Practice-driven evaluation of a multi-layered psychosocial care package for children in areas of armed conflict

M. J.D. Jordans, I. H. Komproe, W. A. Tol, D. Susanty, A. Vallipuram, P. Ntamatumba, A. C. Lasuba, J. T.V.M. De Jong

Research output: Contribution to journalArticlepeer-review

35 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)267-277
Number of pages11
JournalCommunity Mental Health Journal
Issue number3
StatePublished - Jun 2011
Externally publishedYes


  • Low- and middle-income countries
  • Practice-driven evaluation
  • Psychosocial

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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