ORCID Profile
0000-0002-7937-3226
Current Organisations
King's College London Institute of Psychiatry Psychology & Neuroscience
,
King's College London
,
Addis Ababa University, College of Health Sciences, School of Medicine
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: Royal College of Psychiatrists
Date: 2016
DOI: 10.1192/BJP.BP.114.153676
Abstract: Developing evidence for the implementation and scaling up of mental healthcare in low- and middle-income countries (LMIC) like Ethiopia is an urgent priority. To outline a mental healthcare plan (MHCP), as a scalable template for the implementation of mental healthcare in rural Ethiopia. A mixed methods approach was used to develop the MHCP for the three levels of the district health system (community, health facility and healthcare organisation). The community packages were community case detection, community reintegration and community inclusion. The facility packages included capacity building, decision support and staff well-being. Organisational packages were programme management, supervision and sustainability. The MHCP focused on improving demand and access at the community level, inclusive care at the facility level and sustainability at the organisation level. The MHCP represented an essential framework for the provision of integrated care and may be a useful template for similar LMIC.
Publisher: Springer Science and Business Media LLC
Date: 07-07-2014
Publisher: Elsevier BV
Date: 11-2015
DOI: 10.1016/J.JAD.2015.07.015
Abstract: Brief depression screening questionnaires may increase detection of depression in primary care settings but there have been few validation studies carried out in typical populations in low-income countries. Cultural validation of the Patient Health Questionnaire (PHQ-9/PHQ-2), the 20-item Self-Reporting Questionnaire (SRQ-20) and the Kessler scales (K6/K10) was carried out in 306 adults consecutively attending primary care facilities in small towns in Ethiopia. To assess criterion validity, the gold standard assessment for presence of Major Depressive Disorder (MDD) was made by Ethiopian psychiatric nurses using the Mini International Neuropsychiatric Interview. The prevalence of gold standard MDD was 5.9%, with irritability more common than depressed mood or anhedonia. The area under the receiver operating characteristic curve indicated good performance of the PHQ-9, SRQ-20, K6 and K10 (0.83-0.85) but only fair for the PHQ-2 (0.78). No cut-off score had acceptable sensitivity combined with adequate positive predictive value. All screening questionnaires were associated with disability and the PHQ-9 and SRQ-20 were associated with higher health service contacts, indicating convergent validity. Construct validity of all scales was indicated by unidimensionality on exploratory factor analysis. Test-retest reliability was not assessed. Brief depression screening questionnaires were found to be valid in primary care in this low-income country. However, these questionnaires do not have immediate applicability in routine clinical settings. Further studies should evaluate utility of indicated screening embedded within health system changes that support MDD detection. Investigation of irritability as a core depression symptom is warranted.
Publisher: Springer Science and Business Media LLC
Date: 22-03-2016
Publisher: Springer Science and Business Media LLC
Date: 16-02-2016
Publisher: Royal College of Psychiatrists
Date: 2016
DOI: 10.1192/BJP.BP.114.153858
Abstract: Few studies have evaluated the implementation and impact of real-world mental health programmes delivered at scale in low-resource settings. To describe the cross-country research methods used to evaluate district-level mental healthcare plans (MHCPs) in Ethiopia, India, Nepal, South Africa and Uganda. Multidisciplinary methods conducted at community, health facility and district levels, embedded within a theory of change. The following designs are employed to evaluate the MHCPs: (a) repeat community-based cross-sectional surveys to measure change in population-level contact coverage (b) repeat facility-based surveys to assess change in detection of disorders (c) disorder-specific cohorts to assess the effect on patient outcomes and (d) multilevel case studies to evaluate the process of implementation. To evaluate whether and how a health-system-level intervention is effective, multidisciplinary research methods are required at different population levels. Although challenging, such methods may be replicated across erse settings.
Publisher: Springer Science and Business Media LLC
Date: 2014
Publisher: Springer Science and Business Media LLC
Date: 03-04-2015
Publisher: Public Library of Science (PLoS)
Date: 18-02-2014
Publisher: Wiley
Date: 29-05-2022
DOI: 10.1111/HEX.13539
Abstract: Empowerment of families raising children with developmental disabilities (DDs) is essential to achieving rights‐based service development. In this qualitative study, we investigated stakeholder perceptions on the role of advocacy and empowerment in developing caregiver interventions for families of children with DDs in a global context. Participants had experience with at least one intervention, namely the Caregiver Skills Training developed by the World Health Organization (WHO). Participants were clinicians, caregivers and researchers representing five continents, and representatives of WHO and Autism Speaks. Two focus group discussions and 25 in idual interviews were conducted. Data were analysed thematically. Three themes were developed: empowerment as independence and as a right the role and practices of advocacy and using evidence to drive advocacy. Many professional participants defined empowerment within the realms of their expertise, focusing on caregivers' in idual skills and self‐confidence. Caregivers expressed that this expert‐oriented view fails to acknowledge their intuitive knowledge and the need for community‐level empowerment. Participants discussed the challenges of advocacy in light of competing health priorities. The gap between the rights of caregivers and the availability of services, for ex le, evidence‐based interventions, was highlighted as problematic. Scientific evidence was identified as a key for advocacy. Rights‐orientated empowerment of caregivers and advocacy may make vital contributions to service development for children with DDs in contexts worldwide. Research questions were revised based on views presented during focus group discussions. Participant feedback on preliminary themes informed the development of the interview guides.
Publisher: Royal College of Psychiatrists
Date: 05-2004
DOI: 10.1192/PB.28.5.171
Abstract: At a London teaching hospital, the existing off-site consultation model psychiatric liaison service for older people was replaced with an on-site liaison model service in December 2000. Several indicators of the functioning of the service were audited using identical methods before and after this change. The case-load increased by 50%, but the liaison psychiatrists were more satisfied with the appropriateness of referrals. The case mix did not change. The new service achieved target waiting times more consistently, particularly for urgent referrals. Referring teams were more satisfied with the speed of response, while the new service maintained the salience and clarity of advice. Findings are on the whole favourable, and support the wider introduction of specialist old-age liaison psychiatric services.
Publisher: Public Library of Science (PLoS)
Date: 27-12-2012
Publisher: Springer Science and Business Media LLC
Date: 12-10-2018
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: Ethiopia
No related grants have been discovered for Charlotte Hanlon.