Background: Mental health service delivery models that are grounded in the local
context are needed to address the substantial treatment gap in low- and
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
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.
This research is supported by the Department for International Development’s Programme for Improving Mental Health Care (PRIME) which is led by University of Cape Town
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]
Development and pilot testing of a mental healthcare plan in Nepal