The WHO Mental Health Gap Action Program Intervention Guide (mhGAP-IG)1 for developmental disorders and Parent-Skills Training (PST) program for children with developmental delays was adapted to a technology platform—to ensure fidelity of intervention programme—for delivery by non-specialists in community settings.
Existing child mental health approaches rely on weak health or social care systems that are incapable of sustaining interventions at scale. The integrated innovative approach2 provides its own motivated human resource (trainers and volunteer champions) and culturally adapted technology-assisted implementation tools, and is potentially sustainable. The integrated innovative model includes:
1) Social innovation: organise an active, empowered group of family volunteers (champions) within the community who could be trained to provide WHO mhGAP interventions to their own children, and to cascade them down to other families in their villages.
2) Technological innovations include:
- An Interactive Voice Response (IVR) system to identify families with a developmental delays and volunteers;
- Tablet-based application that used ‘real-life’ scenarios with the aid of ‘avatars’ (graphic images) to assist with training and supervision (Avatar Assisted Cascade Training)
- An integrated assessment tool based on standardized WHO measurements (WHODAS Child) to monitor outcomes of the children and families and to provide ongoing supervision.
3) Business innovation: social franchise model for rapid replication and scale-up.
For additional details on the innovation, refer to the research paper attached under Resources - "Model for service delivery for developmental disorders in low-income countries."