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Additional File 2: Roles of primary care workers in the task sharing intervention service Health Centre nurses and health officers Role o Establish rapport and therapeutic alliance o Monitor response to treatment o Adjust medication as needed o Manage side effects of medication o Detect and manage non-adherence o Monitor suicide risk o Psychoeducate patient and caregivers o Address current psychosocial stressors o Reactivate social networks o Provide support to patient and caregivers o Conduct a physical health review o Screen and brief intervention for co-morbid substance misuse o Provide regular follow-up (minimum 3monthly) o Detect those who drop out of care and arrange outreach by HEW o Know when to refer for specialist review Health extension workers Role o Establish therapeutic rapport o Psychoeducate and support patient and caregivers o Facilitate rehabilitation o Support adherence and engagement with care o Detect relapse o Detect side effects of medication o Provide outreach to those who drop out of care o Awareness-raising within community to counter stigma, discrimination and abuse o Know when to refer to health centre Referral / consultation criteria o Active suicide intent o Inadequate food/fluid intake o Persistently non-adherent to medication o Acutely disturbed and not manageable at home o Pregnancy/breastfeeding o Medical complications o Unmanageable side effects o 2 or more relapses in 12 months prior to review (indicating poor control) o Treatment-resistance Referral criteria o Active suicide intent o Inadequate food / fluid intake o Persistently non-adherent to medication o Acutely disturbed and not manageable at home o Pregnancy / breastfeeding o Medical complications o Unmanageable side effects