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Development and pilot testing of a mental healthcare plan in Nepal
M J D Jordans1, N P Luitel2, P Pokhrel2
1M. J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Center for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; N. P. Luitel, MA, P. Pokhrel, BA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; V. Patel, MRCPsych, PhD, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London and Sangath Centre, Goa, India mark.jordans@hntpo.org.
Background:
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.
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 health facilities.
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.
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