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Integration of mental health into primary care in low- and middle-income countries: The PRIME mental healthcare plans

Published online by Cambridge University Press:  02 January 2018

Crick Lund*
Affiliation:
Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
Mark Tomlinson
Affiliation:
Alan J Flisher Centre for Public Mental Health, Department of Psychology, Stellenbosch University and Department of Psychiatry and Mental Health, University of Cape Town, Stellenbosch, South Africa
Vikram Patel
Affiliation:
Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, Centre for Chronic Conditions and Injuries, the Public Health Foundation of India, New Delhi, and Sangath Centre, Goa, India
*
Crick Lund, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, 46 Sawkins Road, Rondebosch, 7700, Cape Town, South Africa. Email: crick.lund@uct.ac.za
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This supplement outlines the development and piloting of district mental healthcare plans from five low- and middle-income countries, together with the methods for their design, evaluation and costing. In this editorial we consider the challenges that these programmes face, highlight their innovations and draw conclusions.

Type
Editorials
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
Copyright
Copyright © Royal College of Psychiatrists, 2016

Footnotes

The material has been funded by UK aid from the UK government. However, the views expressed do not necessarily reflect the UK government's official policies.

Declaration of interest

None.

References

1 Lund, C, Tomlinson, M, De Silva, M, Fekadu, A, Shidhaye, R, Jordans, M, et al. PRIME: a programme to reduce the treatment gap for mental disorders in five low- and middle-income countries. PLoS Med 2012; 9: e1001359.CrossRefGoogle Scholar
2 Lancet Global Mental Health Group. Scale up services for mental disorders: a call for action. Lancet 2007; 370: 1241–52.Google Scholar
3 Patel, V, Thornicroft, G. Packages of care for mental, neurological, and substance use disorders in low- and middle-income countries: PLoS medicine series. PLoS Med 2009; 6: e1000160.CrossRefGoogle ScholarPubMed
4 Hanlon, C, Luitel, NP, Kathree, T, Murhar, V, Shrivasta, S, Medhin, G, et al. Challenges and opportunities for implementing integrated mental healthcare: a district level situation analysis from five low- and middle-income countries. PLoS One 2014; 9: e88437.Google Scholar
5 Fekadu, A, Hanlon, C, Medhin, G, Alem, A, Selamu, M, Giorgis, TW, et al. Development of a scalable mental healthcare plan for a rural district in Ethiopia. Br J Psychiatry 2015, in press (doi: 10.1192/bjp.bp.114.153676).Google Scholar
6 Shidhaye, R, Shrivastava, S, Murhar, V, Samudre, S, Ahuja, S, Ramaswamy, R, et al. Development and piloting of a plan for integrating mental health in primary care in Sehore district, Madhya Pradesh, India. Br J Psychiatry 2015, in press (doi: 10.1192/bjp.bp.114.153700).Google Scholar
7 Goncalves, DA, Fortes, S, Campos, M, Ballester, D, Portugal, FB, Tófoli, LF, et al. Evaluation of a mental health training intervention for multidisciplinary teams in primary care in Brazil: a pre- and posttest study. Gen Hosp Psychiatry 2013; 35: 304–8.CrossRefGoogle Scholar
8 Jenkins, R, Othieno, C, Okeyo, S, Kaseje, D, Aruwa, J, Oyugi, H, et al. Short structured general mental health in service training programme in Kenya improves patient health and social outcomes but not detection of mental health problems – a pragmatic cluster randomised controlled trial. Int J Ment Health Syst 2013; 7: 25.Google Scholar
9 Jordans, MJD, Luitel, NP, Pokhrel, P, Patel, V. Development and pilot testing of a mental healthcare plan in Nepal. Br J Psychiatry 2015, in press (doi: 10.1192/bjp.bp.114.153718).CrossRefGoogle Scholar
10 Jordans, MJD, Luitel, NP, Tomlinson, M, Komproe, IH. Setting priorities for mental healthcare in Nepal: a formative study. BMC Psychiatry 2013; 13: 332–40.CrossRefGoogle Scholar
11 Jordans, MJD, Kohrt, BA, Luitel, NP, Komproe, IH, Lund, C. Accuracy of pro-active case finding for mental disorders by community informants in Nepal. Br J Psychiatry 2015, in press.CrossRefGoogle Scholar
12 Kohrt, BA, Jordans, MJ, Rai, S, Shrestha, P, Luitel, NP, Ramaiya, MK, et al. Therapist competence in global mental health: development of the ENhancing Assessment of Common Therapeutic factors (ENACT) rating scale. Behav Res Ther 2015; 69: 1121.Google Scholar
13 Petersen, I, Fairall, L, Bhana, A, Kathree, T, Selohilwe, O, Brooke-Sumner, C, et al. Integrating mental health into chronic care in South Africa: the development of a district mental healthcare plan. Br J Psychiatry 2015, in press (doi: 10.1192/bjp.bp.114.153726).Google Scholar
14 Department of Health. Primary Care 101. Department of Health, 2012.Google Scholar
15 Kigozi, NF, Kizza, D, Nakku, J, Ssebunnya, J, Ndyanabangi, S, Nakiganda, B, et al. Development of a district mental healthcare plan in Uganda. Br J Psychiatry 2015, in press (doi: 10.1192/bjp.bp.114.153742).CrossRefGoogle Scholar
16 World Health Organization. mhGAP Intervention Guide for Mental, Neurological and Substance Use Disorders in Non-Specialised Health Settings. WHO, 2010.Google Scholar
17 Hanlon, C, Fekadu, A, Jordans, M, Kigozi, F, Petersen, I, Shidhaye, R, et al. District mental healthcare plans for five low- and middle-income countries: commonalities, variations and evidence gaps. Br J Psychiatry 2015, in press (doi: 10.1192/bjp.bp.114.153767).Google Scholar
18 Breuer, E, De Silva, MJ, Shidaye, R, Petersen, I, Nakku, J, Jordans, MJD, et al. Planning and evaluating mental health services in low- and middle-income countries using theory of change. Br J Psychiatry 2015, in press (doi: 10.1192/bjp.bp.114.153841).Google Scholar
19 De Silva, MJ, Rathod, SD, Hanlon, C, Breuer, E, Chisholm, D, Fekadu, A, et al. Evaluation of district mental healthcare plans: the PRIME consortium methodology. Br J Psychiatry 2015, in press (doi: 10.1192/bjp.bp.114.153858).CrossRefGoogle Scholar
20 Chisholm, D, Burman-Roy, S, Fekadu, A, Kathree, T, Kizza, D, Luitel, NP, et al. Estimating the cost of implementing district mental healthcare plans in five low- and middle-income countries: the PRIME study. Br J Psychiatry 2015, in press (doi: 10.1192/bjp.bp.114.153866).CrossRefGoogle Scholar
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