Mental Health Assessment Project (MHAP)
The aim of the study is to determine the effectiveness of a transdiagnostic psychotherapy intervention - namely, Common Elements Treatment Approach (CETA) - in reducing the severity of mental health symptoms experienced by torture and violence survivors displaced from Burma into Thailand. Specifically, the intervention seeks to measure reductions (if any) in symptoms of depression and trauma.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Study of Effectiveness of Mental Health Interventions Among Torture Survivors on the Thailand-Burma Border|
- depression symptomology [ Time Frame: 10-12 weeks ] [ Designated as safety issue: No ]Depression symptoms will be measured using a modified, locally validated version of the Hopkins Symptoms Checklist (HSCL. At the end of the intervention, the case group and the wait-control group will be re-interviewed. The mean change in the various subscales between pre and post intervention interviews will be calculated and subtracted from the mean change for the wait-control group.
- trauma symptomology [ Time Frame: 10-12 weeks ] [ Designated as safety issue: No ]Trauma exposure and symptoms will be measured using a modified, locally validated version of the Harvard Trauma Questionnaire (HTQ). At the end of the intervention, the case group and the wait-control group will be reinterviewed. The mean change in the various subscales between pre and post intervention interviews will be calculated and subtracted from the mean change for the wait-control group.
|Study Start Date:||September 2011|
|Study Completion Date:||November 2012|
|Primary Completion Date:||November 2012 (Final data collection date for primary outcome measure)|
No Intervention: Wait-Control
Eligible study subjects assigned to the wait-control group were monitored regularly while being asked to wait until the intervention was completed for the group receiving the CETA intervention, after which time they were offered CETA counseling if they wished.
Eligible study subjects randomized into the CETA intervention were offered ten weeks of counseling sessions, consisting of nine elements designed to treat symptoms of common mental health disorders including depression, PTS, and anxiety and to provide skills to deal with life stressors.
Behavioral: Common Elements Treatment Approach
CETA components include:
Other Name: CETA
The study is part of an award by the USAID Victims of Torture Fund (USAID/VTF) to JHU to work with local and international organizations serving survivors of torture and systematic violence. For this study, the intent is to assist in the design, implementation, monitoring, and evaluation of programming to understand and address the psychosocial needs of Burmese displaced across the Thai/Burma border who are living in the area of Mae Sot, Tak Province in Thailand. Specifically this project involves collaboration with the Burma Border Projects (BBP), the Mae Tao Clinic (MTC), the Assistance Association for Political Prisoners (AAPP), and Social Action for Women (SAW), to help improve the quality and effectiveness of psychosocial and mental health programs.
The Common Elements Treatment Approach (CETA) is a transdiagnostic treatment approach developed for delivery by lay counselors in low and middle income countries (LMIC) with few mental health professionals. CETA was designed to treat symptoms of common mental health disorders including depression, PTS, and anxiety, and to provide skills to deal with life stressors. includes engagement, psychoeducation, anxiety management strategies, behavioral activation, cognitive coping/restructuring, imaginal gradual exposure, suicide/homicide/danger assessment and planning, and screening and brief intervention for alcohol.
|Assistance Association for Political Prisoners; Mae Tao Clinic; Social Action for Women|
|Mae Sot, Tak Province, Thailand|
|Principal Investigator:||Courtland Robinson, PhD||Johns Hopkins Bloomberg School of Public Health|