Mental health treatment outcomes in a humanitarian emergency: a pilot model for the integration of mental health into primary care in Habilla, Darfur
AffiliationMédecins Sans Frontières, Geneva, Switzerland; UNIFESP. Federal University of Sao Paulo, Sao Paulo, Brazil
MetadataShow full item record
AbstractBACKGROUND: There is no description of outcomes for patients receiving treatment for mental illnesses in humanitarian emergencies. MSF has developed a model for integration of mental health into primary care in a humanitarian emergency setting based on the capacity of community health workers, clinical officers and health counsellors under the supervision of a psychiatrist trainer. Our study aims to describe the characteristics of patients first attending mental health services and their outcomes on functionality after treatment. METHODS: A total of 114 patients received mental health care and 81 adult patients were evaluated with a simplified functionality assessment instrument at baseline, one month and 3 months after initiation of treatment. RESULTS: Most patients were diagnosed with epilepsy (47%) and psychosis (31%) and had never received treatment. In terms of follow up, 58% came for consultations at 1 month and 48% at 3 months. When comparing disability levels at baseline versus 1 month, mean disability score decreased from 9.1 (95%CI 8.1-10.2) to 7.1 (95%CI 5.9-8.2) p = 0.0001. At 1 month versus 3 months, mean score further decreased to 5.8 (95%CI 4.6-7.0) p < 0.0001. CONCLUSION: The findings suggest that there is potential to integrate mental health into primary care in humanitarian emergency contexts. Patients with severe mental illness and epilepsy are in particular need of mental health care. Different strategies for integration of mental health into primary care in humanitarian emergency settings need to be compared in terms of simplicity and feasibility.
- Outcomes of a primary care mental health implementation program in rural Rwanda: A quasi-experimental implementation-effectiveness study.
- Authors: Smith SL, Franke MF, Rusangwa C, Mukasakindi H, Nyirandagijimana B, Bienvenu R, Uwimana E, Uwamaliya C, Ndikubwimana JS, Dorcas S, Mpunga T, Misago CN, Iyamuremye JD, Dusabeyezu JD, Mohand AA, Atwood S, Osrow RA, Aldis R, Daimyo S, Rose A, Coleman S, Manzi A, Kayiteshonga Y, Raviola GJ
- Issue date: 2020
- Community-, facility-, and individual-level outcomes of a district mental healthcare plan in a low-resource setting in Nepal: A population-based evaluation.
- Authors: Jordans MJD, Luitel NP, Kohrt BA, Rathod SD, Garman EC, De Silva M, Komproe IH, Patel V, Lund C
- Issue date: 2019 Feb
- Caring for the mental health of humanitarian volunteers in traumatic contexts: the importance of organisational support.
- Authors: Aldamman K, Tamrakar T, Dinesen C, Wiedemann N, Murphy J, Hansen M, Elsiddig Badr E, Reid T, Vallières F
- Issue date: 2019
- Mobile clinics in humanitarian emergencies: a systematic review.
- Authors: McGowan CR, Baxter L, Deola C, Gayford M, Marston C, Cummings R, Checchi F
- Issue date: 2020
- Evaluating effectiveness and cost-effectiveness of a group psychological intervention using cognitive behavioural strategies for women with common mental disorders in conflict-affected rural Pakistan: study protocol for a randomised controlled trial.
- Authors: Chiumento A, Hamdani SU, Khan MN, Dawson K, Bryant RA, Sijbrandij M, Nazir H, Akhtar P, Masood A, Wang D, van Ommeren M, Rahman A
- Issue date: 2017 Apr 26