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Mental Health Outcomes of Psychosocial Intervention Among Traditional Health Practitioner Depressed Patients in Kenya.

Authors :
Musyimi, Christine
Mutiso, Victoria
Ndetei, David
Henderson, David
Bunders, Joske
Source :
Culture, Medicine & Psychiatry. Sep2017, Vol. 41 Issue 3, p453-465. 13p. 2 Charts, 1 Graph.
Publication Year :
2017

Abstract

Task-shifting in mental health such as engaging Traditional Health Practitioners (THPs) in appropriate management of mental disorders is crucial in reducing global mental health challenges. This study aims to determine the outcomes of using evidence-based mental health Global Action Programme Intervention guide (mhGAP-IG) to provide psychosocial interventions among depressed patients seeking care from THPs. THPs were trained to deliver psychosocial interventions to their patients screening positive for mild to severe depression on Beck's Depression Inventory (BDI). Assessments were conducted at 0, 6 and 12 weeks and Analysis of Variance (ANOVA) performed to determine the change in depression scores over the three time period. BDI mean score was 26.52 before intervention and reduced significantly at 6 (13%) and 12 (35%) weeks after intervention. 58 and 78% of patients showed reduction in symptoms of depression at 6 and 12 weeks. It is therefore crucial to engage THPs in the care of patients with depression and the need for inclusion of training packages; and other mental disorders in order to establish and maintain collaboration between THPs and conventional health workers and promote evidence-based care among marginalized populations. Moreover, further research on randomized control trials of mhGAP-IG intervention versus usual care is required. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
0165005X
Volume :
41
Issue :
3
Database :
Academic Search Index
Journal :
Culture, Medicine & Psychiatry
Publication Type :
Academic Journal
Accession number :
124561543
Full Text :
https://doi.org/10.1007/s11013-017-9527-x