title: Development of a scalable mental healthcare plan for a rural district in Ethiopia.
abstract: BACKGROUND
  Developing evidence for the implementation and scaling up of mental healthcare in low- and middle-income countries (LMIC) like Ethiopia is an urgent priority.
  
  
  OBJECTIVE
  To outline a mental healthcare plan (MHCP), as a scalable template for the implementation of mental healthcare in rural Ethiopia.
  
  
  METHODS
  A mixed methods approach was used to develop the MHCP for the three levels of the district health system (community, health facility and healthcare organisation).
  
  
  RESULTS
  The community packages were community case detection, community reintegration and community inclusion. The facility packages included capacity building, decision support and staff well-being. Organisational packages were programme management, supervision and sustainability.
  
  
  CONCLUSIONS
  The MHCP focused on improving demand and access at the community level, inclusive care at the facility level and sustainability at the organisation level. The MHCP represented an essential framework for the provision of integrated care and may be a useful template for similar LMIC.
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK abe.wassie@kcl.ac.uk.
authors.forename: Abebaw
authors.initials: A
authors.lastname: Fekadu
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Hanlon
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Girmay
authors.initials: G
authors.lastname: Medhin
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Atalay
authors.initials: A
authors.lastname: Alem
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Medhin
authors.initials: M
authors.lastname: Selamu
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Tedla W
authors.initials: TW
authors.lastname: Giorgis
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Teshome
authors.initials: T
authors.lastname: Shibre
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Solomon
authors.initials: S
authors.lastname: Teferra
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Teketel
authors.initials: T
authors.lastname: Tegegn
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Erica
authors.initials: E
authors.lastname: Breuer
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Vikram
authors.initials: V
authors.lastname: Patel
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Mark
authors.initials: M
authors.lastname: Tomlinson
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Graham
authors.initials: G
authors.lastname: Thornicroft
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Martin
authors.initials: M
authors.lastname: Prince
authors.affiliation: Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
authors.forename: Crick
authors.initials: C
authors.lastname: Lund
mesh_terms: D003156:Community Mental Health Services / Q000458:organization & administration*; D003906:Developing Countries; D005002:Ethiopia; D006275:Health Facility Planning; D006280:Health Workforce; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D010347:Patient Care Planning / Q000592:standards*; D011203:Poverty; D015397:Program Evaluation; D036301:Qualitative Research; D012424:Rural Population