Development and pilot testing of a mental healthcare plan in Nepal
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.
To present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility.
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.
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.
The MHCP follows a collaborative care model encompassing community and primary healthcare interventions.
Jordans, M.J.D.; Luitel, N.P.; Pokhrel, P.; Patel, V. Development and pilot testing of a mental healthcare plan in Nepal. British Journal of Psychiatry (2015) 208 (s56) s21-s28. [DOI: 10.1192/bjp.bp.114.153718]