14 research outputs found
Evaluating process and clinical outcomes of a primary care mental health integration project in rural Rwanda: a prospective mixed-methods protocol
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Evaluating Process and Clinical Outcomes of a Primary Care Mental Health Integration Project in Rural Rwanda: a Prospective Mixed-Methods Protocol
Integrating mental healthcare into primary care can reduce the global burden of mental disorders. Yet data on the effective implementation of real-world task-shared mental health programmes are limited. In 2012, the Rwandan Ministry of Health and the international healthcare organisation Partners in Health collaboratively adapted the Mentoring and Enhanced Supervision at Health Centers (MESH) programme, a successful programme of supported supervision based on task-sharing for HIV/AIDS care, to include care of neuropsychiatric disorders within primary care settings (MESH Mental Health). We propose 1 of the first studies in a rural low-income country to assess the implementation and clinical outcomes of a programme integrating neuropsychiatric care into a public primary care system
Components of health center delivered mental health care packages.
Components of health center delivered mental health care packages.</p
Enrollment flow diagram, MESH MH evaluation.
Enrollment flow diagram, MESH MH evaluation.</p
Changes in GHQ-12 and WHO DAS Brief scores from baseline among service users.
Changes in GHQ-12 and WHO DAS Brief scores from baseline among service users.</p
Mean checklist score by month.
Dots indicate months in which checklist items were completed. Categories in the legend marked with an asterisk (*) showed significant improvement over nine months, all p<0.001 except Intake Score for which p = 0.002.</p
Changes in income generation and daily activities among service users, and their caregivers.
Changes in income generation and daily activities among service users, and their caregivers.</p
