Culturally Adapted CMAP Plus LTP for Refugee Mothers with History of Self-harm in Pakistan

Objectives: * To asses the feasibility and acceptability of a culturally adapted manual assisted brief psychological intervention (CMAP) plus Learning through Play (LTP) for refugee mothers with history of self-harm having children 0-33 months. (Integrated intervention called CMAP Plus) * To assess if CMAP Plus will reduce the repetition of self-harm in refugee mothers having children aged between 0-33 months. * To determine if the intervention improves infant development and maternal attachment. * To explore participants experiences with the intervention. Study design and setting: This will be a feasibility cluster randomized control trial (cRCT) of culturally adapted CMAP Plus LTP intervention with refugee mothers from Quetta and Peshawar, Pakistan. Sample size: We aim to recruit a sample of 80 refugee mothers in the study.