Reducing Stigma Among Healthcare Providers (RESHAPE-cRCT)

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 1300

Inclusion Criteria

Primary Care Providers Inclusion Criteria: - All health workers from the facilities included in the study will be invited to participate - Health workers will be between 21 and 65 years of age based on employment criteria - within the government health system. - All participants will need to have Nepali language competency, - be actively engaged in care provision in their health cluster, - have a valid certificate of practice from the Ministry of Health - Health workers will need to have permission from their health supervisor to attend the entire duration of the training, Exclusion Criteria: - any prior citations on their clinical practice licensure or any other government credentialing violations. Patients Inclusion Criteria: - All patients (with non-emergency medical needs) presenting to the primary care - any of the following groups: - (a) any mental illness diagnosis including depression, psychosis (bipolar disorder with a manic episode, schizophrenia, major depressive disorder with psychotic features, and alcohol use disorder with psychosis) and alcohol use disorder; plus the other conditions included in Nepal's mental health Gap Action Programme: anxiety, conversion, epilepsy, dementia, child and adolescent, other substance abuse (these patients are included because misdiagnosis is common with regard to missing or overdiagnosing one condition in place of another mental illness); comorbid conditions are also acceptable; - (b) any patients screening above cut-off scores on the tools; and - (c) 10% of patients who are negative on all of the above criteria. - any patients previously treated for mental illness would be included - age range will be 16 years or older, with no upper age limit (mental health Gap Action Programme training covers child and adolescent through mental illnesses affecting elderly population). - all participants will be able to speak Nepali - able to complete the research interview with the research assistants who will read all of the assessment tools. Exclusion Criteria: - Patients with immediate medical needs requiring referral and emergency services (e.g., serious injury; pre-eclampsia; dehydration; status epilepticus) - patients needing acute psychiatric services (e.g., suicide attempts, alcohol withdrawal, psychosis/mania that cannot be managed in a community setting) who are referred for immediate hospitalization - Patients under the age of 16 years old will be excluded