Journal Article

Outcomes of the mental health and development model in rural Kenya: a 2-year prospective cohort intervention study

Crick Lund, Milka Waruguru, Joyce Kingori, Sarah Kippen-Wood, Erica Breuer, Saju Mannarath and Shoba Raja

in International Health

Published on behalf of Royal Society of Tropical Medicine and Hygiene

Volume 5, issue 1, pages 43-50
Published in print March 2013 | ISSN: 1876-3413
Published online March 2013 | e-ISSN: 1876-3405 | DOI: https://dx.doi.org/10.1093/inthealth/ihs037
Outcomes of the mental health and development model in rural Kenya: a 2-year prospective cohort intervention study

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Background

The aim of this study was to evaluate outcomes for participants in BasicNeeds' Mental Health and Development programme in rural Kenya.

Methods

All new entrants to the programme in the Meru South and Nyeri North districts were enrolled in the study over a 3-month period (n = 203). Assessments of mental health, functioning, economic status and quality of life were conducted at baseline and at 1-year and 2-year follow up, using a single group cohort design.

Results

Over the 2 years there were significant improvements in scores on the General Health Questionnaire (21.5 [95% CI: 20.2–22.8] to 6 [95% CI: 4.8–7.2] p < 0.01), Global Assessment of Functioning scale (78 [95% CI: 75.5–80.3] to 94 [95% CI: 90.7–97.3] p < 0.01), summed WHO Quality of Life-Brief scale (39.5 [95% CI: 38.6–40.4] to 57.2 [95% CI: 56.2–58.3] p < 0.01) and the proportion who were engaged in either income generation or productive work (45.3–64.0%, p < 0.01).

Conclusions

The mental health and development model shows improvements in mental health, functioning, income generation and quality of life among people living with severe mental illness in rural Kenya. The findings demonstrate the feasibility and benefits of integrating mental health and poverty alleviation components in mental health care in Africa.

Keywords: Mental Health; Kenya; Mental Health and Development Model; BasicNeeds

Journal Article.  5342 words.  Illustrated.

Subjects: Community Medical Services

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