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Acharya B, Maru D, Schwarz R, Citrin D, Tenpa J, Hirachan S, Luitel NP et al. Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal. Globalization and health. 2017;13(1):2.

Abstract Background: Mental illnesses are the largest contributors to the global burden of non- communicable diseases. However, there is extremely limited access to high quality, culturally-sensitive, and  contextually-appropriate mental healthcare services. This situation persists despite the availability of interventions with proven efficacy to improve patient outcomes. A partnerships network is necessary for successful program adaptation […]

Angdembe M, Kohrt BA, Jordans M, Rimal D, Luitel NP: Situational analysis to inform development of primary care and community-based mental health services for severe mental disorders in Nepal International Journal of Mental Health System (2017) 11:69 DOI 10.1186/s13033-017-0176-9

Abstract Background:  Nepal is representative of Low and Middle Income Countries (LMIC) with limited availability of mental health services in rural areas, in which the majority of the population resides. Methods:  This formative qualitative study explores resources, challenges, and potential barriers to the develop- ment and implementation of evidence-based Comprehensive Community-based Mental Health Services (CCMHS) […]

Hendrickson ZM, Kim J, Tol WA, Shrestha A, Kafle HM, Luitel NP, Thapa L, Surkan PJ: Resilience Among Nepali Widows After the Death of a Spouse: “That Was My Past and Now I Have to See My Present”. Qualitative health research 2017:1049732317739265.

Abstract Responses to the death of a spouse vary; although some are at increased risk of poorer physical and mental health outcomes, others have more resilient responses. In light of the limited scope of research on widows’ experiences  in Nepal, a setting where widows are often marginalized, we explore themes of resilience in Nepali widows’ […]

Jordans MJD, Aldridge L, Luitel NP, Baingana F, Kohrt BA: Evaluation of outcomes for psychosis and epilepsy treatment delivered by primary health care workers in Nepal: a cohort study. Int J Ment Health Syst 2017, 11:70.

Abstract Background: Most evaluations of task-shifting have focused on common mental disorders. Much less work has been done on severe mental neurological and substance use (MNS) disorders, such as chronic psychosis and epilepsy. Given the high burden associated with severe MNS and the lack of mental health professionals in low and middle income countries, evaluations […]

Jordans MJ, Kohrt BA, Luitel NP, Lund C, Komproe IH: Proactive community case-finding to facilitate treatment seeking for mental disorders, Nepal. Bulletin of the World Health Organization 2017, 95(7):531-536

Problem Underutilization of mental health services is a major barrier to reducing the burden of disease attributable to mental, neurological and substance-use disorders. Primary care-based screening to detect people with mental disorders misses people not frequently visiting health-care facilities or who lack access to services. Approach In two districts in Nepal, we trained lay community […]

Jordans M, Rathod SD, Fekadu A, Medhin G, Kigozi F, Kohrt BA, Luitel N, Petersen et al (2017). Suicidal ideation and behaviour among community and health care seeking populations in five low- and middle-income countries: a cross-sectional study. Epidemiology and Psychiatric Sciences, page 1 of 10. doi:10.1017/S2045796017000038

Aims Suicidal behaviour is an under-reported and hidden cause of death in most low- and middle-income countries (LMIC) due to lack of national systematic reporting for cause-specific mortality, high levels of stigma and religious or cultural sanctions. The lack of information on non-fatal suicidal behaviour (ideation, plans and attempts) in LMIC is a major barrier […]

Kane JC, Luitel NP, Jordans MJ, Kohrt BA, Weissbecker I, Tol WA (2017). Mental health and psychosocial problems in the aftermath of the Nepal earthquakes: findings from a representative cluster sample survey. Epidemiol Psychiatr Sci. 2017:1-10

Aims. Two large earthquakes in 2015 caused widespread destruction in Nepal. This study aimed to examine frequency of common mental health and psychosocial problems and their correlates following the earthquakes. Methods. A stratified multi-stage cluster sampling design was employed to randomly select 513 participants (aged 16 and above) from three earthquake-affected districts in Nepal: Kathmandu, […]

Kim J, Tol WA, Shrestha A, Kafle HM, Rayamajhi R, Luitel NP, Thapa L, Surkan PJ: Persistent Complex Bereavement Disorder and Culture: Early and Prolonged Grief in Nepali Widows. Psychiatry 2017, 80(1):1-16

Objective: Persistent complex bereavement disorder (PCBD) in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), has not been well studied in socioculturally diverse populations. Thus, this qualitative study examined (a) how widows in Nepal understand grief, (b) whether a local construct of PCBD exists, and (c) its comparability with the Diagnostic and […]

Luitel NP, Jordans MJD, Kohrt BA, Rathod SD, Komproe IH: Treatment gap and barriers for mental health care: A cross-sectional community survey in Nepal. PloS one 2017, 12(8):e0183223

Abstract Context There is limited research on the gap between the burden of mental disorders and  treatment use in low- and middle-income countries. Objectives The aim of this study was to assess the treatment gap among adults with depressive disorder (DD) and alcohol use disorder (AUD) and to examine possible barriers to initiation and continuation of mental […]

Subba P, Luitel NP, Kohrt BA, Jordans MJD: Improving detection of mental health problems in community settings in Nepal: development and pilot testing of the community informant detection tool. Conflict and health 2017, 11:28.

Abstract Background: Despite increasing efforts to expand availability of mental health services throughout the world, there continues to be limited utilization of these services by persons with mental illness and their families. Communitybased detection that facilitates identification and referral of people with mental health problems has been advocated as an effective strategy to increase help-seeking […]