Improving mental health services in Malawi through leadership alignment

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of a combined leadership alignment and champion implementation strategy versus a champion strategy alone for integrating evidence-based mental health treatments into various medical settings in Malawi. It addresses the significant mental health treatment gap in low- and middle-income countries by leveraging task-shared mental health interventions. The study aims to enhance the role of organizational leaders in supporting implementation efforts, thereby improving the overall climate for mental health services. By utilizing the Leadership and Organizational Change for Implementation (LOCI) strategy, the research seeks to foster a supportive environment for mental health care delivery.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* 18 years old or older
* Patient receiving medical care in participating district who screened positive for elevated common mental disorder symptoms that day or in the preceding month.

Exclusion Criteria:

* \<18 years old
* Not currently a patient receiving medical care in participating district who screened positive for elevated common mental disorder symptoms that day or in the preceding month.

Where it's running

• Chiradzulu District Hospital
  Chiradzulu, Malawi Recruiting
• Dedza District Hospital
  Dedza, Malawi Recruiting
• Kasungu District Hospital
  Kasungu, Malawi Recruiting
• Machinga District Hospital
  Machinga, Malawi Recruiting
• Mangochi District Hospital
  Mangochi, Malawi Recruiting
• Mchinji District Hospital
  Mchinji, Malawi Recruiting

Study contacts

• Principal investigator: Brian Pence — University of North Carolina, Chapel Hill
• Study coordinator: Brian Pence, PhD, MPH
• Email: bpence@unc.edu
• Phone: 1-919-966-7446

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.