17 The training was supplemented by small research studies on the outcome of nurse-driven psychological treatment. Two studies have provided persuasive evidence that such treatment is effective, and have, in particular, shown the effectiveness of brief forms of treatment. As far as we know, these two studies are amongst the first to be done in Africa, let alone in Zimbabwe. The evaluation of the training and the treatment offered by the trainees indicates that the training was felt to be worthwhile, and that the treatment offered was effective. The views of the trainees were complemented by an independent evaluation in 1998, in which the views of the health managers was canvassed. The managers saw marked changes in both the attitudes shown towards patients, and also in better treatment being offered to patients with psychological disorders. As can be seen from the data summarized above, these were views shared by the trainees themselves. Overall, this programme has shown that psychological disorders, including disorders due to trauma and OVT, can be managed effectively by non-mental health workers. Furthermore, the programme has shown that these skills can be taught effectively. The next stage will be to examine the efficacy of the training done by the trainees themselves, and to evaluate the treatments offered by their trainees. Only then will it be possible to claim that a sustainable system has been created, but the indications to date give some confidence that this can be achieved. Training nurses in the assessment and management of psychological disorders: Report of AMANI Trust’s programme in Mashonaland Central Province, Zimbabwe.