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Home arrow Language & Literature arrow The Palgrave Handbook of Sociocultural Perspectives on Global Mental Health
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Evaluation of the MHD model

The outcomes of the BasicNeeds MHD model have been evaluated in Kenya (Lund et al. 2013) and the model has been case studied in Nepal (Raja et al. 2012) Additionally, all BasicNeeds MHD programmes are evaluated by external experts for performance and impact against the programme targets and deliverables as required by programme funders. We present findings from Kenya, Nepal and India.

Kenya

In Kenya, a cohort of BasicNeeds participants (n = 203) was assessed for general health, mental wellbeing, quality-of-life and economic activity before treatment and at 1- and 2-year follow-up. The study was carried out in a rural area, in the Meru South and Nyeri North districts of Kenya, and participants were enrolled from May-July 2009.

Participants selected were adults diagnosed with a severe mental or neurological disorder. They were selected from 529 individuals attending community engagement meetings and identifying themselves as having a mental health problem, of whom 408 attended psychiatric clinics, 317 were diagnosed with mental health problems. Individuals with substance abuse or moderate to severe intellectual disability were excluded from the study, leaving 203 participants. This selection was representative of the participants who receive support from BasicNeeds and is therefore an accurate reflection of the population being treated.

The study found significant improvements and large effect sizes in all assessments among the cohort, for example, almost tripling monthly median family income. A key limitation of the study was the inability to measure performance against a control group for ethical and practical reasons (Lund et al. 2013).

 
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