Strategy | Effectiveness evidencea | Contextual appropriatenessb |
Perceived acceptability, feasibility, effectiveness and safetyc |
---|---|---|---|
Strategies included in HAP | |||
Supportive counselling | +++ | +++ | ++ |
Psychoeducation | +++ | +++ | ++ |
Problem-solving | +++ | +++ | ++ |
Enlisting social support | +++ | +++ | ++ |
Relaxation | +++ | +++ | ++ |
Physical exercise | +++ | ++ | ++ |
Addressing interpersonal triggers | +++ | +++ | ++ |
Activity scheduling | +++ | ++ | ++ |
Graded task assignment | +++ | ++ | ++ |
Family psychoeducation | +++ | ++ | |
Treatment planning | +++ | +++ | ++ |
Strategies not included in HAP | |||
Value education | ++ | + | |
Reminiscence | +++ | ++ | |
Cognitive restructuring | +++ | +++ | |
Contextual functional analysis | +++ | ++ | ++ |
Focus on past experiences and relationships | +++ | + | |
Radical acceptance | +++ | +++ | + |
Addressing unconscious mechanisms | +++ | ||
Family counselling | + | ++ | |
Support groups | +++ | +++ | ++ |
Religious/spiritual practice | ++ | ++ |
+++, Mental Health Gap Action Programme recommendation or at least one international systematic review or at least one randomised controlled trial (RCT) from South Asia; ++, at least one international RCT; +, any type of evidence from South Asia.
+++, Evidence of generalisability of international evidence or one RCT from region; ++, evidence from qualitative studies; +, other types of regional evidence.
++, Composite score of both mental health professionals and lay counsellor ⩾3.5; +, composite score of both mental health professional or lay counsell or <3.5.