Table 1. Overview of the district mental healthcare plan.
Level | Interventions | Service provider | Training | Supervision |
---|---|---|---|---|
Health service organisation | Supervision of trained health workers | Psychiatrist | n/a | n/a |
Referral | Mental health professionals in district hospital | n/a | n/a | |
Health facility | Assessment, diagnosis, basic psychosocial support, and pharmacological treatment following mhGAP guidance | Primary health workers with authority to prescribe medication | 9 days | Quarterly |
Focused psychosocial support | Primary health workers without authority to prescribe medication | 5 days | ||
Community | Awareness raising about mental illness and availability of services | Community members at large, as well as specific groups such as mothers groups or traditional healers | 1 day | n/a |
Proactive community case detection using the CIDT | Community health volunteers (i.e., FCHVs) | 2 days | Monthly | |
Focused psychosocial support consisting of HAP and CAP | Community counsellors | 10 days | Bimonthly | |
Home-based care to promote treatment adherence | Community health volunteers (i.e., FCHVs) | 2 days | Monthly |
Adapted from [13].
CAP, Counselling for Alcohol Problems; CIDT, Community Informant Detection Tool; FCHV, female community health volunteers; HAP, Healthy Activity Programme; mhGAP, Mental Health Gap Action Programme; n/a, not applicable.