ArticleCommunity mental health journal2025
Development and Implementation of Mental Healthcare Plans in Three Districts in Ghana: A Mixed-Method Process Evaluation Using Theory of Change.
Article in Community mental health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The African youth in mind (Y-MIND) brief psychological intervention for depression among school-going adolescents in Ghana: a development case series.BMC psychiatry · 2026Trial
- Beyond the Law: A Qualitative Socio-Ecological Study of Substance Use Treatment Barriers and Adaptations in Ghana.Journal of psychiatric and mental health nursing · 2026Article
- Integrating a Non-Communicable Disease Care Cascade within Ghana's Community-Based Health Planning and Services (CHPS) Program: the COMBINE Pilot Implementation Trial.medRxiv : the preprint server for health sciences · 2026Article
- Co-creating systems change for mental health: a theory of change approach from the MeHPriC initiative in Lagos, Nigeria.Implementation science communications · 2025Article
- Acceptability and perceived impact of a mental health and disability programme in Ghana.African journal of disability · 2025Article
- Article
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Authors and funding
6 authors.
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Abstract
In Ghana, a severe mental healthcare gap of 95-98% exists due to limited services. Ghana Somubi Dwumadie set out to address this by developing district mental healthcare plans (DMHPs) in three demonstration districts. Following the Programme for Improving Mental Healthcare model, district mental health operations teams were formed and used Theory of Change (ToC) to develop DMHPs. Key elements included training non-specialist health workers and enrolling individuals in relevant healthcare programmes. Evaluation methods included routine data, health facility surveys, and qualitative analysis within the ToC framework. Results showed improved integration of mental health services, enhanced case management through training, and increased service utilisation, shown through 691 service user enrollments. However, there was limited commitment of new resources and no significant improvement in primary care workers' capacity to detect priority mental health conditions. The study concludes that DMHPs, implemented with an integrated approach, can improve mental health service utilisation, contingent on committed leadership, resource availability, and stakeholder engagement.
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