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Background: The community-based mental health care programme GBV is based on the British Community Mental Health Teams and the Dutch Flexible Assertive Community Treatment model. In addition, the programme offers crisis-intervention services. A special feature of this integrated care programme is the initial standardised assessment process regarding empowerment, unmet care needs, and psychosocial functioning, used to verify the need for such a comprehensive form of care. The project evaluates the assessment process and analyses the effectiveness and cost-effectiveness of GBV compared to treatment as usual.Methods: This randomised, controlled study includes five assessments over 2 years. In twelve regions in Germany, 1000 patients with severely impaired psychosocial functioning and unmet care needs will be recruited. Study eligibility relies on an indication for GBV based on the results of the initial assessment. The primary outcome is improved self-reported empowerment. Further outcomes include improved treatment satisfaction and subjective quality of life, reductions in patients' unmet needs and illness-related clinical and social impairment, and an improved cost-effectiveness ratio of the resources used (from the perspectives of both statutory health insurance and the national economy). In addition, the GBV's effects on the burden and quality of life of informal caregivers of patients will be investigated.Discussion: The study's results are expected to provide information on whether the community-based mental health care programme GBV contributes to improving mental health care provision in Germany. In addition, the study will show whether the GBV successfully overcomes the weaknesses that former research has identified regarding a German integrated care programme. Such improvement is particularly expected with respect to the semi-structured assessment within GBV.Trial Registration: German Clinical Trial Register, DRKS00019086 . Registered on 3 January 2020. [ABSTRACT FROM AUTHOR]

Previous studies have noted the inadequacies within Ghana's mental health system. These studies highlighted challenges associated with caregiving before the passage of Ghana's current Mental Health Act (Act 846) of 2012. Yet, there is paucity of research on the wellbeing of caregivers in community-based mental health care, following the passage of the Mental Health Act. This study investigated the influence of caregiver stress and affiliate stigma on family caregiver wellbeing. Further, it assessed the differences in stress, affiliate stigma, and wellbeing between community and institutional family caregiver groups in the Eastern Region of Ghana. Two hundred and eighty family caregivers of persons living with any type of mental illness were purposively sampled for the study. Results of Hierarchical Multiple Regression analysis showed that, caregiver stress negatively significantly influenced caregiver wellbeing. Moreover, results of a Multivariate Analysis of Covariance showed a significant difference between community and institutional family caregivers in the combined experience of stress, affiliate stigma and wellbeing, with community family caregivers scoring higher on wellbeing than did institutional family caregivers. Implications for caregiver interventions in the Eastern Region of Ghana are discussed. [ABSTRACT FROM AUTHOR]