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SAMPLE Mental Health Integration Results Framework

Mental Health Training and Staff Capacity Building

Key intended results

Indicators for measuring progress towards achieving the results

Methodologies for data collection & analysis

Timing & frequency of data collection & analysis

Result 1:

General health care workers trained in identification, management and referral of mental health priority conditions

Output Indicator: Number of health care workers trained by type (e.g., doctor, nurse, community health worker, midwife, and traditional birth attendant, social workers), by gender

Training records

After each training

Output Indicator: Proportion of health care providers at health facility trained in mental health (by gender)

Output Indicator: Number of supervision sessions conducted for each trained staff

Output Indicator: Percentage of trainees who found the training content, methods, length of training and system for support and supervision satisfactory and useful to improve their practice

Training evaluations linked trainings. Key tools and Examples from Step 2 in the toolkit, including:

During training and at end of training evaluation

Outcome Indicator: Percent of competency score at the end of the training (Target: trainees demonstrate at least 80% competency scores on post-knowledge tests)

MH knowledge pre-posttests. Key tools and Examples from Step 2 in the toolkit, including:

At the start and end of the training program

Outcome Indicator: Percentage of clinic managers with improved attitudes toward mental illness

Use of an Attitude Questionnaire to collect information about perceived competency and MH attitudes scale. Key tools and Examples from Step 2 in the toolkit:

At the start and end of the training implementation program

Outcome Indicator: Percent of practice improvement (Trainees demonstrate improved clinical practice as measured through on the job supervision checklist)

Training records

&

On the job supervision checklists & MH service quality checklist. Key tools and Examples from Step 2 in the toolkit, including:

Following the trainings, on a monthly basis (to be filled by supervisor during each supervision session)

Provision of Mental Health Services

Key intended results

Indicators for measuring progress towards achieving the results

Methodologies for data collection & analysis

Timing & frequency of data collection & analysis

Result 1:

Health service level expected outcome

Increased number of persons receive mental health services

Output Indicator: Number of persons who receive mental health services (disaggregated by age, sex, mental health condition)

IMC (field test version) MH Clinical Form Package for PHC Settings

At the beginning and then quarterly

Output Indicator: Number of consultations, by sex and age, mental health condition

Ongoing, per quarter

Result 2:

Person level expected outcomes

Improved mental health and well-being among persons with mental disorders

Outcome Indicator: Number of persons with mental disorders reporting an improvement in functioning


 

Outcome Indicator: Number of persons with mental disorders reporting a reduction in symptoms


 

Client functioning and/or symptoms measures (measures of daily functioning, symptoms of distress, well-being, beneficiary feedback). Key tools and Examples from Step 3 in the toolkit:

  • IMC Guide and Tools for Assessment of Functioning: English & Arabic, with Lebanon Example, men scale and women scale.

Measured at first visit and at every month until last visit

Mental Health System Change

Key intended results

Indicators for measuring progress towards achieving the results

Methodologies for data collection & analysis

Timing & frequency of data collection & analysis

Result 1:

Increased level of mental health PHC integration in the targeted health facilities

Outcome Indicator: Number of health facilities that show improved institutional integration of mental health services

In-depth interviews with selected clinic managers and trainees to gather data about perceived barriers to integration at baseline and perceived successes and challenges of integration towards middle and/or end


 

Measured by MH PHC integration checklist. Key tools and Examples from Step 1 in the toolkit:

At baseline and end line of the project

Result 3:

Links and referral pathways to other formal and informal service providers strengthened

Output Indicator: Number of inter-agency referral workshops (or trainings) conducted

Project activities’ monitoring, Attendance sheets, Workshop reports

Monthly monitoring

Output Indicator: Number of documented successful referrals (made & received) disaggregated by service, provider type, gender and age.

  • Project activities’ monitoring
  • Individual clinic or community service register

Monthly monitoring

Component: Accountability & Learning

Key intended results

Indicators for measuring progress towards achieving the results

Methodologies for data collection & analysis

Timing & frequency of data collection & analysis

Result 1:

Mental health integration program design and implementation informed by engagement of stakeholders and communities, with functioning mechanisms of information sharing, and feedback.

Output Indicator: Informational Flyers (including organizational information, list of beneficiary rights and a complaints mechanism description) are designed, printed and distributed at the facility and community level.

Project activities’ monitoring

Ongoing

Outcome Indicator: Percent of persons with MH problems and/or their families who report satisfaction with MH services

Key tools and methods, including examples from Step 3 in the toolkit:

  • Feedback forms/ surveys

At baseline, midterm and at the end

Outcome Indicator: Percentage of target communities where key stakeholders and representatives of target groups (service users) are actively involved in different phases of program (e.g. participation in needs assessment, program design, implementation, and monitoring and evaluation activities)

Focus Group Discussion and Key informant interviews

At baseline, midterm and end