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Table 3 Summary of study findings and recommendations

From: Situational analysis to inform development of primary care and community-based mental health services for severe mental disorders in Nepal

Level

Barriers identified for mental health service integration in routine primary health care

Study recommendations for adaptation of mhBeF model

Policy level

Inaccessible Mental Health Services in the community

Revision on Government National Treatment Guidelines and protocol

Limited authority for Prescription of psychotropic drugs

Task shifting to PHC health workers

Health facility level

Knowledge and skills gap of Primary Health Care (PHC) health workers on mental health

Content for myths and facts related the mental health and treatment

Duration of mental health training

Use of mobile technology for effective mental health service delivery

Community level

Social stigma

Community resource persons involvement in mental health service delivery

Lack of social support for people with mental health problems

Patient support group formation

Family involvement in treatment and management

Development of referral mechanism