Impact of district mental health care plans on symptom severity and functioning of patients with priority mental health conditions : the Programme for Improving Mental Health Care (PRIME) cohort protocol

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dc.contributor.authorBaron, Emily C.en_ZA
dc.contributor.authorRathod, Sujit D.en_ZA
dc.contributor.authorHanlon, Charlotteen_ZA
dc.contributor.authorPrince, Martinen_ZA
dc.contributor.authorFedaku, Abebawen_ZA
dc.contributor.authorKigozi, Freden_ZA
dc.contributor.authorJordans, Marken_ZA
dc.contributor.authorLuitel, Nagendra P.en_ZA
dc.contributor.authorMedhin, Girmayen_ZA
dc.contributor.authorMurhar, Vaibhaven_ZA
dc.contributor.authorNakku, Julieten_ZA
dc.contributor.authorPatel, Vikramen_ZA
dc.contributor.authorPetersen, Ingeen_ZA
dc.contributor.authorSelohilwe, Oneen_ZA
dc.contributor.authorShidhaye, Rahulen_ZA
dc.contributor.authorSsebunnya, Joshuaen_ZA
dc.contributor.authorTomlinson, Marken_ZA
dc.contributor.authorLund, Cricken_ZA
dc.contributor.authorDe Silva, Maryen_ZA
dc.date.accessioned2018-03-12T05:46:00Z
dc.date.available2018-03-12T05:46:00Z
dc.date.issued2018-03-06
dc.date.updated2018-03-11T05:22:21Z
dc.descriptionCITATION: Baron, E. C., et al. 2018. Impact of district mental health care plans on symptom severity and functioning of patients with priority mental health conditions : the Programme for Improving Mental Health Care (PRIME) cohort protocol. BMC Psychiatry, 18:61, doi:10.1186/s12888-018-1642-x.
dc.descriptionThe original publication is available at https://bmcpsychiatry.biomedcentral.com
dc.description.abstractBackground: The Programme for Improving Mental Health Care (PRIME) sought to implement mental health care plans (MHCP) for four priority mental disorders (depression, alcohol use disorder, psychosis and epilepsy) into routine primary care in five low- and middle-income country districts. The impact of the MHCPs on disability was evaluated through establishment of priority disorder treatment cohorts. This paper describes the methodology of these PRIME cohorts. Methods: One cohort for each disorder was recruited across some or all five districts: Sodo (Ethiopia), Sehore (India), Chitwan (Nepal), Dr. Kenneth Kaunda (South Africa) and Kamuli (Uganda), comprising 17 treatment cohorts in total (N = 2182). Participants were adults residing in the districts who were eligible to receive mental health treatment according to primary health care staff, trained by PRIME facilitators as per the district MHCP. Patients who screened positive for depression or AUD and who were not given a diagnosis by their clinicians (N = 709) were also recruited into comparison cohorts in Ethiopia, India, Nepal and South Africa. Caregivers of patients with epilepsy or psychosis were also recruited (N = 953), together with or on behalf of the person with a mental disorder, depending on the district. The target sample size was 200 (depression and AUD), or 150 (psychosis and epilepsy) patients initiating treatment in each recruiting district. Data collection activities were conducted by PRIME research teams. Participants completed follow-up assessments after 3 months (AUD and depression) or 6 months (psychosis and epilepsy), and after 12 months. Primary outcomes were impaired functioning, using the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS), and symptom severity, assessed using the Patient Health Questionnaire (depression), the Alcohol Use Disorder Identification Test (AUD), and number of seizures (epilepsy). Discussion: Cohort recruitment was a function of the clinical detection rate by primary health care staff, and did not meet all planned targets. The cross-country methodology reflected the pragmatic nature of the PRIME cohorts: while the heterogeneity in methods of recruitment was a consequence of differences in health systems and MHCPs, the use of the WHODAS as primary outcome measure will allow for comparison of functioning recovery across sites and disorders.
dc.description.abstractAFRIKAANSE OPSOMMING: Geen opsomming beskikbaaraf_ZA
dc.description.urihttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-018-1642-x
dc.description.versionPublisher's version
dc.format.extent14 pages
dc.identifier.citationBaron, E. C., et al. 2018. Impact of district mental health care plans on symptom severity and functioning of patients with priority mental health conditions : the Programme for Improving Mental Health Care (PRIME) cohort protocol. BMC Psychiatry, 18:61, doi:10.1186/s12888-018-1642-x
dc.identifier.issn1471-244X (online)
dc.identifier.otherdoi:10.1186/s12888-018-1642-x
dc.identifier.urihttp://hdl.handle.net/10019.1/103217
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Central
dc.rights.holderAuthors retain copyright
dc.subjectCohort
dc.subjectMental health servicesen_ZA
dc.subjectmental health -- Patientsen_ZA
dc.subjectPrimary health care -- Pesonnel
dc.titleImpact of district mental health care plans on symptom severity and functioning of patients with priority mental health conditions : the Programme for Improving Mental Health Care (PRIME) cohort protocolen_ZA
dc.typeArticleen_ZA
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