There weren't enough mental health professionals in simbabway to meet the needs of his community. Dixon thought one way to help could be to bring elderly women or grandmothers into the fold. But when dixon told his friends in the medical commune about his idea, they did not share his enthusiasm. Everyone thought it just wouldn't work, because ferap is designed to be delivered by trained therapist such as psychiatrist or clinical psychologists. And grandmothers with minimal education just did not have the capacity to do this kind of work.