Evaluation of district mental healthcare plans: The PRIME consortium methodology

Few studies have evaluated the implementation and impact of real-world mental health programmes delivered at scale in low-resource settings. To describe the cross-country research methods used to evaluate district-level mental healthcare plans (MHCPs) in Ethiopia, India, Nepal, South Africa and Ugan...

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Veröffentlicht in:British journal of psychiatry 2016-01, Vol.208 (s56), p.s63-s70
Hauptverfasser: De Silva, Mary J., Rathod, Sujit D., Hanlon, Charlotte, Breuer, Erica, Chisholm, Dan, Fekadu, Abebaw, Jordans, Mark, Kigozi, Fred, Petersen, Inge, Shidhaye, Rahul, Medhin, Girmay, Ssebunnya, Joshua, Prince, Martin, Thornicroft, Graham, Tomlinson, Mark, Lund, Crick, Patel, Vikram
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container_title British journal of psychiatry
container_volume 208
creator De Silva, Mary J.
Rathod, Sujit D.
Hanlon, Charlotte
Breuer, Erica
Chisholm, Dan
Fekadu, Abebaw
Jordans, Mark
Kigozi, Fred
Petersen, Inge
Shidhaye, Rahul
Medhin, Girmay
Ssebunnya, Joshua
Prince, Martin
Thornicroft, Graham
Tomlinson, Mark
Lund, Crick
Patel, Vikram
description Few studies have evaluated the implementation and impact of real-world mental health programmes delivered at scale in low-resource settings. To describe the cross-country research methods used to evaluate district-level mental healthcare plans (MHCPs) in Ethiopia, India, Nepal, South Africa and Uganda. Multidisciplinary methods conducted at community, health facility and district levels, embedded within a theory of change. The 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. To 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.
doi_str_mv 10.1192/bjp.bp.114.153858
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection; Cambridge University Press Journals Complete
subjects Clinical outcomes
Community Mental Health Services - standards
Cross-Sectional Studies
Developing Countries
Ethiopia
Health care
Humans
India
Interdisciplinary aspects
Mental disorders
Mental Disorders - therapy
Mental health
Nepal
Patient Care Planning - standards
Polls & surveys
Population levels
Program Evaluation - methods
Quality Improvement
Research methodology
South Africa
Surveys and Questionnaires
Uganda
title Evaluation of district mental healthcare plans: The PRIME consortium methodology
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