All cases referred by the Hamdard Force from the community were assigned to the clinical psychologists through their dashboards on the MHPSS portal. The clinical psychologists, also trained in implementing mhGAP-Humanitarian Intervention guidelines, managed stress-related conditions and provided psychosocial interventions for other mental health conditions at Tier 2. They directed 277 cases to the MyCare+ mobile application. This application is part of the MHPSS service model, hybrid in approach and designed as a scalable intervention for stress management.

As part of the pilot implementation of the Hamdard Force intervention (Tier 1) in Khyber Pakhtunkhwa, 400 community mental health workers were trained in Haripur and Kohat to identify and refer people with MHPSS needs, through the Hamdard Force mobile application, which is integrated with the MHPSS web-portal. At Tier 2, a team of clinical psychologists supervised the members of Hamdard Force and assessed the referred cases.

During the pilot implementation in the districts of Haripur and Kohat, 76 trained physicians integrated mental healthcare into their routine practice and reported 627 patients through the mhGAP mobile application. The pilot was implemented in a complex humanitarian setting marked by security concerns, emergency responses, and overlapping public health campaigns. The operational challenges included the availability of trainers, selection of primary care physicians, connectivity issues, and heavy workloads of primary care physicians.