Levels of intervention | Key tasks | Intervention | Preconditions |
---|---|---|---|
Local community level | Mobilize resources Raise awareness about mental illness, roles or service user and caregivers Establish and empower service user and caregiver groups Support rehabilitation/livelihood support and social inclusion of service user and caregivers Promote human rights protection Support mobilization and organization of service user/caregiver organizations | Working with the Community Advisory Board (CAB), leaders of social associations, faith based and religious organizations, Health Development Army, Development agents and health extension workers Building capacities (e.g., training) local statutory and non-statutory leaders in service user involvement and empowerment Conducting CAB consultative meetings Awareness raising to the local community about service user and caregiver involvement Strengthening collaboration and involvement of community stakeholders | Improved community awareness about mental health/illness, and service user and caregiver involvement Non-stigmatizing support Improved collaboration of community stakeholders Improved support, inclusion, human rights protections, and rehabilitation/livelihood support of service user and caregivers |
Health organization (service provider/managers) | Provide mental health services within primary healthcare Avail adequate and reliable treatment (medication and basic psychosocial care) Ensure competent, compassionate and respectful care services Provide relevant and evidence-based information and treatment choices Ensure services are accountable and responsive Mobilize and organize service user and caregiver groups Encourage social inclusion | Capacity building training about how best to involve and work with service user and caregivers Facilitate involvement to develop and evaluate a plan for service user and caregiver involvement, focused to ensure availability and quality of mental health care | District health office continues to support availability of integrated mental health care in the study site Improved information and treatment choices for accountable and responsive mental health care Improved knowledge of participatory care provision involving service user and caregiver Non-stigmatizing (inclusive) care Availability of competent, compassionate, respectful and caring service providers |
Service users | Establish service user groups Advocate for prioritization of mental health service delivery, sustainable medication supplies, and human rights protection for service users Provide peer support, awareness raising about mental illness for the local community Establish collaborations with various stakeholders to empower service users and address unmet social needs | Capacity building training about basics of mental health and illness, understanding service user involvement, mental health related stigma and discrimination, human rights issues and mental health advocacy Facilitation of service user organization and empowerment Facilitation of involvement to develop and evaluatea plan for service user involvement | Improved service user awareness about mental health and mental health services Improved communication between service users, caregivers and service providers Non-stigmatizing attitudes Improved treatment adherence of service users Improved care(pharmacological and basic psychosocial) for service users Improved influence of service user voices and perspectives |
Caregiver | Collaborate with service user groups Enhance advocacy for mental health service and protection of service user`s rights Provision of peer support Provision of awareness raising about mental health for the local community Encourage social inclusion Establish collaborations with various stakeholders | Capacity building training about basics of mental health and illness, understanding caregiver involvement, mental health related stigma and discrimination, human rights issues and mental health advocacy Facilitation of caregiver organization and empowerment Facilitation involvement to develop and evaluate the plan for caregiver involvement | Improved caregivers awareness about mental health and mental health services Non-stigmatizing attitudes Improved communication between service user and caregiver Reduced caregiver burden of care, costs Increased economic productivity Improved influence of caregiver voices and perspectives |