Such a program should involve at least three operational components:

• Adaptation of existing screening and diagnostic tools for bipolar disorder, with a view to accounting for differences in the local presentation of the disorder and making them suitable for use by personnel in the primary care setting.

• Pharmacological treatment, with specific guidelines for symptom control in acute episodes, maintenance of stabilization and prevention of relapse, and means of ensuring adherence to the treatment protocol.

• Mobilization of family and community support, including providing education on the nature of the disorder and its treatment, involving the family in simple problem-solving training, and involving the local community in providing a supportive and nonstigmatizing environment.

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