Relief From Stress Via Social Protection in Senegal

The primary objective of the pilot feasibility cluster-randomized controlled trial is to assess the feasibility and acceptability of both the Self-Help Plus intervention and trial procedures through the collection of quantitative and qualitative data. The study will include two trial arms: (1) a control treatment-as-usual arm and (2) an intervention arm that will receive the adapted Self Help Plus intervention. The findings of the research detailed in this protocol may be used to inform the design of a potential larger randomized control trial powered to assess the effectiveness of Self-Help Plus in Senegalese populations. Additional secondary objectives of the pilot feasibility study are listed below. 1. Assess feasibility of cluster randomization procedure to limit biases and risk of contamination; 2. Determine recruitment and retention rates for Self-Help Plus sessions; 3. Evaluate the feasibility and acceptability of intervention delivery by Self-Help Plus trained non-specialists; 4. Assess the safety of an abbreviated training curriculum (during training, intervention delivery, and supervision); 5. Assess feasibility and acceptability of outcome measures; 6. Assess ethics and safety of trial procedures using the adverse event protocol;