COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health

Lola Kola, Brandon A Kohrt, Charlotte Hanlon, John A Naslund, Siham Sikander, Madhumitha Balaji, Corina Benjet, Eliza Yee Lai Cheung, Julian Eaton, Pattie Gonsalves, Maji Hailemariam, Nagendra P Luitel, Daiane B Machado, Eleni Misganaw, Olayinka Omigbodun, Tessa Roberts, Tatiana Taylor Salisbury, Rahul Shidhaye, Charlene Sunkel, Victor Ugo, André Janse van Rensburg, Oye Gureje, Soumitra Pathare, […]

Insight and challenges: mental health services in Nepal

Yugesh Rai, Deoman Gurung and Kamal Gautam BJPsych International Published on: 9 December 2020 Abstract: This paper describes the current state of mental health services in Nepal and reflects on the significant changes over the past decade. The main challenges to overcome are proper implementation of community-based services, the high suicide rate, stigma of mental […]

Perception of healthcare workers on mobile app-based clinical guideline for the detection and treatment of mental health problems in primary care: a qualitative study in Nepal

P. Pokhrel, R. Karmacharya, T. Taylor Salisbury, K. Carswell, B. A. Kohrt, M. J. D. Jordans, H. Lempp, G. Thornicroft & N. P. Luitel BMC Medical Informatics and Decision Making Published on: 19 January 2021 Background: In recent years, a significant change has taken place in the health care delivery systems due to the availability […]

Gendering psychosocial care: risks and opportunities for global mental health

Liana E Chase, Dristy Gurung, Parbati Shrestha, Sunita Rumba The Lancet Psychiatry Published on: 14 December 2020 Abstract: Recent conversations in The Lancet Psychiatry have highlighted the ways global mental health institutions reflect and reproduce wider social inequalities. Gendered practices of employment and remuneration are an understudied dimension of this problem. The past decade has seen a […]

Perception of service users and their caregivers on primary care-based mental health services: a qualitative study in Nepal

N. P. Luitel, M. J. D. Jordans, P. Subba & I. H. Komproe BMC Family Practice Published on: 28 September 2020 Background: Integration of mental health services into primary health care systems has been advocated as a strategy to minimize the tremendous mental health treatment gap, particularly in low- and middle-income countries. Barriers to integration […]

Impact of integrated district level mental health care on clinical and functioning outcomes of people with depression and alcohol use disorder in Nepal: a non-randomised controlled study

M. J. D. Jordans, E. C. Garman, N. P. Luitel, B. A. Kohrt, C. Lund, V. Patel & M. Tomlinson BMC Psychiatry Published on: 14 September 2020 Background: Integration of mental health services into primary healthcare is proliferating in low-resource countries. We aimed to evaluate the impact of different compositions of primary care mental health […]

Process evaluation of a district mental healthcare plan in Nepal: a mixed-methods case study

Nagendra P Luitel, Erica Breuer, Anup Adhikari, Brandon A Kohrt, Crick Lund, Ivan H Komproe, Mark J D Jordans BJPsych Open Published on: 28 July 2020 Background: The PRogramme for Improving Mental Health carE (PRIME) evaluated the process and outcomes of the implementation of a mental healthcare plan (MHCP) in Chitwan, Nepal. Aims: To describe the process […]

A Letter from Nepal

Pragya Shrestha The Lancet Psychiatry Published on: July 2020 Abstract: In Nepal, there is a scarcity of population-wide mental health services in most parts of the country. Mental health services are concentrated in a few hospitals located in the big cities; consequently, there is a huge gap between the number of people with the need […]

Health service costs and their association with functional impairment among adults receiving integrated mental health care in five low- and middle-income countries: the PRIME cohort study.

