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. 2016 Apr;208(4):381–388. doi: 10.1192/bjp.bp.114.161075
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 ++ ++
a.

+++, 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.

b.

+++, Evidence of generalisability of international evidence or one RCT from region; ++, evidence from qualitative studies; +, other types of regional evidence.

c.

++, 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.