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BACKGROUND Reducing the global treatment gap for mental disorders requires treatments that are economical, effective and culturally appropriate. AIMS To describe a systematic approach to the development of a brief psychological treatment for patients with severe depression delivered by lay counsellors in primary healthcare. METHOD The treatment was(More)
BACKGROUND The leading mental health causes of the global burden of disease are depression in women and alcohol use disorders in men. A major hurdle to the implementation of evidence-based psychological treatments in primary care in developing countries is the non-availability of skilled human resources. The aim of these trials is to evaluate the(More)
Psychological treatments delivered by lay therapists, with little or no previous mental health training, have been shown to be effective in treating a range of mental health problems. In low resource settings, the dearth of available experts to assess therapy quality potentially leads to a bottleneck in scaling up lay therapist delivered psychological(More)
Common mental disorders, including depression, anxiety, and posttraumatic stress, are leading causes of disability worldwide. Treatment for these disorders is limited in low- and middle-income countries. This systematic review synthesizes the implementation processes and examines the effectiveness of psychological treatments for common mental disorders in(More)
BACKGROUND Although structured psychological treatments are recommended as first-line interventions for depression, only a small fraction of people globally receive these treatments because of poor access in routine primary care. We assessed the effectiveness and cost-effectiveness of a brief psychological treatment (Healthy Activity Program [HAP]) for(More)
The Healthy Activity Program lay counsellor delivered treatment for severe depression in India: systematic development and randomised evaluation. The 2010 Global Burden of Disease reported that depression ranks second in the league table of years of life lived with disability 1 with a mean population point prevalence of about 5%. 2 Social factors,(More)
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