Mental health practice in private primary care In rural India: a survey of practitioners

Badrakalimuthu, Vellingiri Raja; Sathyavathy, Vellankoil Rangasamy

doi:10.1002/j.2051-5545.2009.tb00229.x

Cited by 10 publications

(7 citation statements)

References 3 publications

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“…Depressive disorders were the most frequently reported mental disorders (52.2%), followed by anxiety disorders (20.4%). 18 Above study did not provided cumulative percentage of different internalizing disorders as a whole leading to low prevalence of depression, anxiety disorders etc as subcategories while the current study gathered the common mental disorders to form two major categories so that the related problems would appear as whole.…”

Section: Discussionmentioning

confidence: 94%

Mental health status: a cross sectional study on rural economically productive population of field practice area of a tertiary medical care institute in Ujjain, Madhya Pradesh

Arjaria

Mishra

Chouhan

2018

Int J Community Med Public Health

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Background: The World Health Organization (WHO) Global Burden of Disease Study has estimated that psychiatric disorders emerging all around the globe and are increasing at a high pace. They have an impact on both the economic aspects and quality-of-life of the people. Present study was conducted to broaden our knowledge regarding mental health status in terms of prevalence of mental health disorders in the rural population, constituting 64% of the total population in India. Present study aims to estimate the prevalence of mental health disorders in the selected area and study the association of each disorder with various socioeconomic variables of individuals. Objectives of the study were to assess and associate the prevalence of study population for major mental health disorders under the headings –overall probability of any mental health disorder, internalizing disorders and externalizing disorders as broad categories.Methods: A cross-sectional study was conducted among 430 participants residing in six selected villages of rural field practice area of native college in Ujjain district. Statistical methods which applied are: percentage and proportion, mean and standard deviation and chi-square analysis for assessing the association.Results: Present study showed 44.2% participants scored in the category of high probability of having diagnosis of any mental health disorder. On testing each subgroup disorder probability of getting diagnosed with internalizing disorder emerged with prevalence of almost 50% while probability of externalizing disorder was found in 30.4% population.Conclusions: The present study revealed that nearly half of study participants had the probability of suffering from some kind of mental health disorder and association found with gender, family type, and occupation of the individual.

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Section: Discussionmentioning

confidence: 94%

Mental health status: a cross sectional study on rural economically productive population of field practice area of a tertiary medical care institute in Ujjain, Madhya Pradesh

Arjaria

Mishra

Chouhan

2018

Int J Community Med Public Health

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“…Indeed it is notable that publications about mental health service development or evaluation rarely mention the voluntary sector or the for-profit sector. There is a palpable lack of consideration in service planning about if and how for-profit and not-for-profit services can be mutually complementary within a wider system of care (Younes et al 2005; Badrakalimuthu et al 2009; Pollock, 2010; Wahlbeck et al 2011).…”

Section: Discussionmentioning

confidence: 99%

The balanced care model for global mental health

2012

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“…[ 12 ] Specifically in India, there is a lack/absence of psychiatry training during undergraduate medical education and internship. [ 13 14 ] There is inadequate knowledge about the diagnostic criteria of CMDs, lack of awareness about the appropriate questions to ask and time limitations inherent in a busy clinic setting. [ 15 ]…”

Section: Current Status Of Primary Care Psychiatry In India: Focus Onmentioning

confidence: 99%

Designing and implementing an innovative digitally driven primary care psychiatry program in India

Manjunatha

Kumar

Math

et al. 2018

Indian J Psychiatry

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Background:Primary Care Doctors (PCDs) are the first contact for majority of patients with psychiatric disorders across the world including India. They often provide symptomatic treatment which is naturally inadequate. Absence or inadequate exposure to psychiatric training during undergraduate medical education is one of the prime reasons. Classroom training (CRT), a standard practice to train PCDs is driven by specialist based psychiatric curriculum and inherently lacks clinical translational value.Aim and Context:The ‘Department of Psychiatry’ of ‘National Institute of Mental Health and Neurosciences’, Bengaluru, India has recently come up with an innovative digitally driven modules of ‘Primary Care Psychiatry Program’ (PCPP) for practicing PCDs. Goal of this paper is to provide an overview of all these (five) modules with its various stages of implementation.Methods:Authors briefly discuss the current status of primary care psychiatry in India and also narrate the newly designed five modules of PCPP in this paper.Results and Discussion:An adopted psychiatric curriculum is designed in ‘Clinical Schedules for Primary Care Psychiatry’ (CSP) which is an integral part of PCPP. This is brief clinical schedules contains culturally appropriate screening questionnaire, transdiagnostic classification of 8 core psychiatric disorders, diagnostic, referral and management guidelines. PCPP contains 5 modules named as orientation module, basic module, advanced module [Tele-psychiatric ‘On-Consultation Training’ (Tele-OCT)], videoconference based continuing skill development module, and collaborative video consultation modules which covers all essential areas of primary care psychiatry for practicing PCDs. Last three modules are fully designed digital modules in hub and spoke model of Tele Medicine. In this designed program, the CSP and Tele-OCT are two path braking innovations having inbuilt higher clinical translation value. The challenges and opportunities that could be faced during its implementation across India are also discussed.Conclusion and Future Directions:Innovative PCPP is pragmatic in nature and has potential for higher clinical translational value. Once validated thoroughly, PCPP has potential for pan-India expansion. There is a need for artificial intelligence-based modules for next phase of PCPP in India considering her population and lesser number of available psychiatrists.

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Mental health practice in private primary care In rural India: a survey of practitioners

Cited by 10 publications

References 3 publications

Mental health status: a cross sectional study on rural economically productive population of field practice area of a tertiary medical care institute in Ujjain, Madhya Pradesh

Mental health status: a cross sectional study on rural economically productive population of field practice area of a tertiary medical care institute in Ujjain, Madhya Pradesh

The balanced care model for global mental health

Designing and implementing an innovative digitally driven primary care psychiatry program in India

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