| PROJECT COUNTRY | PROJECT LEADERSHIP |
|---|---|
| Mozambique | Bradley Wagenaar, MPH, PhD Shannon Dorsey, PhD Laura Murray, PhD |
Description
This intervention will build upon existing infrastructure to formally integrate screening, care, and treatment for common mental disorders among HIV+ individuals (depression, traumatic stress, substance use, and anxiety) in Mozambique into existing HIV treatment platform. Task-shared counsellors will be trained in best-evidence psychological treatments for common mental illness using a transdiagnostic approach. This approach is called the Common Elements Treatment Approach (CETA), and has been tested in randomized controlled trials (RCTs) across a number of low-and middle-income countries (LMICs). The CETA approach is based on evidence-based treatments for depression, anxiety, substance use, trauma, and stress-related disorders. The CETA model was developed specifically for LMIC settings that rely on non-mental health providers working within sustained supervisory systems.
- Assess initial estimates of prevalence of common mental disorders, trauma, and experience of violence among HIV+ individuals.
- Pilot and optimize the use of a short screening tool for common mental disorders among HIV+ individuals.
- Train a cadre of CETA counsellors who can provide best-evidence transdiagnostic care for HIV+ individuals identified with depression, anxiety, trauma, and harmful substance use.
- Pilot the use of CETA in public-sector clinics in Mozambique and collect initial patient data to understand fidelity, initial outcomes, operational research and optimization of the model using routinely collected clinic data.
Project dates
2018-2019