A5102022078- Mental Health Treatment and Access
- Migration, Health and Trauma
- Child and Adolescent Psychosocial and Emotional Development
- Resilience and Mental Health
- Attachment and Relationship Dynamics
- Health and Conflict Studies
- Disaster Response and Management
- Maternal Mental Health During Pregnancy and Postpartum
- Health, psychology, and well-being
- Posttraumatic Stress Disorder Research
- Psychiatric care and mental health services
- Global Health Care Issues
- Health disparities and outcomes
- Counseling, Therapy, and Family Dynamics
- Substance Abuse Treatment and Outcomes
- Optimal Experimental Design Methods
- Behavioral and Psychological Studies
- Community Health and Development
NLR Nepal
2015-2025
University of Delaware
2021
Lack of reliable and valid measures therapist competence is a barrier to dissemination implementation psychological treatments in global mental health. We developed the ENhancing Assessment Common Therapeutic factors (ENACT) rating scale for training supervision across settings varied by culture access health resources. employed four-step process Nepal: (1) Item generation: extracted 1081 items (grouped into 104 domains) from 56 existing tools; role-plays with Nepali therapists generated 11...
Background Evidence shows benefits of psychological treatments in low-resource countries, yet few government health systems include services. Aim Evaluating the clinical value adding treatments, delivered by community-based counsellors, to primary care-based mental services for depression and alcohol use disorder (AUD), as recommended Mental Health Gap Action Programme (mhGAP). Method Two randomised controlled trials, separately AUD, were carried out. Participants randomly allocated (1:1)...
Background Globally, 235 million people are impacted by humanitarian emergencies worldwide, presenting increased risk of experiencing a mental disorder. Our objective was to test the effectiveness brief group psychological treatment delivered trained facilitators without prior professional health training in disaster-prone setting. Methods and findings We conducted cluster randomized controlled trial (cRCT) from November 25, 2018 through September 30, 2019. Participants both arms were...
Psychological interventions that are brief, acceptable, effective and can be delivered by non-specialists especially necessary in low- middle-income countries, where mental health systems unable to address the high level of psychosocial needs. Problem Management Plus (PM+) is a five-session intervention designed for those impaired psychological distress while living communities affected adversity. Individual PM+ has demonstrated effectiveness reducing Kenya Pakistan, group version (Group...
Armed conflicts and other humanitarian crises impact mental health psychosocial wellbeing. In contexts of overwhelming need overstretched government systems, nongovernmental organisations may play important roles. this paper, we reflect on the role Nepali organis
Abstract Background Globally, the lack of availability psychological services for people exposed to adversities has led development a range scalable interventions with features that enable better scale-up. Problem Management Plus (PM+) is brief intervention five sessions can be delivered by non-specialists. It designed in communities low- and middle-income countries (LMIC) affected any kind adversity. Two recent randomized controlled trials Pakistan Kenya demonstrated effectiveness...
Abstract Background Evidence-based interventions are needed to reduce depression among adolescents in low- and middle-income countries (LMICs). One approach could be cultural adaptation of psychological therapies developed high-income countries. We aimed adapt the World Health Organization’s Group Interpersonal Therapy (IPT) Manual for with rural Nepal. Methods used a participatory, multi-stage process involving: translation clinical review WHO Manual; desk reviews adaptations IPT LMICs,...
Abstract Interpersonal Psychotherapy (IPT) is an evidence-based treatment for adolescent depression. However, since it does not work all adolescents in settings, more research on its heterogeneous effects needed. Using a realist approach, we aimed to generate hypotheses about mechanisms and contextual contingencies group IPT Nepal. We analysed 26 transcripts from qualitative interviews with participants aged 13–19, facilitators, supervisors trainers. data using the Framework Method. The...
Adolescents with depression need access to culturally relevant psychological treatment. In many low- and middle-income countries treatments are only accessible a minority. We adapted group interpersonal therapy (IPT) for adolescents be delivered through schools in Nepal. Here we report IPT's feasibility, acceptability, cost.
Recently, there has been an increased interest in developing statistical methodologies for analyzing single case experimental design (SCED) data to supplement visual analysis. Some of these are simulation-driven such as Bayesian methods because can compensate small sample sizes, which is a main challenge SCEDs. Two approaches: unknown change-point model (BUCP) and simulation modeling analysis (SMA) were compared the present study three real datasets that exhibit “clear” immediacy, “unclear”...
Abstract Background Globally, the lack of availability psychological services for people exposed to adversities has led development a range scalable interventions with features that enable better scale-up. Problem Management Plus (PM+) is brief intervention 5 sessions can be delivered by non-specialists. It designed in communities low- and middle-income countries (LMIC) affected any kind adversity. Two recent randomized controlled trials Pakistan Kenya demonstrated effectiveness individually...
Abstract Background Globally, the lack of availability psychological services for people exposed to adversities has led development a range scalable interventions with features that enable better scale-up. Problem Management Plus (PM+) is brief intervention 5 sessions can be delivered by non-specialists. It designed in communities low- and middle-income countries (LMIC) affected any kind adversity. Two recent randomized controlled trials Pakistan Kenya demonstrated effectiveness individually...