Evaluation of the impacts of a district-level mental health care plan on contact coverage, detection and individual outcomes in rural Uganda: a mixed methods approach

Simple item page
dc.contributor.authorNakku, J. E M
dc.contributor.authorRathod, S. D
dc.contributor.authorGarman, E. C
dc.contributor.authorSsebunnya, J.
dc.contributor.authorKangere, S.
dc.contributor.authorDe Silva, M.
dc.contributor.authorPatel, V.
dc.contributor.authorLund, C.
dc.contributor.authorKigozi, F. N
dc.date.accessioned2019-10-10T08:04:21Z
dc.date.available2019-10-10T08:04:21Z
dc.date.issued2019-09-30
dc.date.updated2019-10-06T03:22:44Z
dc.description.abstractAbstract Background The burden of mental disorders in low- and middle-income countries is large. Yet there is a major treatment gap for these disorders which can be reduced by integrating the care of mental disorders in primary care. Aim We aimed to evaluate the impact of a district mental health care plan (MHCP) on contact coverage for and detection of mental disorders, as well as impact on mental health symptom severity and individual functioning in rural Uganda. Results For adults who attended primary care facilities, there was an immediate positive effect of the MHCP on clinical detection at 3 months although this was not sustained at 12 months. Those who were treated in primary care experienced significant reductions in symptom severity and functional impairment over 12 months. There was negligible change in population-level contact coverage for depression and alcohol use disorder. Conclusion The study found that it is possible to integrate mental health care into primary care in rural Uganda. Treatment by trained primary care workers improves clinical and functioning outcomes for depression, psychosis and epilepsy. Challenges remain in accessing the men for care, sustaining the improvement in detection over time, and creating demand for services among those with presumed need.
dc.identifier.apacitationNakku, J. E M., Rathod, S. D., Garman, E. C., Ssebunnya, J., Kangere, S., De Silva, M., ... Kigozi, F. N. (2019). Evaluation of the impacts of a district-level mental health care plan on contact coverage, detection and individual outcomes in rural Uganda: a mixed methods approach. http://hdl.handle.net/11427/30560en_ZA
dc.identifier.chicagocitationNakku, J. E M, S. D Rathod, E. C Garman, J. Ssebunnya, S. Kangere, M. De Silva, V. Patel, C. Lund, and F. N Kigozi "Evaluation of the impacts of a district-level mental health care plan on contact coverage, detection and individual outcomes in rural Uganda: a mixed methods approach." (2019) http://hdl.handle.net/11427/30560en_ZA
dc.identifier.citationInternational Journal of Mental Health Systems. 2019 Sep 30;13(1):63
dc.identifier.ris TY - Journal Article AU - Nakku, J. E M AU - Rathod, S. D AU - Garman, E. C AU - Ssebunnya, J. AU - Kangere, S. AU - De Silva, M. AU - Patel, V. AU - Lund, C. AU - Kigozi, F. N AB - Abstract Background The burden of mental disorders in low- and middle-income countries is large. Yet there is a major treatment gap for these disorders which can be reduced by integrating the care of mental disorders in primary care. Aim We aimed to evaluate the impact of a district mental health care plan (MHCP) on contact coverage for and detection of mental disorders, as well as impact on mental health symptom severity and individual functioning in rural Uganda. Results For adults who attended primary care facilities, there was an immediate positive effect of the MHCP on clinical detection at 3 months although this was not sustained at 12 months. Those who were treated in primary care experienced significant reductions in symptom severity and functional impairment over 12 months. There was negligible change in population-level contact coverage for depression and alcohol use disorder. Conclusion The study found that it is possible to integrate mental health care into primary care in rural Uganda. Treatment by trained primary care workers improves clinical and functioning outcomes for depression, psychosis and epilepsy. Challenges remain in accessing the men for care, sustaining the improvement in detection over time, and creating demand for services among those with presumed need. DA - 2019-09-30 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PY - 2019 T1 - Evaluation of the impacts of a district-level mental health care plan on contact coverage, detection and individual outcomes in rural Uganda: a mixed methods approach TI - Evaluation of the impacts of a district-level mental health care plan on contact coverage, detection and individual outcomes in rural Uganda: a mixed methods approach UR - http://hdl.handle.net/11427/30560 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s13033-019-0319-2
dc.identifier.urihttp://hdl.handle.net/11427/30560
dc.identifier.vancouvercitationNakku J E M, Rathod S D, Garman E C, Ssebunnya J, Kangere S, De Silva M, et al. Evaluation of the impacts of a district-level mental health care plan on contact coverage, detection and individual outcomes in rural Uganda: a mixed methods approach. 2019; http://hdl.handle.net/11427/30560.en_ZA
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.titleEvaluation of the impacts of a district-level mental health care plan on contact coverage, detection and individual outcomes in rural Uganda: a mixed methods approach
dc.typeJournal Article
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
13033_2019_Article_319.pdf
Size:
744.28 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
0 B
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal Articles