ArticlePsychiatric services (Washington, D.C.)2021
Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence-Based Practices (PRIDE) in Mozambique.
Abstract read
In one paragraph
Article in Psychiatric services (Washington, D.C.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries.The Cochrane database of systematic reviews · 2023Pooled it
- "Safe Places Like These are Rare": Feasibility of the Speaking Out and Allying Relationships (SOAR) Intervention for HIV-Positive Sexual Minority Men in Eastern Cape, South Africa.AIDS and behavior · 2026Trial
- Providers' perspectives of barriers and facilitators to scale-up of mental health care in the public health delivery system of Mozambique: a qualitative inquiry.BMC health services research · 2024Trial
- Technology and implementation science to forge the future of evidence-based psychotherapies: the PRIDE scale-up study.Evidence-based mental health · 2021Trial
- Displacement Stressors and Sexual and Reproductive Health Challenges for Internally Displaced Young Adults in Northern Mozambique: A Qualitative Study Using the Socio-ecological Framework for Refugee Distress.AIDS and behavior · 2026Article
- Psychometric Evaluation of Screens for Common Mental Disorders, Severe Mental Disorders, Substance Use Disorders, and Suicide Risk in Mozambican Healthcare.Medical research archives · 2024Article
- The Lancet Psychiatry Commission: transforming mental health implementation research.The lancet. Psychiatry · 2024Review
- Global Is Local: Leveraging Global Mental-Health Methods to Promote Equity and Address Disparities in the United States.Clinical psychological science : a journal of the Association for Psychological Science · 2024Article
- Leveraging a Digitized Mental Wellness (DIGImw) Program to Provide Mental Health Care for Internally Displaced People.Psychiatric services (Washington, D.C.) · 2024Article
- Practitioners' perspectives on preparing for and delivering remote psychological support in Nepal, Perú and the United States during COVID-19.Psychology and psychotherapy · 2023Article
- Global health reciprocal innovation to address mental health and well-being: strategies used and lessons learnt.BMJ global health · 2023Review
- An Ultra-Brief Proxy Measure for Early Mental and Substance Use Disorders and Suicide Risk Case Detection at the Community and Household Level: An Efficient and Feasible Clinical and Population-level Service Needs Screening Tool.Medical research archives · 2023Article
- Examination of the Factor Structure of Psychopathology in a Mozambican Sample.Clinical psychological science : a journal of the Association for Psychological Science · 2023Article
- Identifying Core Competencies for Remote Delivery of Psychological Interventions: A Rapid Review.Psychiatric services (Washington, D.C.) · 2023Review
- The Electronic Mental Wellness Tool as a Self-Administered Brief Screening Instrument for Mental Disorders in the General Spanish Population during the Post-COVID-19 Era.International journal of environmental research and public health · 2023Article
- Mobile technology and task shifting to improve access to alcohol treatment services in Mozambique.Journal of substance abuse treatment · 2022Article
- Women's mental health in Mozambique: is maternity a protective factor?Global mental health (Cambridge, England) · 2022Article
- The impact of COVID-19 on self-reported burnout and health and mental health services in Nampula, Mozambique.Frontiers in public health · 2022Article
- The Sub-Saharan Africa Regional Partnership (SHARP) for Mental Health Capacity-Building Scale-Up Trial: Study Design and Protocol.Psychiatric services (Washington, D.C.) · 2021Article
- Identifying challenges and recommendations for advancing global mental health implementation research: A key informant study of the National Institute of Mental Health Scale-Up Hubs.Asian journal of psychiatry · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
25 authors.
