Planning and evaluating mental health services in low- and middle-income countries using theory of change

被引：64

作者：

Breuer, Erica ^{[1
]}

De Silva, Mary J. ^{[2
]}

Shidaye, Rahul ^{[3
,4
]}

Petersen, Inge ^{[5
]}

Nakku, Juliet ^{[6
]}

Jordans, Mark J. D. ^{[7
,8
]}

Fekadu, Abebaw ^{[8
,9
]}

Lund, Crick ^{[1
,10
]}

机构：

[1] Univ Cape Town, Dept Psychiat & Mental Hlth, Alan J Flisher Ctr Publ Mental Hlth, 46 Sawkins Rd, ZA-7700 Cape Town, South Africa

[2] London Sch Hyg & Trop Med, Ctr Global Mental Hlth, London WC1, England

[3] Publ Hlth Fdn India, Bhopal, Madhya Pradesh, India

[4] Maastricht Univ, CAPHRI Sch Publ Hlth & Primary Care, NL-6200 MD Maastricht, Netherlands

[5] Univ KwaZulu Natal, Sch Appl Human Sci, Durban, South Africa

[6] Butabika Natl Mental Hosp, Kampala, Uganda

[7] HealthNet TPO, Amsterdam, Netherlands

[8] Kings Coll London, Inst Psychiat Psychol & Neurosci, London WC2R 2LS, England

[9] Univ Addis Ababa, Coll Hlth Sci, Addis Dept Psychiat, Addis Ababa, Ethiopia

[10] Kings Coll London, Inst Psychiat Psychol & Neurosci, Ctr Global Mental Hlth, London WC2R 2LS, England

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2016年 / 208卷

基金：

英国惠康基金;

关键词：

CARE; LESSONS;

D O I：

10.1192/bjp.bp.114.153841

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background There is little practical guidance on how contextually relevant mental healthcare plans (MHCPs) can be developed in low-resource settings. Aims To describe how theory of change (ToC) was used to plan the development and evaluation of MHCPs as part of the PRogramme for Improving Mental health carE (PRIME). Method ToC development occurred in three stages: (a) development of a cross-country ToC by 15 PRIME consortium members; (b) development of country-specific ToCs in 13 workshops with a median of 15 (interquartile range 13-22) stakeholders per workshop; and (c) review and refinement of the cross-country ToC by 18 PRIME consortium members. Results One cross-country and five district ToCs were developed that outlined the steps required to improve outcomes for people with mental disorders in PRIME districts. Conclusions ToC is a valuable participatory method that can be used to develop MHCPs and plan their evaluation.

引用

页码：S55 / S62

页数：8

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