Effectiveness of NIMHANS ECHO blended tele-mentoring model on Integrated Mental Health and Addiction for counsellors in rural and underserved districts of Chhattisgarh, India

Mehrotra, Kanika; Chand, Prabhat; Bandawar, Mrunal; Sagi, Mallikarjun Rao; Kaur, Sandeepa; G, Aurobind; Raj, Amrita; Jain, Sumi; Komaromy, Miriam; Murthy, Pratima; Arora, Sanjeev

doi:10.1016/j.ajp.2018.07.010

Cited by 66 publications

(68 citation statements)

References 7 publications

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“…17,36,38,39,51,52,56,71 In a subset of assessments, knowledge surveys were constructed by the authors and administered. 15,23,26,39,41,47 The authors found significant improvements in objectively measured content knowledge. By contrast, a cluster randomized controlled trial on chronic pain education did not show knowledge gains among ECHO participant clinics compared with nonparticipant clinics.…”

Section: Provider-related Outcomesmentioning

confidence: 93%

Impact of Project ECHO Models of Medical Tele-Education: a Systematic Review

et al. 2019

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BACKGROUND: Extension for Community Health care Outcomes (ECHO) and related models of medical teleeducation are rapidly expanding; however, their effectiveness remains unclear. This systematic review examines the effectiveness of ECHO and ECHO-like medical teleeducation models of healthcare delivery in terms of improved provider-and patient-related outcomes. METHODS: We searched English-language studies in PubMed, Embase, and PsycINFO databases from 1 January 2007 to 1 December 2018 as well as bibliography review. Two reviewers independently screened citations for peer-reviewed publications reporting provider-and/ or patient-related outcomes of technology-enabled collaborative learning models that satisfied six criteria of the ECHO framework. Reviewers then independently abstracted data, assessed study quality, and rated strength of evidence (SOE) based on Cochrane GRADE criteria. RESULTS: Data from 52 peer-reviewed articles were included. Forty-three reported provider-related outcomes; 15 reported patient-related outcomes. Studies on provider-related outcomes suggested favorable results across three domains: satisfaction, increased knowledge, and increased clinical confidence. However, SOE was low, relying primarily on self-reports and surveys with low response rates. One randomized trial has been conducted. For patient-related outcomes, 11 of 15 studies incorporated a comparison group; none involved randomization. Four studies reported care outcomes, while 11 reported changes in care processes. Evidence suggested effectiveness at improving outcomes for patients with hepatitis C, chronic pain, dementia, and type 2 diabetes. Evidence is generally low-quality, retrospective, non-experimental, and subject to social desirability bias and low survey response rates. DISCUSSION: The number of studies examining ECHO and ECHO-like models of medical tele-education has been modest compared with the scope and scale of implementation throughout the USA and internationally. Given the potential of ECHO to broaden access to healthcare in rural, remote, and underserved communities, more studies are needed to evaluate effectiveness. This need for evidence follows similar patterns to other service delivery models in the literature.

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Section: Provider-related Outcomesmentioning

confidence: 93%

Impact of Project ECHO Models of Medical Tele-Education: a Systematic Review

et al. 2019

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“…Six thousand five hundred health care providers, i.e., Doctors, Nurses, counselors, have received substance use and mental health online-training under the above online program since 2014. Some training is brief (up to a maximum of 8 h), whereas others are intense (up to 60 h) (Mehrotra et al, 2018).…”

Section: Contents Lists Available At Sciencedirectmentioning

confidence: 99%

A smartphone based e-Consult in addiction medicine: An initiative in COVID lockdown

Ganesh

Sahu

Nair

et al. 2020

Asian Journal of Psychiatry

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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“…NIMHANS has initiated short-term strategies, such as training for general practitioners (3-month course), and midlevel health care service providers such as the NIMHANS ECHO model. 3,29,30 However, the success of these training strategies is often limited due to lack of organizational support for primary care physicians/service providers, lack of financial support, and poor attendance in training sessions. 10 Despite having more private psychiatry training institutes, total seats in government institutes are higher in India.…”

Section: Table 4 Trainee Seats and Requirement Of Staff/psychiatristsmentioning

confidence: 99%

Inequity in Distribution of Psychiatry Trainee Seats and Institutes Across Indian States: A Critical Analysis

Ransing¹,

Agrawal

Bagul

et al. 2020

JNRP

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Background The delivery of mental health services largely depends on the adequacy of human resources. In India, the deficit of psychiatrists is more than 90% and is one of the major challenges that needs to be tackled to address the huge burden of mental illness. Psychiatry trainee institutes play a vital role in reducing human resource deficit and inequality in delivering mental health care. However, the distribution pattern of psychiatry trainee seats and institutes across Indian states is unknown. Therefore, we estimated the number of psychiatry trainee seats and institutes in each Indian state and union territory (UT). Materials and Methods In this cross-sectional study, psychiatry trainee seats and institutes were searched on the official web sites of Medical Council of India and National Board of Examinations. The data available on these web sites until December 2019 were included. State-wise data were compared using proportion and percentages. The psychiatry trainee index (PTI) was calculated and compared across Indian states and UTs. Results Among 221 Indian psychiatry trainee institutes considered in the present study, 116 (52.48%) were private institutes and 105 (47.51%) were government institutes. Overall, more psychiatry trainee seats were reported in government institutes (n = 565, 65.89%) than in private institutes. National PTI was considered fair (0.06), and based on their PTIs, Indian states and UTs were classified as follows: worst (n = 9), poor (n = 8), fair (n = 9), average (n = 7), good (n = 1), and excellent (n = 2). Conclusion A huge deficit of psychiatry trainees and institutes exists in more than two-thirds of Indian states and UTs, along with a huge maldistribution of seats. PTI and its distribution across the states and UTs are a crucial indicator of the need to improve the access and equity of mental health care.

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Effectiveness of NIMHANS ECHO blended tele-mentoring model on Integrated Mental Health and Addiction for counsellors in rural and underserved districts of Chhattisgarh, India

Cited by 66 publications

References 7 publications

Impact of Project ECHO Models of Medical Tele-Education: a Systematic Review

Impact of Project ECHO Models of Medical Tele-Education: a Systematic Review

A smartphone based e-Consult in addiction medicine: An initiative in COVID lockdown

Inequity in Distribution of Psychiatry Trainee Seats and Institutes Across Indian States: A Critical Analysis

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