Planning and evaluating mental health services in low- and middle-income countries using theory of change

Erica Breuer; Mary J De Silva; Rahul Shidaye; Inge Petersen; Juliet Nakku; Mark J D Jordans; Abebaw Fekadu; Crick Lund

doi:10.1192/bjp.bp.114.153841

Planning and evaluating mental health services in low- and middle-income countries using theory of change

Erica Breuer, Mary J De Silva, Rahul Shidaye, Inge Petersen, Juliet Nakku, Mark J D Jordans, Abebaw Fekadu, Crick Lund

Health Service & Population Research

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

60 Citations (Scopus)

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Abstract

BACKGROUND: There is little practical guidance on how contextually relevant mental healthcare plans (MHCPs) can be developed in low-resource settings.

AIMS: To describe how theory of change (ToC) was used to plan the development and evaluation of MHCPs as part of the PRogramme for Improving Mental health carE (PRIME).

METHOD: ToC development occurred in three stages: (a) development of a cross-country ToC by 15 PRIME consortium members; (b) development of country-specific ToCs in 13 workshops with a median of 15 (interquartile range 13-22) stakeholders per workshop; and (c) review and refinement of the cross-country ToC by 18 PRIME consortium members.

RESULTS: One cross-country and five district ToCs were developed that outlined the steps required to improve outcomes for people with mental disorders in PRIME districts.

CONCLUSIONS: ToC is a valuable participatory method that can be used to develop MHCPs and plan their evaluation.

Original language	English
Pages (from-to)	55-62
Number of pages	8
Journal	The British journal of psychiatry : the journal of mental science
Volume	208
Issue number	Suppl 56
Early online date	4 Jan 2016
DOIs	https://doi.org/10.1192/bjp.bp.114.153841
Publication status	E-pub ahead of print - 4 Jan 2016

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Planning and evaluating mental_BREUER_Accepted13February2015_GOLD VoRFinal published version, 1 MBLicence: CC BY-NC-ND

Cite this

Breuer, E., De Silva, M. J., Shidaye, R., Petersen, I., Nakku, J., Jordans, M. J. D., Fekadu, A., & Lund, C. (2016). Planning and evaluating mental health services in low- and middle-income countries using theory of change. The British journal of psychiatry : the journal of mental science, 208 (Suppl 56), 55-62. Advance online publication. https://doi.org/10.1192/bjp.bp.114.153841

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abstract = "BACKGROUND: There is little practical guidance on how contextually relevant mental healthcare plans (MHCPs) can be developed in low-resource settings.AIMS: To describe how theory of change (ToC) was used to plan the development and evaluation of MHCPs as part of the PRogramme for Improving Mental health carE (PRIME).METHOD: ToC development occurred in three stages: (a) development of a cross-country ToC by 15 PRIME consortium members; (b) development of country-specific ToCs in 13 workshops with a median of 15 (interquartile range 13-22) stakeholders per workshop; and (c) review and refinement of the cross-country ToC by 18 PRIME consortium members.RESULTS: One cross-country and five district ToCs were developed that outlined the steps required to improve outcomes for people with mental disorders in PRIME districts.CONCLUSIONS: ToC is a valuable participatory method that can be used to develop MHCPs and plan their evaluation.",

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T1 - Planning and evaluating mental health services in low- and middle-income countries using theory of change

AU - Breuer, Erica

AU - De Silva, Mary J

AU - Shidaye, Rahul

AU - Petersen, Inge

AU - Nakku, Juliet

AU - Jordans, Mark J D

AU - Fekadu, Abebaw

AU - Lund, Crick

PY - 2016/1/4

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N2 - BACKGROUND: There is little practical guidance on how contextually relevant mental healthcare plans (MHCPs) can be developed in low-resource settings.AIMS: To describe how theory of change (ToC) was used to plan the development and evaluation of MHCPs as part of the PRogramme for Improving Mental health carE (PRIME).METHOD: ToC development occurred in three stages: (a) development of a cross-country ToC by 15 PRIME consortium members; (b) development of country-specific ToCs in 13 workshops with a median of 15 (interquartile range 13-22) stakeholders per workshop; and (c) review and refinement of the cross-country ToC by 18 PRIME consortium members.RESULTS: One cross-country and five district ToCs were developed that outlined the steps required to improve outcomes for people with mental disorders in PRIME districts.CONCLUSIONS: ToC is a valuable participatory method that can be used to develop MHCPs and plan their evaluation.

AB - BACKGROUND: There is little practical guidance on how contextually relevant mental healthcare plans (MHCPs) can be developed in low-resource settings.AIMS: To describe how theory of change (ToC) was used to plan the development and evaluation of MHCPs as part of the PRogramme for Improving Mental health carE (PRIME).METHOD: ToC development occurred in three stages: (a) development of a cross-country ToC by 15 PRIME consortium members; (b) development of country-specific ToCs in 13 workshops with a median of 15 (interquartile range 13-22) stakeholders per workshop; and (c) review and refinement of the cross-country ToC by 18 PRIME consortium members.RESULTS: One cross-country and five district ToCs were developed that outlined the steps required to improve outcomes for people with mental disorders in PRIME districts.CONCLUSIONS: ToC is a valuable participatory method that can be used to develop MHCPs and plan their evaluation.

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JO - The British journal of psychiatry : the journal of mental science

JF - The British journal of psychiatry : the journal of mental science

IS - Suppl 56

ER -

Planning and evaluating mental health services in low- and middle-income countries using theory of change

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