The Connecting People model was adapted to address the unique challenges facing Sierra Leone during the Ebola outbreak. An intervention model and training programme was developed, Sababu, meaning 'connections that may bring benefit'. A key aspect of the study was engagement with local stakeholders throughout the research design and implementation, thus enhancing long-term sustainability of its outcomes.

First, a feasibility and acceptability study examined stakeholder perceptions using brief ethnographic methods.

Second, the evidence base and feasibility findings were modelled and validated in focus groups with Sierra Leone stakeholders and members of the UK Diaspora community.

Third, a pilot study assessed the impact of the adapted intervention on district level mental health nurses’ knowledge, skills, attitudes, and behaviour using qualitative data and a training evaluation tool developed co-productively with stakeholders. The intervention model endured several iterations as the context in the country changed due to the Ebola outbreak.

The pilot study found improvements in the nurses’ skills of communicating and building relationships with service users, identifying assets and linking to community resources. Barriers such as stigma, reluctance to change from district health managers and policy makers, and significant financial and time constraints to embed the model into nurse practice were identified.

This study suggests that it is important to harness local understanding of mental disorders, build capacity of the existing workforce and enhance community engagement with services for mental health social intervention strategies to be effective.