Milton L WainbergDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Kathryn L LoveroDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Cristiane S DuarteDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Andre Fiks SalemDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Milena MelloDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Charl BezuidenhoutDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Jennifer MootzDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Paulino FelicianoDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Antonio SulemanDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Palmira Fortunato Dos SantosDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Myrna M WeissmanDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Francine CournosDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Andrea Horvath MarquesDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Wilza FumoDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Dirceu MabundaDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Jean-Marie E Alves-BradfordDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Marcelo MelloDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Jair J MariDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Phuti NgwepeDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Zuleyha CidavDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Ana Olga MocumbiDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Andrew Medina-MarinoDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Melanie WallDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Lidia GouveiaDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Maria A OquendoDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wainberg, Lovero, Duarte, Fiks Salem, Milena Mello, Mootz, Weissman, Cournos, Alves-Bradford, Wall); Research Unit, Foundation for Professional Development, Pretoria, South Africa (Bezuidenhout, Ngwepe, Medina-Marino); Hospital Psiquiatrico Nampula, Nampula, Mozambique (Feliciano, Suleman); Mental Health Department, Ministry of Health, Maputo, Mozambique (Fortunato dos Santos, Fumo, Mocumbi, Gouveia); National Institute of Mental Health (NIMH), Bethesda, Maryland (Marques); Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (Mabunda, Mocumbi); Department of Psychobiology and Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, Brazil (Marcelo Mello, Mari); Department of Psychiatry and Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Cidav, Oquendo).
Funding
StepWell: Stepped Care Mental Health and Substance Use Telehealth Services for COVID-19 Affected PatientsU19MH113203 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI OQUENDO, MARIA A, WAINBERG, MILTON L · 2017 to 2021
$5.7MGlobal Mental Health Research Fellowship: Interventions That Make a DifferenceT32MH096724 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2012 to 2026
$4.4MCommunity I-STAR Mozambique: Community Implementation of SBIRT using Technology for Alcohol use Reduction in MozambiqueR01AA025947 · NIAAA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI WAINBERG, MILTON L · 2018 to 2023
$3.4MPALOP MENTAL HEALTH IMPLEMENTATION RESEARCH TRAININGD43TW009675 · FIC · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Lidia Gouveia, Maria A Oquendo · 2014 to 2026
$3.2MFIC NIH HHS D43 TW009675NIAAA NIH HHS R01 AA025947NIMH NIH HHS T32 MH096724NIMH NIH HHS U19 MH113203
Abstract
backgroundMental health conditions impose a major burden worldwide, especially in low- and middle-income countries (LMICs), where health specialists are scarce. A challenge to closing LMICs' mental health treatment gap is determining the most cost-effective task-shifting pathway for delivering mental health services using evidence-based interventions (EBIs). This article discusses the protocol for the first study implementing comprehensive mental health services in LMICs.
methodsIn partnership with the Mozambican Ministry of Health, this cluster-randomized, hybrid implementation effectiveness type-2 trial will evaluate implementation, patient, and service outcomes of three task-shifting delivery pathways in 20 Mozambican districts (population 4.7 million). In pathway 1 (usual care), community health workers (CHWs) and primary care providers (PCPs) refer patients to district-level mental health clinics. In pathway 2 (screen, refer, and treat), CHWs screen and refer patients to PCPs for behavioral and pharmacological EBIs in community clinics. In pathway 3 (community mental health stepped care), CHWs screen patients and deliver behavioral EBIs in the community and refer medication management cases to PCPs in clinics. Mixed-methods process evaluation will be used to examine factors affecting pathway implementation, adoption, and sustainability. Clinical activities will occur without research team support. Ministry of Health personnel will coordinate training and supervision.
resultsThe most cost-effective pathway will be scaled up in all districts for 12 months. NEXT STEPS: This novel study integrating comprehensive mental health services into primary care will inform a toolkit to help the Mozambican Ministry of Health scale up the most cost-effective pathway for mental health services and can be a template for other LMICs.
Indexed as
Mental DisordersMental Health ServicesCommunity Health WorkersEvidence-Based PracticeHumansMozambiqueRandomized Controlled Trials as TopicCommunity Mental HealthEffectivenessImplementationPrimary Health CareService delivery systemsStepped-CareTask-Shifting
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.