Integration of mental health service delivery and care, with a focus on mhGAP priority disorders (alcohol abuse, depression, psychosis and epilepsy) into the existing Health system through a Health system strengthening approach in partnership with researchers, Ministries of Health and non-governmental organisations. The program implements and evaluates district level mental health care plans (MHCPs) at health organization, facility and community levels, initially in one district in each country, with a view to scaling up in other districts.
Packages of care focus on the adapted mhGAP Intervention guide, which is being used to train primary care workers in the detection, treatment and referral of these disorders. The MHCP is presented at three levels: the service organisation, facility and community levels. In Uganda’s case, epilepsy is added to the PRIME priority disorders of depression, alcohol use disorders and psychosis. Packages of care focus on the adapted WHO mhGAP Intervention Guide, which is being used to train primary care workers in the detection, treatment and referral of these disorders. In a similar manner to other countries, the piloting experience revealed reluctance to taking on new mental health tasks on the part of primary healthcare workers, and a request for more extensive mental health training and more frequent supervision for mental healthcare.2