Community resources for mental health care in India

Murthy, R. Srinivasa

doi:10.1017/s1121189x00008265

Cited by 4 publications

(2 citation statements)

References 16 publications

(5 reference statements)

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“…While the mental health scenario is improving in the country, constraints to access availability and affordability of care continue. [35–37] Manpower resources remain unequal between the rural[38] and urban[39–41] areas; funding, number of trained mental health professionals, inpatient, emergency and crisis facilities, and psychotropic medications are in short supply. [42] Psychiatric care is delivered through the mental hospitals, psychiatric departments of teaching general hospitals, district hospitals, and district hospital mental health centers, as part of the National Mental Health Program.…”

Section: Introductionmentioning

confidence: 99%

Early intervention in psychotic disorders: Challenges and relevance in the Indian context

Keshavan

Shrivastava

Gangadhar

2010

Indian J Psychiatry

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Over the last two decades, there has been an increasing interest in the concept of early intervention (EI) in psychotic disorders, notably schizophrenia. Several lines of research underlie this emerging paradigm shift: (a) an increasingly well-established association between the duration of prolonged untreated illness and poor outcome; (b) evidence of progressive neurobiological changes in the early course of schizophrenia both in the pre-psychotic and psychotic phases, as evidenced by brain imaging studies in schizophrenia; and (c) emerging data, albeit preliminary, suggesting the efficacy and effectiveness of EI programs in improving the outcome in these patients. Mental health service systems across the globe, including Asian countries, have been incorporating specialized early intervention programs. However, literature on EI in the Indian setting is relatively sparse. In this article, we will review the rationale and approaches to EI and the application of these approaches to the Indian context, in light of the available literature. We also examine the constraints in the implementation of EI. Controlled data are needed to evaluate EI and the roadblocks to them, in order to implement EI in the resource-strapped mental health service settings in India.

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Section: Introductionmentioning

confidence: 99%

Early intervention in psychotic disorders: Challenges and relevance in the Indian context

Keshavan

Shrivastava

Gangadhar

2010

Indian J Psychiatry

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“…1994 ). Until recently, much‐needed research pursuing broader objectives of cultural psychiatry to support clinical practice and community psychiatry has been lacking ( Murthy 2000). The culturally sensitive epidemiological study in south‐west India by Carstairs & Kapur (1976) represented an exceptional effort to develop mainstream epidemiological research interests with a cultural orientation.…”

Section: National Focus: Mental Health In Indiamentioning

confidence: 99%

Global, national, and local approaches to mental health: examples from India

Weiss

Isaac

Parkar

et al. 2001

Tropical Med Int Health

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Neuropsychiatric disorders and suicide amount to 12.7% of the global burden of disease and related conditions (GBD) according to World Health Organization (WHO) estimates for 1999, and recognition of the enormous component of mental illness in the GBD has attracted unprecedented attention in the field of international health. Focusing on low‐ and middle‐income countries with high adult mortality, this article discusses essential functions of international agencies concerned with mental health. A review of the history and development of national mental health policy in India follows, and local case studies consider the approach to planning in a rural mental health programme in West Bengal and the experience in an established urban mental health programme in a low‐income community of Mumbai. Local programmes must be attentive to the needs of the communities they serve, and they require the support of global and national policy for resources and the conceptual tools to formulate strategies to meet those needs. National programmes retain major responsibilities for the health of their country’s population: they are the portals through which global and local interests, ideas, and policies formally interact. International priorities should be responsive to a wide range of national interests, which in turn should be sensitive to diverse local experiences. Mental health actions thereby benefit from the synergy of informed and effective policy at each level.

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A critical analysis of the South African health policies and programmes with regard to eye health promotion

Sithole

2014

European Journal of Public Health

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Eye health promotion is an important aspect of VISION 2020 campaign that aims to eliminate unwarranted cases of avoidable blindness worldwide by the year 2020.Most developing countries, including South Africa, have a serious burden of eye diseases and unwarranted causes of visual impairment and blindness. The purpose of this research therefore was to highlight the lack of an integrated eye health promotion policy in the South African primary health care system which can play a major role in the elimination of this burden of disease and also to make proposals for eye health promotion policy development in South Africa.A combination of quantitative and qualitative research methods was used in this study. Questionnaires and interviews were conducted with all national and provincial health managers of portfolios relevant to eye care. Also, various health policy documents were requested from the National and Provincial Department of Health to ascertain claims of any existing guidelines on eye care. The policy documents and guidelines obtained had no specific reference to eye health promotion.Only 11 (23%) of the managers of provincial health directorates reported that they have integrated vision screening in their health promotion programmes as part of eye health promotion strategies. Eye care managers in the provinces reported that

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Community resources for mental health care in India

Cited by 4 publications

References 16 publications

Early intervention in psychotic disorders: Challenges and relevance in the Indian context

Early intervention in psychotic disorders: Challenges and relevance in the Indian context

Global, national, and local approaches to mental health: examples from India

A critical analysis of the South African health policies and programmes with regard to eye health promotion

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