Transition to Scale: Implementing Low-Cost Learning Through Play (LTP) Plus Cognitive Behaviour Therapy (CBT-THP) for Depressed Mothers in Pakistan

LTP CBT program (LTP+) supports enhanced parental awareness of developmental milestones and improvements in school readiness. There is a pictorial calendar for parents which depicts 8 successive stages of CD, from birth to 3 years, & illustrations of parent-child play & other activities that promote parental involvement, learning, and attachment. The calendar is accompanied by a training manual for non-specialist health care providers, with additional information on CD and techniques for conducting group sessions with parents using the calendar as a focus. The CBT component of the intervention consists of 12 group sessions (60-90 minutes) delivered by LHVs weekly during the first 2 months and then every 2 weeks for a further 2 months. As an integrated care approach to tackling parental & child morbidity stemming from maternal depression, the LTP+ intervention has the potential to reduce costs & produce synergistic positive outcomes in parents & children.