an international workshop to bring together stakeholders from across SSA and to foster discussions about improving care for people suffering from MNS disorders and what steps, with potential for the greatest impact, might be considered to bridge the treatment gap. The development of a diverse, well-trained network of MNS health care workers in SSA was identified during the workshop and in subsequent stakeholder conversations as a feasible step toward meeting the needs of the people in the region.
Given the broad interest to further examine this particular treatment gap; the IOM Forum convened a second workshop in Kampala, Uganda, on September 4 and 5, 2012. The goal of the workshop was to bring together key stakeholders to discuss candidate core competencies that providers might need to help ensure the effective delivery of services for MNS disorders (see Box 1, Statement of Task). The workshop focused on candidate competencies for four MNS disorders that account for the greatest burden in low- and middle-income countries: depression, psychosis, epilepsy, and alcohol use disorders (Collins et al., 2011). Some high burden disorders identified at the workshop and in 2009 (IOM, 2009), but not addressed at this workshop, that have a significant burden include mental disorders such as bipolar depression, anxiety, and attention deficit hyperactivity disorder; neurological disorders such as stroke, dementia, Alzheimer’s disease, and Parkinson’s disease; and other substance use disorders such as cocaine addiction.
Organization of the Workshop and Report
In addition to a series of overview presentations, the workshop was organized around a series of breakout sessions (Appendix E, Agenda). The breakout sessions were designed for participants to discuss a series of draft materials that were prepared, and distributed, before the meeting. The materials included a set of templates that identified candidate core competencies, with one template for each disorder (depression, psychosis, epilepsy, alcohol use), listing characteristics for the different provider types to be discussed, including treatment environments; candidate core competencies relative to screening and identification, diagnosis, and treatment and care; and relationship roles with other providers. Prior to the workshop, these draft templates were shared with individual members of the working groups assigned to facilitate workshop discussions (Appendix F). Following the workshop, working group members checked the updated templates for clarity and to ensure