The Effect of Integrating CAMH Into PHC and Traditional Healers' Practice in Uganda: a Randomized Controlled Trial

Community Mental Health Services Clinical Trial

Official title:

The Effect of Integrating Child and Adolescent Mental Health Into Primary Health Care and Traditional Healers' Practice: a Randomized Controlled Trial in Eastern Uganda

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02552056
• Other study ID #: HS 1874
• Status: Completed
• Phase: N/A
• First received: September 14, 2015
• Last updated: May 12, 2016
• Start date: October 2015
• Est. completion date: February 2016

Study information

• Verified date: May 2016
• Source: University of Bergen
• Contact: n/a
• Is FDA regulated: No
• Health authority: Uganda: Ministry of Health
• Study type: Interventional

Clinical Trial Summary

This randomized controlled trial will compare the effect of a CAMH integration package on yield of CAMH cases compared to non-CAMH integrated sites. It will be conducted among nurses, midwives and clinical officers who provide PHC services to children and adolescents in 42 health centers; and eligible traditional healers.

Description:

The overall goal of the study is to increase access to mental health services for children and adolescents in Uganda by improving entry through primary health care workers and traditional healers.

The main objective of the study is to measure the effect of integrating child and adolescent mental health (CAMH) into primary health care (PHC) and into traditional healers' services on CAMH case identification in 2 districts in Eastern Uganda, so as to improve entry into mental health services.

The specific objectives are:

1. To estimate the effect of CAMH integration into PHC on case identification, measured by the number of new non- epilepsy CAMH diagnoses.

2. To assess the feasibility and effect of integrating CAMH into traditional healers practice, measured by the number of CAMH referrals from community to clinics per month.

3. To assess the acceptability of CAMH integration among PHC workers and traditional healers

4. To estimate the costs associated with the integration of CAMH into PHC and traditional medicine

Recruitment information / eligibility

• Status: Completed
• Enrollment: 36
• Est. completion date: February 2016
• Est. primary completion date: February 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• 1. Public (government health system) 2. No psychiatric nurse allocated

Exclusion Criteria:

• mhGAP training in the previous 3 years

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Community Mental Health Services

Intervention

Other:
• CAMH training
Training of PHC workers included in the study for 5 days to screen children and adolescents for CAMH conditions, based in the mhGAP curriculum for non-specialist health providers.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Bergen

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Change in CAMH knowledge pre-and post-training		5 days	No
Primary	Proportion of clinics which recorded at least one non-epilepsy CAMH diagnosis in the intervention compared to the control group.		3 months	No