Culturally Adapted CMAP Plus LTP for Refugee Mothers With History of Self-harm in Pakistan
Self-harm, Child Development
About this trial
This is an interventional treatment trial for Self-harm focused on measuring Self-harm, Child development, Refugee mothers, CMAP, Learning through Play, LTP, Pakistan
Eligibility Criteria
Inclusion Criteria:
- 18 years and above refugee mothers with children aged between 0-33 months.
- History of self-harm.
- Resident in the study site.
- Capacity to provide informed consent.
- Available for the duration of the study.
Exclusion Criteria:
- Unable to provide consent due to severe mental or physical illness.
- Unlikely to be available for the entire duration of the study.
Sites / Locations
- Community SettingsRecruiting
- Community settingsRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
CMAP Plus LTP added to TAU
TAU alone
C-MAP is a manual assisted intervention based on the principles of CBT which is focused on evaluation of the self-harm attempt, crisis skills, problem solving and basic cognitive techniques to manage emotions, negative thinking, and relapse prevention strategies. As family conflicts are a common issue with this group one session is focused on the use of culturally sensitive training in assertiveness and conflict management. The LTP is a community-based parenting intervention designed to deal with early child development. The central feature of the LTP intervention is a pictorial calendar devised for parents which depicts eight successive stages of child development from birth to 3 years along with illustrations of parent-child play and other activities that promote parental involvement, learning, and attachment. This will be added to Treatment as Usual
TAU alone will include routine follow up by Community Health Workers (CHWs) in Pakistan. Their work includes assisting with all aspects of maternal, new-born and childcare. Participants in treatment as usual arm will receive routine care.