Table 1 Contents of Training as Usual (TAU) vs. RESHAPE modified training curriculum
Training day | Primary care non-prescribing staff | Primary care prescribing staff | ||
|---|---|---|---|---|
Training as Usual (TAU) 5-Day Curriculum | RESHAPE modifications to training | Training as Usual (TAU) 10-Day Curriculum | RESHAPE modifications to training | |
1 (6.5 h) | • Introduction to PRIME • Pre-test • Introduction to mental health and psychosocial concepts | None | • Introduction to PRIME • Pre-test • Introduction to mental health and psychosocial concepts | None |
2 (6.5 h) | • Introduction to MNS problems, causes, and symptoms • Basic principles of psychosocial support for patients with MNS problems; characteristics of helpers • Psychosocial support skills (emotional support, psychoeducation, case management) | Two non-prescriber aspirational figures present recovery stories and common myths about MNS disorders: • Mental illness cannot be treated.Only some people can get mental illness • Mental illnesses are contagious • Mental illness can only be treated with shots and pills • Giving advice is the same thing as doing psychological counseling • All people with mental illness are violent.If you ask someone about suicide, that increases the risk they will kill themselves • Caring for people with mental illness makes you mentally ill | • Introduction to MNS problems, causes, and symptoms • Basic principles of psychosocial support for patients with MNS problems; characteristics of helpers • Psychosocial support skills (emotional support, psychoeducation, case management) | Two prescriber aspirational figures present recovery stories and common myths about MNS disorders • Mental illness cannot be treated • Only some people can get mental illness • Mental illnesses are contagious • Mental illness can only be treated with shots and pills • Giving advice is the same thing as doing psychological counseling • All people with mental illness are violent • If you ask someone about suicide, that increases the risk they will kill themselves • Caring for people with mental illness makes you mentally ill. |
3 (6.5 h) | • Introduction to communication skills • Verbal communication skills (questioning, reflecting feelings, summarizing, paraphrasing) • Role plays of communication skills • Non-verbal communication skills | Two persons with lived experience of MNS disorders present PhotoVoice recovery narrative, participate in question and answer session, and participate in activities throughout the day with primary care trainees Didactic session on stigma and discrimination | • Introduction to communication skills • Verbal communication skills (questioning, reflecting feelings, summarizing, paraphrasing) • Role plays of communication skills | Two persons with lived experience of MNS disorders present PhotoVoice recovery narrative, participate in question and answer session, and participate in activities throughout the day with primary care trainees |
4 (6.5 h) | • Role plays of communication skills • Depression: causes, symptoms, and referrals • Psychosis: causes, symptoms, and referrals • Epilepsy: causes, symptoms, and referrals | Two persons with lived experience of MNS participate in communication role plays and activities throughout the day with primary care trainees | • Non-verbal communication skills • Role plays of communication skills • Emotional support steps and role plays • Psychoeducation steps and role play | Two persons with lived experience of MNS participate in communication role plays and activities throughout the day with primary care trainees Didactic session on stigma and discrimination |
5 (6.5 h) | • Alcohol use disorder: causes, symptoms, and referrals • Psychoeducation and case management steps and role play • Health management information system • Supervision processPost-test | Collaborative problem-solving session with two persons with lived experience of MNS disorders, two aspirational figures, and trainees to discuss expected challenges and potential solutions | • Case management steps and role playIntroduction to mhGAP • Basic information about MNS disorders included in mhGAP | None |
6 (6.5 h) |  |  | • Psychiatric history takingEpilepsy assessment, diagnostic criteria, and management • Clinical patient evaluation | One person with lived experience of epilepsy presents PhotoVoice recovery narrative, participates in question and answer session, and participates in other activities throughout the day |
7 (6.5 h) |  |  | • Depression assessment, diagnostic criteria, and management • Clinical patient evaluation | One person with lived experience of depression presents PhotoVoice recovery narrative, participates in question and answer session, and participates in other activities throughout the day |
8 (6.5 h) |  |  | • Psychosis assessment, diagnostic criteria, and management • Clinical patient evaluation | One person with lived experience of psychosis presents PhotoVoice recovery narrative, participates in question and answer session, and participates in other activities throughout the day |
9 (6.5 h) |  |  | • Alcohol use disorder assessment, diagnostic criteria, and management • Clinical patient evaluation | One person with lived experience of alcohol use disorder presents PhotoVoice recovery narrative and participates in question and answer session Collaborative problem-solving session with two persons with lived experience of MNS disorders, two aspirational figures, and trainees to discuss expected challenges and potential solutions |
10 (6.5 h) |  |  | • Health management information system • Supervision process • Post-test | None |