caa a22 4500 44584891X CHVBK 20180317145407.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s10597-010-9301-9 doi (NATIONALLICENCE)springer-10.1007/s10597-010-9301-9 Practice-Driven Evaluation of a Multi-layered Psychosocial Care Package for Children in Areas of Armed Conflict [Elektronische Daten] [M. Jordans, I. Komproe, W. Tol, D. Susanty, A. Vallipuram, P. Ntamatumba, A. Lasuba, J. De Jong] Psychosocial and mental health service delivery frameworks for children in low-income countries are scarce. This paper presents a practice-driven evaluation of a multi-layered community-based care package in Burundi, Indonesia, Sri Lanka and Sudan, through a set of indicators; (a) perceived treatment gains; (b) treatment satisfaction; (c) therapist burden; (d) access to care; (e) care package costs. Across four settings (n=29,292 children), beneficiaries reported high levels of client satisfaction and moderate post-treatment problem reductions. Service providers reported significant levels of distress related to service delivery. Cost analyses demonstrated mean cost per service user to vary from 3.46 to 17.32 € depending on country and specification of costs. The results suggest a multi-layered psychosocial care package appears feasible and satisfactory in reaching out to substantial populations of distressed children through different levels of care. Future replication should address therapist burden, cost reductions to increase sustainability and increase evidence for treatment efficacy. The Author(s), 2010 Practice-driven evaluation nationallicence Psychosocial nationallicence Low- and middle-income countries nationallicence Jordans M. Department of Research and Development, HealthNet TPO, Amsterdam, The Netherlands aut Komproe I. Department of Research and Development, HealthNet TPO, Amsterdam, The Netherlands aut Tol W. Department of Research and Development, HealthNet TPO, Amsterdam, The Netherlands aut Susanty D. Church World Services, Jakarta, Indonesia aut Vallipuram A. Shantiham, Jaffna, Sri Lanka aut Ntamatumba P. HealthNet TPO, Bujumbura, Burundi aut Lasuba A. HeathNet TPO, Yei, Sudan aut De Jong J. VU University Medical Center, Amsterdam, The Netherlands aut Community Mental Health Journal Springer US; http://www.springer-ny.com 47/3(2011-06-01), 267-277 0010-3853 47:3<267 2011 47 10597 https://doi.org/10.1007/s10597-010-9301-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10597-010-9301-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jordans M. Department of Research and Development, HealthNet TPO, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Komproe I. Department of Research and Development, HealthNet TPO, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Tol W. Department of Research and Development, HealthNet TPO, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Susanty D. Church World Services, Jakarta, Indonesia aut NATIONALLICENCE 700 1- Vallipuram A. Shantiham, Jaffna, Sri Lanka aut NATIONALLICENCE 700 1- Ntamatumba P. HealthNet TPO, Bujumbura, Burundi aut NATIONALLICENCE 700 1- Lasuba A. HeathNet TPO, Yei, Sudan aut NATIONALLICENCE 700 1- De Jong J. VU University Medical Center, Amsterdam, The Netherlands aut NATIONALLICENCE 773 0- Community Mental Health Journal Springer US; http://www.springer-ny.com 47/3(2011-06-01), 267-277 0010-3853 47:3<267 2011 47 10597 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer