Milton L Wainberg, Kathryn L Lovero, Cristiane S Duarte, Andre Fiks Salem, Milena Mello, Charl Bezuidenhout, Jennifer Mootz, Paulino Feliciano, Antonio Suleman, Palmira Fortunato Dos Santos, Myrna M Weissman, Francine Cournos, Andrea Horvath Marques, Wilza Fumo, Dirceu Mabunda, Jean-Marie E Alves-Bradford, Marcelo Mello, Jair J Mari, Phuti Ngwepe, Zuleyha Cidav, Ana Olga Mocumbi, Andrew Medina-Marino, Melanie Wall, Lidia Gouveia, Maria A Oquendo
BACKGROUND: Mental health conditions impose a major burden worldwide, especially in low- and middle-income countries (LMICs), where health specialists are scarce. A challenge to closing LMICs' mental health treatment gap is determining the most cost-effective task-shifting pathway for delivering mental health services using evidence-based interventions (EBIs). This article discusses the protocol for the first study implementing comprehensive mental health services in LMICs. METHODS: In partnership with the Mozambican Ministry of Health, this cluster-randomized, hybrid implementation effectiveness type-2 trial will evaluate implementation, patient, and service outcomes of three task-shifting delivery pathways in 20 Mozambican districts (population 4...
December 18, 2020: Psychiatric Services: a Journal of the American Psychiatric Association