Chisholm D, Garman E, Breuer E, Fekadu A, Hanlon C, Jordans M, Kathree T, Kigozi F, Luitel N, Medhin G, Murhar V, Petersen I, Rathod SD, Shidhaye R, Ssebunnya J, Patel V, Lund C Health Policy and Planning Published on: 1 June 2020 Abstract: This study examines the level and distribution of service costs-and their […]

Impact of a district mental health care plan on suicidality among patients with depression and alcohol use disorder in Nepal

Luke R. Aldridge, Emily C. Garman, Nagendra P. Luitel, Mark J. D. Jordans PLoS ONE Published on: 7 April 2020 Background: Large scale efforts to expand access to mental healthcare in low- and middle-income countries have focused on integrating mental health services into primary care settings using a task sharing approach delivered by non-specialist health […]

Healthcare utilization and out-of-pocket expenditures associated with depression in adults: a cross-sectional analysis in Nepal

Selina Rajan, Sujit D. Rathod, Nagendra P. Luitel, Adrianna Murphy, Tessa Roberts & Mark J. D. Jordans BMC Health Services Research Published on: 25 March 2020  Background: Despite attempts to improve universal health coverage (UHC) in low income countries like Nepal, most healthcare utilization is still financed by out-of-pocket (OOP) payments, with detrimental effects on […]

Mental health and psychosocial support services in primary health care in Nepal: Perceived facilitating factors, barriers and strategies for improvement

Nawaraj Upadhaya, Upasana Regmi, Dristy Gurung, Nagendra P. Luitel, Inge Petersen, Mark J. D. Jordans, Ivan H. Komproe BMC Psychiatry Published on: 13 February 2020 Background: The barriers and facilitating factors for integrating mental health into primary health care have been well documented in the literature, but little is known about the perspectives of primary […]

Scaling up integrated primary mental health in six low- and middle-income countries: obstacles, synergies and implications for systems reform

Inge Petersen, André van Rensburg, Fred Kigozi, Maya Semrau, Charlotte Hanlon, Jibril Abdulmalik, Lola Kola, Abebaw Fekadu, Oye Gureje, Dristy Gurung, Mark Jordans, Ntokozo Mntambo, James Mugisha, Shital Muke, Ruwayda Petrus, Rahul Shidhaye, Joshua Ssebunnya, Bethlehem Tekola, Nawaraj Upadhaya, Vikram Patel, Crick Lund and Graham Thornicroft BJPsych Open Published on: 6 August 2019 Background: There […]

Evaluation of performance and perceived utility of mental healthcare indicators in routine health information systems in five low- and middle-income countries

Mark Jordans, Dan Chisholm, Maya Semrau, Dristy Gurung, Jibril Abdulmalik, Shalini Ahuja, James Mugisha, Ntokozo Mntambo, Fred Kigozi, Inge Petersen, Rahul Shidhaye, Nawaraj Upadhaya, Crick Lund, Graham Thornicroft and Oye Gureje BJPsych Open Published on: 6 August 2019 Background: In most low- and middle-income countries (LMIC), routine mental health information is unavailable or unreliable, making […]

How competent are non-specialists trained to integrate mental health services in primary care? Global health perspectives from Uganda, Liberia, and Nepal

Brandon A Kohrt, Byamah B Mutamba, Nagendra P Luitel, Wilfred Gwaikolo, Patrick Onyango Mangen, Juliet Nakku, Kisa Rose, Janice Cooper, Mark J D Jordans, Florence Baingana International Review of Psychiatry Published on: 27 February 2019 Abstract: Evaluations to objectively assess minimum competency are not routinely implemented for training and supervision in global mental health. Addressing […]

Community-, facility-, and individual-level outcomes of a district mental healthcare plan in a low-resource setting in Nepal: A population-based evaluation

Mark J. D. Jordans , Nagendra P. Luitel, Brandon A. Kohrt, Sujit D. Rathod, Emily C. Garman, Mary De Silva, Ivan H. Komproe, Vikram Patel, Crick Lund PLOS Medicine Published on: February 14, 2019

Enhancing mental health research capacity: emerging voices from the National Institute of Mental Health (NIMH) global hubs

Andrea Tenório Correia da Silva, Charlotte Hanlon, Ezra Susser, Graciela Rojas, Heloísa Garcia Claro, Julieta Quayle, Kassahun Habtamu, María Soledad Burrone, Maria Tavares Cavalcanti, Mona Sharma, Marguerite Schneider, Ramesh Prasad Adhikari, Tanya van de Water, Yasmin Mohammed, Anna E. Ordóñez and Soraya Seedat International Journal of Mental Health Systems Published: 3 April 2019

Psychosocial and Mental Health Problems of Older People in Postearthquake Nepal

Ramesh P. Adhikari, Nawaraj Upadhaya, Sasmita Paudel, Ruja Pokhrel, Nagendra Bhandari, Laura Cole, and Suraj Koirala. Journal of Aging and Health Published April 3, 2017

