Thinking Healthy Program - Peer Delivered, India (THPP-I) (THPP-I)
Unipolar Depression

About this trial
This is an interventional treatment trial for Unipolar Depression focused on measuring Maternal depression
Eligibility Criteria
Inclusion Criteria:
- In the 2nd or 3rd trimester of pregnancy
- Aged 18 years and over
- Intending to reside in the selected areas of the intervention delivery for the entire duration of the study (mothers intending to be away for more than 2 months during or after the period of child birth will be excluded).
Exclusion criteria:
- Mothers requiring immediate inpatient care for any reason (medical or psychiatric)
- Mothers who do not speak any of the following languages: Konkani, Hindi, English, Marathi
- Mothers whose expected date of delivery is within 3 weeks of their screening date
- Previously screened using the PHQ-9 within the last month
- Mothers with difficulty hearing/speaking which makes the assessment difficult
Sites / Locations
- Sangath
Arms of the Study
Arm 1
Arm 2
Experimental
Other
THPP-I
Enhanced usual care (EUC)
TPs in the THPP-I group receive, in addition to enhanced usual care (EUC), between 6 to 14 sessions of THPP (simple cognitive behaviour therapy) starting from their recruitment in the second/ third trimester until up to 6 months after child birth. Sessions will be delivered by peers on an individual basis at a location of convenience to the TPs.
Enhanced usual care (EUC) will comprise communicating the results of the screening to the mother through an information sheet on self-care for mental health, communicating the results to the mother's gynaecologist, providing the gynaecologist with the WHO mental health gap (mhGAP) guidelines for the treatment of depression, and providing guidance on referral of depressed mothers to mental health services.