摘要：The ongoing pandemic has increased the demand for mental health services all over the world. In LMIC countries, in the face of scarcity of services, the increased burden has brought about the need to modify and diversify mental health services. We describe the experience of transforming a transdiagnostic psychosocial service for traumatized adolescents and young people aged 14 to 25, in response to COVID-19-related needs. Comparing the effectiveness of faceto-face and online mental health and psychosocial support (MHPSS) services. Method: To assess the dynamics of mental health problems, at the intake phase, at the end of the service, and three months after the end of the service, all service users are routinely administered the screening tools for depression (PHQ-9), anxiety (GAD7) and health status (EQ-5D-5L); PTSD rates are measured by ITQ and adverse childhood experiences are assessed by WHO ACEs questionnaire. Data from May 2019 to March 2020 have been collected through paper-based questionnaires, data collection since the announcement of lockdown is altered to online. The statistical data from the service database has been analysed to examine the effectiveness of the remote service delivery vs the TAU. Results: According to the preliminary analysis of clinical outcomes, the effectiveness of remote service is almost identical to the previous – face to face – mode of counselling; The vast majority of service users show improvement according to key outcomes. Conclusions: The presentation will discuss the service transformation process, development of shorter modules of psychosocial counselling, challenges and benefits of remote mental health services, and the corresponding lessons learnt.
