19 Aug 2018

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Projects

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Long Term Conditions and Mental Health in Kenya: Mainstreaming Community Based Practices

The combination of long-term physical and mental health problems (comorbidity) is one of the most serious public health challenges in the 21st century. However, there is little research into the experience of and care for these comorbid conditions at the community level, and this project aims to address this gap. We plan to improve our understanding of comorbidity health challenges as we make a vital contribution to tackling the gaps in knowledge and understanding of the impact of comorbidities, both for the individual and for health care provision.

This is the link to the Open University (COIN DD section) http://wels.open.ac.uk/coin-dd

Long-term condtions and mental health in sub sahara africa
Long-term condtions and mental health in sub sahara africa
Early childhood development 15 May 2017

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Depression / Treatment

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Early childhood development

Sound mental health is an important foundation to the holistic development of individuals and their ability to achieve success in school, work, and social interactions and contribute positively to the development of their communities.

We seek to use tried and tested approaches to promote mental well-being and support positive cognitive development to break the vicious cycle of mental illness from continuing through adulthood and having a detrimental effect on the quality of life of the individual.

substance abuse 15 May 2017

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Couple Counselling / Depression

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School mental health including substance abuse

Poor mental health in school going children has been directly related to school dropout, difficulties in learning, behavioral problems, poor performance in school and truancy. Schools provide a great setting to promote mental well being, prevent mental illness, facilitate early identification and intervention for children with mental illnesses and combat stigma associated with mental illness. Substance abuse also continues to be highly prevalent in the school setting with opportunity for induction into substance abuse.

Our work in this area focuses on mental health integration in schools as well as developing interventions that prevent early onset of mental illnesses and address risk of substance abuse.

15 May 2017

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Couple Counselling / Depression / Treatment

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A Few Words about Depress Therapy for Couples

Hot, muggy summers can bring about significant growth issues in your greenery enclosure. While summer fungus–such as the scandalous fine mildew–might not be specifically deadly to your plants, it can bring about compelling scourge that spreads quickly and quickens fall lethargy. What’s more, if left untreated, scourge can at last murder a plant. Try not to give growth a chance to assume control over your patio nursery during an era when it ought to be in its most delightful state. You can keep your foliage. Sodden, sticky climate can make it hard to prevent organism from developing. Be that as it may, there are a couple measures you can take to minimize the probability. Read More “A Few Words about Depress Therapy for Couples”

15 May 2017

BY: admin

Couple Counselling / Depression / Treatment

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A Few Words about Depress Therapy for Couples

Hot, muggy summers can bring about significant growth issues in your greenery enclosure. While summer fungus–such as the scandalous fine mildew–might not be specifically deadly to your plants, it can bring about compelling scourge that spreads quickly and quickens fall lethargy. What’s more, if left untreated, scourge can at last murder a plant. Try not to give growth a chance to assume control over your patio nursery during an era when it ought to be in its most delightful state. You can keep your foliage. Sodden, sticky climate can make it hard to prevent organism from developing. Be that as it may, there are a couple measures you can take to minimize the probability. Read More “A Few Words about Depress Therapy for Couples”

15 May 2017

BY: admin

Couple Counselling / Depression / Treatment

Comments: No Comments

A Few Words about Depress Therapy for Couples

Hot, muggy summers can bring about significant growth issues in your greenery enclosure. While summer fungus–such as the scandalous fine mildew–might not be specifically deadly to your plants, it can bring about compelling scourge that spreads quickly and quickens fall lethargy. What’s more, if left untreated, scourge can at last murder a plant. Try not to give growth a chance to assume control over your patio nursery during an era when it ought to be in its most delightful state. You can keep your foliage. Sodden, sticky climate can make it hard to prevent organism from developing. Be that as it may, there are a couple measures you can take to minimize the probability. Read More “A Few Words about Depress Therapy for Couples”

Global Minds 25 Mar 2016

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Projects

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Global MINDS @ Western Summer Institute – Kenya 2017

Global MINDS @ Western is an Interdisciplinary Development Initiative of Western University, Canada with the objective of using social innovation approaches to catalyze the development, implementation, mobilization and evaluation of disruptive solutions for the wicked problem of reducing the global burden of mental disorders and related issues (e.g., suicide). Global MINDS is focused on innovating for low resource settings in low and middle income countries (LMIC) (e.g., East Africa region) and for marginalized communities within Canada. Through transdisciplinary collaboration and innovative pedagogy, we empower students and faculty to lead change and make a lasting impact starting now.

