlon; Abebaw Fekadu; Mark Jordans; Fred Kigozi; Inge Petersen; Rahul Shidhaye; Simone Honikman; Crick Lund; Martin Prince; Shoba Raja; Graham Thornicroft; Mark Tomlinson; Vikram Patel

doi:10.1192/bjp.bp.114.153767

District mental healthcare plans for five low- and middle-income countries: commonalities, variations and evidence gaps

Charlotte Hanlon, Abebaw Fekadu, Mark Jordans, Fred Kigozi, Inge Petersen, Rahul Shidhaye, Simone Honikman, Crick Lund, Martin Prince, Shoba Raja, Graham Thornicroft, Mark Tomlinson, Vikram Patel

Addis Ababa University

Research output: Contribution to journal › Article › peer-review

37 Citations (Scopus)

Abstract

Background

Little is known about the service and system interventions required for successful integration of mental healthcare into primary care across diverse low- and middle-income countries (LMIC).

Aims

To examine the commonalities, variations and evidence gaps in district-level mental healthcare plans (MHCPs) developed in Ethiopia, India, Nepal, Uganda and South Africa for the PRogramme for Improving Mental health carE (PRIME).

Method

A comparative analysis of MHCP components and human resource requirements.

Results

A core set of MHCP goals was seen across all countries. The MHCPs components to achieve those goals varied, with most similarity in countries within the same resource bracket (low income v. middle income). Human resources for advanced psychosocial interventions were only available in the existing health service in the best-resourced PRIME country.

Conclusions

Application of a standardised methodological approach to MHCP across five LMIC allowed identification of core and site-specific interventions needed for implementation.

Original language	English
Journal	British Journal of Psychiatry
DOIs	https://doi.org/10.1192/bjp.bp.114.153767
Publication status	Published - 7 Oct 2015

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10.1192/bjp.bp.114.153767Licence: CC BY-NC-ND

Cite this

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title = "District mental healthcare plans for five low- and middle-income countries: commonalities, variations and evidence gaps",

abstract = "BackgroundLittle is known about the service and system interventions required for successful integration of mental healthcare into primary care across diverse low- and middle-income countries (LMIC).AimsTo examine the commonalities, variations and evidence gaps in district-level mental healthcare plans (MHCPs) developed in Ethiopia, India, Nepal, Uganda and South Africa for the PRogramme for Improving Mental health carE (PRIME).MethodA comparative analysis of MHCP components and human resource requirements.ResultsA core set of MHCP goals was seen across all countries. The MHCPs components to achieve those goals varied, with most similarity in countries within the same resource bracket (low income v. middle income). Human resources for advanced psychosocial interventions were only available in the existing health service in the best-resourced PRIME country.ConclusionsApplication of a standardised methodological approach to MHCP across five LMIC allowed identification of core and site-specific interventions needed for implementation.",

author = "Charlotte Hanlon and Abebaw Fekadu and Mark Jordans and Fred Kigozi and Inge Petersen and Rahul Shidhaye and Simone Honikman and Crick Lund and Martin Prince and Shoba Raja and Graham Thornicroft and Mark Tomlinson and Vikram Patel",

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T1 - District mental healthcare plans for five low- and middle-income countries

T2 - commonalities, variations and evidence gaps

AU - Hanlon, Charlotte

AU - Fekadu, Abebaw

AU - Jordans, Mark

AU - Kigozi, Fred

AU - Petersen, Inge

AU - Shidhaye, Rahul

AU - Honikman, Simone

AU - Lund, Crick

AU - Prince, Martin

AU - Raja, Shoba

AU - Thornicroft, Graham

AU - Tomlinson, Mark

AU - Patel, Vikram

PY - 2015/10/7

Y1 - 2015/10/7

N2 - BackgroundLittle is known about the service and system interventions required for successful integration of mental healthcare into primary care across diverse low- and middle-income countries (LMIC).AimsTo examine the commonalities, variations and evidence gaps in district-level mental healthcare plans (MHCPs) developed in Ethiopia, India, Nepal, Uganda and South Africa for the PRogramme for Improving Mental health carE (PRIME).MethodA comparative analysis of MHCP components and human resource requirements.ResultsA core set of MHCP goals was seen across all countries. The MHCPs components to achieve those goals varied, with most similarity in countries within the same resource bracket (low income v. middle income). Human resources for advanced psychosocial interventions were only available in the existing health service in the best-resourced PRIME country.ConclusionsApplication of a standardised methodological approach to MHCP across five LMIC allowed identification of core and site-specific interventions needed for implementation.

AB - BackgroundLittle is known about the service and system interventions required for successful integration of mental healthcare into primary care across diverse low- and middle-income countries (LMIC).AimsTo examine the commonalities, variations and evidence gaps in district-level mental healthcare plans (MHCPs) developed in Ethiopia, India, Nepal, Uganda and South Africa for the PRogramme for Improving Mental health carE (PRIME).MethodA comparative analysis of MHCP components and human resource requirements.ResultsA core set of MHCP goals was seen across all countries. The MHCPs components to achieve those goals varied, with most similarity in countries within the same resource bracket (low income v. middle income). Human resources for advanced psychosocial interventions were only available in the existing health service in the best-resourced PRIME country.ConclusionsApplication of a standardised methodological approach to MHCP across five LMIC allowed identification of core and site-specific interventions needed for implementation.

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DO - 10.1192/bjp.bp.114.153767

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SN - 0007-1250

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

ER -

District mental healthcare plans for five low- and middle-income countries: commonalities, variations and evidence gaps

Abstract

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