PM+ is a brief (5 sessions), transdiagnostic, scalable intervention that can be delivered by trained non-specialists and targets mild and moderate symptoms of depression, anxiety, and PTSD4. However, PM+ currently does not cover alcohol misuse despite high rates of alcohol use disorder reported in a variety of conflict-affected settings5,6.
The aim of CHANGE is to complement PM+ with components addressing alcohol misuse, and to develop a new transdiagnostic intervention addressing alcohol misuse and other mental health co-morbidities. The PM+A intervention will be made freely available.
Effectiveness and cost-effectiveness of PM+A will be tested through two randomised controlled trials. The trials will be complemented by a longitudinal qualitative study which will investigate implementation mechanisms, and by a separate work package which will inform scaling up.