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首页> 外文期刊>The British journal of psychiatry : >Development and pilot testing of a mental healthcare plan in Nepal
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Development and pilot testing of a mental healthcare plan in Nepal

机译：尼泊尔精神保健计划的开发和试点测试

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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 and evaluation data, including client flow and reports of satisfaction, were obtained from patients ( n = 135) during the pilot-testing phase in two health facilities. Results The resulting MHCP consists of 12 packages, divided over community, health facility and organisation platforms. Service implementation data support the real-life applicability of the MHCP, with reasonable treatment uptake. Key barriers were identified and addressed, namely dissatisfaction with privacy, perceived burden among health workers and high drop-out rates. Conclusions The MHCP follows a collaborative care model encompassing community and primary healthcare interventions.
机译：背景技术需要基于当地情况的精神卫生服务提供模型来解决低收入和中等收入国家的巨大治疗差距。目的介绍尼泊尔精神保健计划（MHCP）的发展和内容，并评估初步可行性。方法进行了混合方法形成性研究。在两个医疗机构的试点测试阶段，从患者（n = 135）获得了例行的监测和评估数据，包括客户流量和满意度报告。结果最终的MHCP由12个程序包组成，分为社区，医疗机构和组织平台。服务实施数据支持MHCP的现实适用性，并采用合理的治疗方法。确定并解决了主要障碍，即对隐私的不满，卫生工作者的负担感和辍学率高。结论MHCP遵循合作医疗模式，包括社区和主要医疗干预措施。

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