Effectiveness of psychological treatments for depression and alcohol use disorder delivered by community-based counsellors: two pragmatic randomised controlled trials within primary healthcare in Nepal

Mark J. D. Jordans, Nagendra P. Luitel, Emily Garman, Brandon A. Kohrt, Sujit D. Rathod, Pragya Shrestha, Ivan H. Komproe, Crick Lund and Vikram Patel The British Journal of Psychiatry Published on: 25 January 2019

Using qualitative comparative analysis and theory of change to unravel the effects of a mental health intervention on service utilisation in Nepal

Erica Breuer, Prasansa Subba, Nagendra Luitel, Mark Jordans, Mary De Silva, Bruno Marchal, Crick Lund BMJ Global Health Published on: 30 December 2018

Detection and treatment initiation for depression and alcohol use disorders: facility-based cross-sectional studies in five low-income and middle-income country districts

Sujit D Rathod, Tessa Roberts, Girmay Medhin, Vaibhav Murhar, Sandesh Samudre, Nagendra P Luitel, One Selohilwe, Joshua Ssebunnya, Mark J D Jordans, Arvin Bhana, Inge Petersen, Fred Kigozi, Juliet Nakku, Crick Lund, Abebaw Fekadu, Rahul Shidhaye BMJ Open Published on: 10 October 2018

Partnerships in a Global Mental Health Research Programme—the Example of PRIME

Breuer, E., Hanlon, C., Bhana, A., Chisholm, D., De Silva, M., Fekadu, A., Honikman, S., Jordans, M., Kathree, T., Kigozi, F. and Luitel, N.P Global Social Welfare Published on: 12 October 2018

Building back better? Taking stock of the post‑earthquake mental health and psychosocial response in Nepal

Liana E. Chase, Kedar Marahatta, Kripa Sidgel, Sujan Shrestha, Kamal Gautam, Nagendra P. Luitel, Bhogendra Raj Dotel and Reuben Samuel International Journal of Mental Health Systems Published on: 1 August 2018

Prevalence and correlates of depression and alcohol use disorder among adults attending primary health care services in Nepal: a cross sectional study

Nagendra P. Luitel, Emily C. Baron, Brandon A. Kohrt, Ivan H. Komproe and Mark J. D. Jordans BMC Health Services Research Published on: 27 March 2018

Impact of district mental health care plans on symptom severity and functioning of patients with priority mental health conditions: the Programme for Improving Mental Health Care (PRIME) cohort protocol

Emily C. Baron, Sujit D. Rathod, Charlotte Hanlon, Martin Prince, Abebaw Fedaku, Fred Kigozi, Mark Jordans, Nagendra P. Luitel, Girmay Medhin, Vaibhav Murhar, Juliet Nakku, Vikram Patel, Inge Petersen, One Selohilwe, Rahul Shidhaye, Joshua Ssebunnya, Mark Tomlinson, Crick Lund and Mary De Silva BMC Psychiatry Published on: 6 March 2018

Psychotropic drugs in Nepal: perceptions on use and supply chain management

Nawaraj Upadhaya, Mark J.D. Jordans, Dristy Gurung, Ruja Pokhrel, Ramesh P. Adhikari and Ivan H. Komproe Globalization and Health Published on: 24 January 2018

Service user and care-giver involvement in mental health system strengthening in low- and middle-income countries: A cross-country qualitative study

Lempp H, Abayneh S, Gurung D, Kola L, Abdulmalik J, Evans-Lacko S, Semrau M, Alem A, Thornicroft G, Hanlon C. Epidemiology and Psychiatric Sciences Published on: 08 November 2017

Treatment gap and barriers for mental health care: A cross-sectional community survey in Nepal

Luitel NP, Jordans MJD, Kohrt BA, Rathod SD, Komproe IH. PLOS ONE Published on: 17 August 2017

Current situations and future directions for mental health system governance in Nepal: findings from a qualitative study

Upadhaya N, Jordans MJD, Pokhrel R, Gurung D, Adhikari RP, Petersen I, Komproe IH International Journal of Mental Health Systems Published on: 8 June 2017

Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal

Acharya B, Maru D, Schwarz R, Citrin D, Tenpa J, Hirachan S, Basnet M, Thapa P, Swar S, Halliday S, Kohrt B, Luitel NP, Hung E, Gauchan B, Pokharel R, Ekstrand M Globalization and Health Published on: 13 January 2017

