Introduction: Mental health disorders are a leading cause of disability among youth globally, and this has been worsened by the COVID-19 pandemic. In low and middle-income countries like Kenya and in rural Indiana, there is an enormous treatment gap for youth mental disorders due to limited mental health care resources. Goals: The purpose of this project is to examine the implementation of community-based, peer-led management of mental health care screening, and treatment for adolescents in Eldoret, Kenya using the REAIM framework. Methods: We shall conduct a one-week training to peer-mentors on screening for common mental health problems using the SDQ, PHQ-9, GAD-7, and YTP and treating adolescents who screen positive using a 5 session Problem Solving Treatment (PST), an evidence-based treatment for common youth mental health problems. We will then select five of the peers to deliver the intervention under the supervision of the study team at the largest community-based youth drop-in center, Family Health Options Kenya (FHOK), in Eldoret, where the peers already provide mentorship to adolescents. We will use the REAIM Framework to assess the reach, effectiveness, adoption, implementation, and maintenance of this intervention.
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Strengths and Difficulties Questionnaire (SDQ)
Timeframe: On enrollment, at end of PST and six month follow-up
Patient Health Questionnaire 9 (PHQ-9)
Timeframe: On enrollment, at end of PST and six month follow-up
Generalized Anxiety Disorder 7 (GAD-7)
Timeframe: On enrollment, at end of PST and six month follow-up
Youth Top Problem (YTP)
Timeframe: On enrollment, at end of PST and six month follow-up