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Improving the effectiveness of psychotherapy in two public hospitals in Nairobi

Published online by Cambridge University Press:  02 January 2018

Fredrik Falkenström ,
Matthew David Gee ,
Mary Wangari Kuria ,
Caleb Joseph Othieno  and
Manasi Kumar
Fredrik Falkenström
Affiliation:
Centre for Psychotherapy Research and Education, Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, and Stockholm Health Care Services, Stockholm County Council, Sweden
Matthew David Gee
Affiliation:
Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK; Department of Psychiatry, University of Oxford, UK
Mary Wangari Kuria
Affiliation:
Department of Psychiatry, College of Health Sciences, University of Nairobi, Kenya
Caleb Joseph Othieno
Affiliation:
Department of Psychiatry, College of Health Sciences, University of Nairobi, Kenya
Manasi Kumar
Affiliation:
Department of Psychiatry, College of Health Sciences, University of Nairobi, Kenya; Research Department of Clinical Health and Educational Psychology, University College London, UK; email [email protected]
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Abstract

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This paper is the first in a planned series of papers studying the effectiveness of psychotherapy and counselling in Nairobi. It describes a method for checking the effectiveness of psychotherapy and improving service quality in a Kenyan context. Rather than prematurely imposing psychotherapy protocols developed in Western countries in another cultural context, we believe that first studying psychological interventions as they are practised may generate understanding of which psychological problems are common, what interventions therapists use, and what seems to be effective in reducing psychiatric problems. The initial step is to assess outcome of psychological treatments as they are conducted. This is followed by statistical analyses aimed at identifying patient groups who are not improving at acceptable rates. Therapists will then be trained in a ‘best practice’ approach, and controlled trials are used in a final step, testing new interventions specifically targeted at patient groups with sub-optimal outcomes.

Type
Special Paper
Information
BJPsych International , Volume 14 , Issue 3 , August 2017 , pp. 64 - 66
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Royal College of Psychiatrists, 2017

References

Chowdhary, N., Sikander, S., Atif, N., et al (2014) The content and delivery of psychological interventions for perinatal depression by non-specialist health workers in low and middle income countries: a systematic review. Clinical Obstetrics and Gynaecology, 28, 113–133.Google Scholar
Falkenström, F. (2010) Does psychotherapy for young adults in routine practice show similar results as therapy in randomized clinical trials? Psychotherapy Research, 20, 181–192.Google Scholar
Gisore, P., Kaseje, D., Were, F., et al (2014) Motivational interviewing intervention on health-seeking behaviors of pregnant women in western Kenya. Journal of Applied Biobehavioral Research, 19, 144–156.Google Scholar
Holmqvist, R., Philips, B. & Barkham, M. (2015) Developing practice-based evidence: benefits, challenges, and tensions. Psychotherapy Research, 25, 20–31.CrossRefGoogle Scholar
Issa, B. A., Yussuf, A. D., Abiodun, O. A., et al (2015) Hospital doctors' management of psychological problems at a Nigerian tertiary health institution. BJPsych International, 12, S11–S15.Google Scholar
Lampropoulos, G. K., Goldfried, M. R., Castonguay, L. G., et al (2002) What kind of research can we realistically expect from the practitioner? Journal of Clinical Psychology, 58, 1241–1264.Google Scholar
Möller-Leimkühler, A. M. (2002) Barriers to help-seeking by men: a review of sociocultural and clinical literature with particular reference to depression. Journal of Affective Disorders, 71, 1–9.Google Scholar
Muriungi, S. K. & Ndetei, D. M. (2013) Effectiveness of psycho-education on depression, hopelessness, suicidality, anxiety and substance use among basic diploma students at Kenya Medical Training College. South African Journal of Psychiatry, 19, 41–50.Google Scholar
Murray, L. K., Dorsey, S., Haroz, E., et al (2014) A common elements treatment approach for adult mental health problems in low- and middle-income countries. Cognitive and Behavioral Practice, 21, 111–123.Google Scholar
Papas, R. K., Sidle, J. E., Gakinya, B. N., et al (2011) Treatment outcomes of a stage 1 cognitive–behavioral trial to reduce alcohol use among human immunodeficiency virus-infected out-patients in Western Kenya. Addiction, 106, 2156–2166.Google Scholar
Roth, A. & Fonagy, P. (2005) What Works for Whom: A Critical Review of Psychotherapy Research (2nd edn). Guilford Press.Google Scholar
Swift, J. K., Callahan, J. L., Ivanovic, M., et al (2013) Further examination of the psychotherapy preference effect: a meta-regression analysis. Journal of Psychotherapy Integration, 23, 134–145.CrossRefGoogle Scholar
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