Information systems for mental health in six low and middle income countries: cross country situation analysis

Upadhaya N, Jordans MJD, Abdulmalik J, Ahuja S, Alem A, Hanlon C, Kigozi F, Kizza D, Lund C, Semrau M, Shidhaye R, Thornicroft G, Komproe IH, Gureje O. International Journal of Mental Health Systems Published on: 26 September 2016

Indicators for routine monitoring of effective mental healthcare coverage in low-and middle income settings: a Delphi study

Jordans, M. J., Chisholm, D., Semrau, M., Upadhaya, N., Abdulmalik, J., Ahuja, S., & Petersen, I. Health policy and planning Published on: 23 April 2016

Maternal mental health in primary care in five low- and middle-income countries: a situational analysis

Baron EC, Hanlon C, Mall S, Honikman S, Breuer E, Kathreen T, Luitel NP, Nakku J et al.  BMC Health Services Research Published on: 16 February 2016

Development and pilot testing of a mental healthcare plan in Nepal

Jordans MJD, Luitel NP, Pokhrel P, Patel V.  The British Journal of Psychiatry Published on: 4 January 2016

Estimating the cost of implementing district mental healthcare plans in five low- and middle-income countries: the PRIME study

Chisholm D, Burman-Roy S, Fekadu A, Kathree T, Kizza D, Luitel NP, Petersen I, Shidhaye R et al. The British Journal of Psychiatry Published on: 4 January 2016

Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): Baseline findings

Makan A, Fekadu A, Murhar V, Luitel N, Kathree T, Ssebunya J, Lund C. International Journal of Mental Health Systems Published on: 8 July 2015

Strengthening mental health systems in low- and middle-income countries: the EMERALD programme

Semrau M, Evans-Lacko S, Alem A, Ayuso-Mateos JL, Chisholm D, Gureje O, Hanlon C, Jordans M, Kigozi F, Lempp H, Lund C, Petersen I, Shidhaye R, Thornicroft G. BMC Medicine Published on: 10 April 2015

Mental Health Care in Nepal: Current Situation and Challenges for Development of a District Mental Health Care Plan

Luitel NP, Jordans MJD, Adhikari A, Upadhaya N et al. (2015). Conflict and Health Published on: 6 February 2015

Demand and access to mental health services: a qualitative formative study in Nepal

Brenman, N. F., Luitel, N. P., Mall, S., Jordans, M. J. D. BMC International Health and Human Rights Published on: 2 August 2014

Acceptability and feasibility of using non-specialist health workers to deliver mental health care: Stakeholder perceptions from the PRIME district sites in Ethiopia, India, Nepal, South Africa, and Uganda

Mendenhall, E., De Silva, M. J., Hanlon, C., Petersen, I., Shidhye, R., Jordans, M. J. D., Luitel, N. P., Ssebunnya, J., Fekadu, A., Patel, V., Tomlinson, M., Lund, C. Social Science and Medicine Published on: 29 July 2014

Using workshops to develop theories of change in five low and middle income countries: lessons from the Programme for improving mental health care (PRIME)

Breuer, E., De Silva, M. J., Fekadu, A., Luitel, N. P., Murhar, V., Nakku, J., Petersen, I., Lund, C. (2014). International Journal of Mental Health Systems Published on: 30 April 2014

Challenges and opportunities for implementing Integrated Mental Health Care: A district level situation analysis from five low- and middle-income countries

Hanlon, C., Luitel, N. P., Kathree, T., Murhar, V., Shrivasta, S., et al. PLoS ONE Published on: 18 February 2014

Setting priorities for mental health care in Nepal: a formative study

Jordans MJD, Luitel NP, Tomlinson M, Komproe IH. BMC Psychiatry Published on: 5 December 2013

PRIME: A programme to reduce the treatment gap for mental disorders in five low and middle-income countries

Lund, C., Tomlinson, M., De Silva, M., Fekadu, A., Shidhaye, R., Jordans, M.J.D., Petersen, I., Bhana, A., Kigozi, F., Prince, M., Thornicroft G., Hanlon, C., Kakuma, R., McDaid, D., Saxena, S., Chisholm, S., Raja, S., Kippen-Wood, S., Honikman, S., Fairall, L. & Vikram Patel. PLoS Medicine Published on: 27 December 2012

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