•  Lessons learned from other areas. Throughout the workshop, examples of integration of MNS health care into established health systems and approaches to training and engagement were discussed. Many participants stressed the importance of examining successful sustained efforts around candidate core competencies, integration, training, and continuing education. One participant noted that efforts to reduce the treatment gap for MNS disorders need not start from “square one.”

•  Collaboration and engagement. A large number of participants indicated that developing partnerships with a diverse array of stakeholders will be critical for improving care for MNS disorders across SSA. Participants suggested that partners with the technical expertise to help further develop the candidate core competencies into a plan of action would be valuable. In addition, many participants indicated that collaborations might focus on governments and NGOs that can help identify financial resources, engage policy makers, and create collaborations across disease areas with shared competencies.

•  Evidence-based research. Many participants noted that a challenge to securing government, private-sector, and public support for MNS-related initiatives is the lack of evidence-based information on the burden of MNS disorders in many SSA countries. Throughout the discussions, participants urged investments in research to extend the evidence base for task shifting and task sharing as an approach to the provision of services for patients with MNS disorders. One participants noted that the treatment gap for MNS disorders might be reduced through a greater understanding of the evidence base for integrating MNS health services into other platforms of care.

Closing Remarks

Ndyanabangi of the Uganda Ministry of Health suggested that upon returning home, participants review their different approaches to capacity building and look for potential mechanisms to improve on programs that are delivering competencies needed for MNS health workers. Collins of NIMH stressed the need for accountability, both for governments to be accountable in terms of what they do for patients with MNS disorders, and for the workshop participants to be accountable for taking this process forward.

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