Authors
Mark JD Jordans, Nagendra P Luitel, Emily Garman, Brandon A Kohrt, Sujit D Rathod, Pragya Shrestha, Ivan H Komproe, Crick Lund, Vikram Patel
Publication date
2019/8
Journal
The British Journal of Psychiatry
Volume
215
Issue
2
Pages
485-493
Publisher
Cambridge University Press
Description
BackgroundEvidence shows benefits of psychological treatments in low-resource countries, yet few government health systems include psychological services.AimEvaluating the clinical value of adding psychological treatments, delivered by community-based counsellors, to primary care-based mental health services for depression and alcohol use disorder (AUD), as recommended by the Mental Health Gap Action Programme (mhGAP).MethodTwo randomised controlled trials, separately for depression and AUD, were carried out. Participants were randomly allocated (1:1) to mental healthcare delivered by mhGAP-trained primary care workers (psychoeducation and psychotropic medicines when indicated), or the same services plus individual psychological treatments (Healthy Activity Program for depression and Counselling for Alcohol Problems). Primary outcomes were symptom severity, measured using the …
Total citations
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