We envision a world in which any person, anywhere can access adequate services to treat their mental illness. We identify, train, and hire local community members to provide all non-drug treatment for those experiencing common mental disorders.
Our pilot program aims to implement a community health worker (CHW) led intervention at Ndejje Health Center IV in Ndejje, Uganda to improve the outcomes of people with depression. Within the collaborative stepped-care intervention (CSCI), CHWs will offer case management and all non-drug psychosocial interventions with the aid of primary care physicians and a mental health specialist (MHS). Specifically, the primary care physicians will administer antidepressant drug therapy (ADT) and encourage patients to see the CHW, while the MHS will offer supervision and quality assurance. Stepped care will include psychoeducation, ADT, interpersonal psychotherapy (IPT), and if necessary, referral to a MHS. The primary outcome is recovery from major depressive disorder as defined by the DSM-IV at 6 months.
- Red Empress Foundation (USA)