Global Minds – Africa Mental Health Foundation 01 Jul 2015

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Projects

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MULTI-SECTORAL STAKEHOLDER TEAM APPROACH TO SCALE-UP COMMUNITY MENTAL HEALTH IN KENYA: BUILDING ON LOCALLY-GENERATED EVIDENCE AND LESSONS LEARNED (TEAM)

TEAM aims to effectively integrate mental health services with minimal expenditure of resources, into pre-existing, community-based, government funded, formal and informal health services in Kenya. The project is currently taking place in Makueni County an area without a single psychiatrist. TEAM’s main course is to strengthen effective, self-driven leadership and governance, and to provide comprehensive community mental health awareness to impact on attitude and behavioral change in the community.

liptik-pic-1 01 Feb 2015

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Projects

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The LIPTK Project

Psychosocial Rehabilitation (PSR) provides support to promote successful recovery, community reintegration and improved quality of life for people living with a mental illness or mental health concerns. With increase in income through either entrepreneurship or employment, people who are predominantly exposed to various forms of stigma find an avenue to interact with communities and command recognition and respect.

Sustainable and adapted treatment 01 Jan 2014

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Projects

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THE COMPUTER-BASED DRUG AND ALCOHOL TRAINING ASSESSMENT IN KENYA (eDATA K)

The purpose of this project was to answer the challenge of integration of screening and core packages of mental health and substance use disorder services into routine primary health care through innovative e-learning technologies. eDATA K aimed to correct these problems by adapting NextGenU.org`s high-quality, globally-available, free-to-use, and low-cost to assemble, computer, peer-, and mentor-supported learning to build the capacity to provide substance use disorder screening and core services in primary care, as a first step toward building the capacity to address other mental health conditions. This particular project also included a course on quality improvement and leadership to help support practitioners in integrating those new services into their current clinical practice.

Project Results and Impacts:

On healthcare workers

  • More than 400 health care workers involved withabout halfof them completing the course on their own time, a very large completion rate compared to < 1% average completion rate for Massive Open Online Courses (MOOCs).
  • Significant reduction or stigmatizing attitudes among health care workers towards people with alcohol and other substance use disorders
  • Widely reported acceptability and usefulness of the courses amongst health care workers

“It has helped me because in the beginning before I was trained I was not comfortable living with those people who use these substances like alcohol. But nowadays I can talk to them comfortably and make them understand their problem and how they can deal with it”

On patients

  • 22,327 patients reached with screening for alcohol, tobacco and other substance use, BMI and physical activity during the study enrolment period – showing acceptability and feasibility
  • 1,212 (5.5%) patients identified as having moderate to high risk levels of alcohol use
  • Over half of them, i.e. 609 (50.2%), received brief intervention for risky alcohol use and the rest received feedback and written advice
  • Follow-up assessments conducted at 1,3, and 6 months with a follow up rate of 83.2% at 6 months
  • Significant reduction in alcohol use amongst those who received the screening and feedback as well as those who received the full brief intervention, demonstrated up to 6 months post intervention; with a larger decrease in alcohol consumption than in other brief intervention trials.
  • Positive changes in self-reported quality of life domains in nearly half of the participants
  • A 60% decrease in depression score between baseline and 6 months amongst all participants in the two groups
  • An overall decrease in risk scores from consumption of substances based on the ASSIST from baseline to 6 months; in public facilities 74% for tobacco; 88% for alcohol; 34% for cannabis; and 47% for amphetamine-type substances (khat being the most prevalent of these substances in Kenya). In private facilities, 84% reported a decreased score for tobacco, 97% for alcohol; 45% for cannabis; and 65% for amphetamine-type substances.
  • High acceptability of the intervention among beneficiaries

“Since I was married, I had never had a child with my husband that is why am saying it (alcohol) is very bad. We have stayed for long without me getting pregnant. I have been drinking a lot. After I joined this study, I stopped completely taking alcohol and I became pregnant immediately. This child I am holding here is as a result of this study.”

On the healthcare system

  • 60 health workers completed the four modular online practice improvement course blended with the Institute of Health Care Improvement Open School courses
  • The quality improvement and leadership course was effective in supporting the integration of screening and intervention in practice in public facilities, with 12,369 screens and 1,553 Brief Interventions done post randomized control trial, without any financial incentives for performing those interventions as part of research
  • For the first time, the Makueni County Government allocated resources for mental health activities
  • The Makueni County Government included substance use interventions in their performance appraisal process
  • National Ministry of Health is ready to use the training and interventions to advocate for increased budgetary support for mental health and substance use intervention activities