title: Development and pilot testing of a mental healthcare plan in Nepal.
abstract: BACKGROUND
  Mental health service delivery models that are grounded in the local context are needed to address the substantial treatment gap in low- and middle-income countries.
  
  
  OBJECTIVE
  To present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility.
  
  
  METHODS
  A mixed methods formative study was conducted. Routine monitoring and evaluation data, including client flow and reports of satisfaction, were obtained from patients (n = 135) during the pilot-testing phase in two health facilities.
  
  
  RESULTS
  The resulting MHCP consists of 12 packages, divided over community, health facility and organisation platforms. Service implementation data support the real-life applicability of the MHCP, with reasonable treatment uptake. Key barriers were identified and addressed, namely dissatisfaction with privacy, perceived burden among health workers and high drop-out rates.
  
  
  CONCLUSIONS
  The MHCP follows a collaborative care model encompassing community and primary healthcare interventions.
authors.affiliation: M. J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Center for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; N. P. Luitel, MA, P. Pokhrel, BA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; V. Patel, MRCPsych, PhD, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London and Sangath Centre, Goa, India mark.jordans@hntpo.org.
authors.forename: M J D
authors.initials: MJ
authors.lastname: Jordans
authors.affiliation: M. J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Center for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; N. P. Luitel, MA, P. Pokhrel, BA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; V. Patel, MRCPsych, PhD, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London and Sangath Centre, Goa, India.
authors.forename: N P
authors.initials: NP
authors.lastname: Luitel
authors.affiliation: M. J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Center for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; N. P. Luitel, MA, P. Pokhrel, BA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; V. Patel, MRCPsych, PhD, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London and Sangath Centre, Goa, India.
authors.forename: P
authors.initials: P
authors.lastname: Pokhrel
authors.affiliation: M. J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Center for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; N. P. Luitel, MA, P. Pokhrel, BA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; V. Patel, MRCPsych, PhD, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London and Sangath Centre, Goa, India.
authors.forename: V
authors.initials: V
authors.lastname: Patel
mesh_terms: D003156:Community Mental Health Services / Q000458:organization & administration*; D003906:Developing Countries; D006280:Health Workforce; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D009390:Nepal; D010347:Patient Care Planning / Q000592:standards*; D010865:Pilot Projects; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D036301:Qualitative Research