Dristy Gurung , Nawaraj Upadhyaya, Jananee Magar, Nir Prakash Giri, Charlotte Hanlon and Mark J. D. Jordans. Service user and care giver involvement in mental health system strengthening in Nepal: a qualitative study on barriers and facilitating factors. Int J Ment Health Syst (2017) 11:30 DOI 10.1186/s13033-017-0139-1

Abstract Background: Service user and caregiver involvement has become an increasingly common strategy to enhance mental health outcomes, and has been incorporated in the mental health policies of many developed nations. However, this practice is non-existent or fragmented in low and middle income countries (LMICs). Instances of service user and caregiver involvement have been rising […]

Nawaraj Upadhaya, Mark J. D. Jordans, Ruja Pokhrel, Dristy Gurung, Ramesh P. Adhikari, Inge Petersen and Ivan H. Komproe. Current situations and future directions for mental health system governance in Nepal: findings from a qualitative study. Int J Ment Health Syst (2017) 11:37 DOI 10.1186/s13033-017-0145-3

Abstract Background: Assessing and understanding health systems governance is crucial to ensure accountability and transparency, and to improve the performance of mental health systems. There is a lack of systematic procedures to assess governance in mental health systems at a country level. The aim of this study was to appraise mental health systems governance in […]

Chisholm D, Burman-Roy S, Fekadu A, Kathree T, Kizza D, Luitel NP, Petersen I, Shidhaye R et al (2015) Estimating the cost of implementing district mental healthcare plans in five low- and middle-income countries: the PRIME study. The British Journal of Psychiatry s1–s8. doi: 10.1192/bjp.bp.114.153866

Background An essential element of mental health service scale up relates to an assessment of resource requirements and cost implications. Aims To assess the expected resource needs of scaling up services in five districts in sub-Saharan Africa and south Asia. Method The resource quantities associated with each site’s specified care package were identified and subsequently […]

Jordans MJD, Luitel NP, Pokhrel P, Patel V (2015) Development and pilot testing of a mental healthcare plan in Nepal. The British Journal of Psychiatry DOI: 10.1192/bjp.bp.114.153718

Background Mental health service delivery models that are grounded in the local context are needed to address the substantial treatment gap in low- and middle-income countries. Aims To present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility. Method A mixed methods formative study was conducted. Routine monitoring […]

Jordans MJD, Kohrt BA, Luitel NP, Komproe IH, Lund C (2015) Accuracy of proactive case finding for mental disorders by community informants in Nepal. The British Journal of Psychiatry 207(6):501-6

Background Accurate detection of persons in need of mental ealthcare is crucial to reduce the treatment gap between psychiatric burden and service use in low- and middle-income (LAMI) countries. Aims To evaluate the accuracy of a community-based proactive case-finding strategy (Community Informant Detection Tool, CIDT), involving pictorial vignettes, designed to initiate path- ways for mental […]

Kohrt BA, Ramaiya MK, Rai S, Bhardwaj A, Jordans MJD (2015). Development of a scoring system for non-specialist ratings of clinical competence in global mental health: a qualitative process evaluation of the Enhancing Assessment of Common Therapeutic Factors (ENACT) scale. Global Mental Health (2015), 2, e23, doi:10.1017/gmh.2015.21

Background. Task-sharing is the involvement of non-specialist providers to deliver mental health services. A challenge for task-sharing programs is to achieve and maintain clinical competence of non-specialists, including primary care workers, paraprofessionals, and lay providers. We developed a tool for non-specialist peer ratings of common factors clinical competency to evaluate and optimize competence during raining […]

Kohrt, B.A., Burkey, M. Stuart, E.A. and S.Koirala (2015). Alternative approaches for studying humanitarian interventions: propensity score methods to evaluate reintegration packages impact on depression, PTSD, and function impairment among child soldiers in Nepal, Global Mental Health (2015), 2, e16, page 1 of 11.

Abstract Background. Ethical, logistical, and funding approaches preclude conducting randomized control trials (RCTs) in some humanitarian crises. A lack of RCTs and other intervention research has contributed to a limited evidence-base for mental health and psychosocial support (MHPS) programs after disasters, war, and disease outbreaks. Propensity score methods (PSMs) are an alternative analysis technique with […]

Makan A, Fekadu A, Murhar V, Luitel N, Kathree T, Ssebunya J, Lund C (2015). Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): Baseline findings. International journal of mental health system 9:27

Abstract BACKGROUND:The knowledge generated from evidence-based interventions in mental health systems research is seldom translated into policy and practice in low and middle-income countries (LMIC). Stakeholder analysis is a potentially useful tool in health policy and systems research to improve understanding of policy stakeholders and increase the likelihood of knowledge translation into policy and practice. […]

Luitel NP, Jordans MJD, Adhikari A, Upadhaya N et al (2015). Mental Health Care in Nepal: Current Situation and Challenges for Development of a District Mental Health Care Plan. Conflict and Health 9:3

Abstract BACKGROUND:Globally mental health problems are a serious public health concern. Currently four out of five people with severe mental illness in Low and Middle Income Countries (LMIC) receive no effective treatment. There is an urgent need to address this enormous treatment gap. Changing the focus of specialist mental health workers (psychiatrists and psychologists) from […]

Upadhaya, N., Luitel, N.P., Koirala, S., Adhikari, R.P., Gurung, D., Shrestha, P., Tol, W.A., Kohrt, B. A. & Jordans, M. J.D. (2014). The role of mental health and psychosocial support non-governmental organizations: reflections from post conflict Nepal, Intervention, 12, (Supplement 1):113 – 128.

Abstract: Armed conflicts and other humanitarian crises impact mental health and psychosocial wellbeing. In contexts of overwhelming need and overstretched government health systems, nongovernmental organisations may play important roles. In this paper, we respect on the role of Nepali nongovernmental organisations in providing mental health and psychosocial support services. In Nepal, nongovernmental organisations have provided […]