Evaluation of district mental healthcare plans: the PRIME consortium methodology

TY - JOUR

T1 - Evaluation of district mental healthcare plans

T2 - the PRIME consortium methodology

AU - De Silva, Mary J

AU - Rathod, Sujit D

AU - Hanlon, Charlotte

AU - Breuer, Erica

AU - Chisholm, Dan

AU - Fekadu, Abebaw

AU - Jordans, Mark

AU - Kigozi, Fred

AU - Petersen, Inge

AU - Shidhaye, Rahul

AU - Medhin, Girmay

AU - Ssebunnya, Joshua

AU - Prince, Martin

AU - Thornicroft, Graham

AU - Tomlinson, Mark

AU - Lund, Crick

AU - Patel, Vikram

N1 - © The Royal College of Psychiatrists 2015.

PY - 2015/10/7

Y1 - 2015/10/7

N2 - BackgroundFew studies have evaluated the implementation and impact of real-world mental health programmes delivered at scale in low-resource settings.AimsTo describe the cross-country research methods used to evaluate district-level mental healthcare plans (MHCPs) in Ethiopia, India, Nepal, South Africa and Uganda.MethodMultidisciplinary methods conducted at community, health facility and district levels, embedded within a theory of change.ResultsThe following designs are employed to evaluate the MHCPs: (a) repeat community-based cross-sectional surveys to measure change in population-level contact coverage; (b) repeat facility-based surveys to assess change in detection of disorders; (c) disorder-specific cohorts to assess the effect on patient outcomes; and (d) multilevel case studies to evaluate the process of implementation.ConclusionsTo evaluate whether and how a health-system-level intervention is effective, multidisciplinary research methods are required at different population levels. Although challenging, such methods may be replicated across diverse settings.

AB - BackgroundFew studies have evaluated the implementation and impact of real-world mental health programmes delivered at scale in low-resource settings.AimsTo describe the cross-country research methods used to evaluate district-level mental healthcare plans (MHCPs) in Ethiopia, India, Nepal, South Africa and Uganda.MethodMultidisciplinary methods conducted at community, health facility and district levels, embedded within a theory of change.ResultsThe following designs are employed to evaluate the MHCPs: (a) repeat community-based cross-sectional surveys to measure change in population-level contact coverage; (b) repeat facility-based surveys to assess change in detection of disorders; (c) disorder-specific cohorts to assess the effect on patient outcomes; and (d) multilevel case studies to evaluate the process of implementation.ConclusionsTo evaluate whether and how a health-system-level intervention is effective, multidisciplinary research methods are required at different population levels. Although challenging, such methods may be replicated across diverse settings.

U2 - 10.1192/bjp.bp.114.153858

DO - 10.1192/bjp.bp.114.153858

M3 - Article

C2 - 26447175

SN - 0007-1250

VL - 207

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

IS - 5

ER -