State of Geriatric Mental Health in India

Prakash, Om; Kukreti, Prerna

doi:10.1007/s13670-012-0034-1

Cited by 36 publications

(40 citation statements)

References 24 publications

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“…Still, they are inadequate to meet the need for specialized geriatric mental health services. 14 Geriatric telepsychiatry provides the opportunity for extending the geriatric mental health services to those who are difficult to reach in-person as well as for improving the continuity of care in general.…”

Section: Need For Geriatric Telepsychiatrymentioning

confidence: 99%

Geriatric Telepsychiatry: Promoting Access to Geriatric Mental Health Care Beyond the Physical Barriers

Sivakumar

Mukku

Kar

et al. 2020

Indian Journal of Psychological Medicine

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Psychiatric illnesses are an important contributor of morbidity and mortality in older adults. There is increase in older adults with psychiatric disorders paralleling their growth in absolute numbers. This leads to challenges in mental health care and service delivery. Several barriers that exists in our community hinder older adults from receiving mental health care. Additionally, lack of adequate human resources in geriatric mental health care compounds the problem. Telemedicine, though not new in other fields of medicine, is relatively new in the practice of psychiatry in India. This is probably due to lack of clear guidelines and regulations regarding the same in India. There is a recent increase in teleconsultations in India similar to other developed countries due to ongoing COVID-19 pandemic. The recent telepsychiatry operational guidelines have made telepsychiatry a legitimate and official practice in India. Challenges specific to older adults in the form of low digital literacy, sensory issues, and cognitive impairment can be overcome by adopting telepsychiatry services in coming years. Concerns related to security and safety of telepsychiatry require further evaluation.

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Section: Need For Geriatric Telepsychiatrymentioning

confidence: 99%

Geriatric Telepsychiatry: Promoting Access to Geriatric Mental Health Care Beyond the Physical Barriers

Sivakumar

Mukku

Kar

et al. 2020

Indian Journal of Psychological Medicine

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“…There exists a huge treatment gap and non-availability of appropriate psychological services or trained professionals in the country [23]; [24]; [25]. Various factors including the vast demographic diversity, linguistic divisions, cultural barriers, illiteracy, age-old stigma attached to mental illnesses and lack of awareness have confounded the problem of demand-availability gap in psychological services.…”

Section: The Focus On Positivity and Wellnessmentioning

confidence: 99%

Best of Times, Worst of Times: Occupational Mental Health Research in India

Chinchu¹

2017

IOSR JHSS

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“…Older persons should particularly bene t from a PHC-oriented approach, which would enable them to address their mental health issues close to their homes (12,13); this holds particularly true for older persons who are dependent on support close to their homes (14).…”

Section: Introduction and Aim Of The Studymentioning

confidence: 99%

“…For example, it is estimated that the prevalence of depression in old age is 34.4% in India (15), while only approximately 17.1% of affected older persons receive treatment (16). One study Patel and Prince (12) describes the primary care system in Goa as having low awareness and poor preparedness for mental health problems in older age (14). In rural areas, where the majority of older persons reside (17), the situation is generally worse (13,(18)(19)(20)(21).…”

Section: Introduction and Aim Of The Studymentioning

confidence: 99%

The Architecture of the Primary Mental Healthcare System for Older People in India – What Public Policies Tell Us

Kafczyk

Haemel

2021

Preprint

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Background: Old age mental healthcare is an issue that cuts across old age, general health, and mental healthcare policies. While strengthening the primary mental healthcare system in India is a common strategy across policy fields to improve the mental health of older persons, very little is known about the system’s planned architecture. This study explores public policy strategies for and approaches to the mental health of older persons, focusing on the primary healthcare (PHC) level and the role of the family.Methods: A document analysis of 39 key public national policy documents (2007-2019) from three thematically grouped policy fields (mental health, old age, and general health) was conducted.Results: Comprehensive community-based primary mental healthcare – focusing on vulnerable population groups including older persons – has been strengthened significantly since 2007. The promulgated approaches and strategies build on traditional community-based approaches to mental healthcare in India. They focus on (a) integrating community health workers into primary mental healthcare, (b) empowering the community to participate in healthcare planning, implementation, and monitoring, (c) supporting the family through a family-led approach to mental healthcare, and (d) integrating traditional Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homeopathy (AYUSH) services into primary mental healthcare.Conclusions: While all policy fields address mental PHC, they do so in different ways, and approaches and strategies that promote an integrated perspective across policy fields are lacking. Further research should evaluate strategies and approaches in light of social developments such as eroding family norms and the poor state of the public health system in India in order to assess their opportunities, challenges, and overall feasibility, with the benefits older people would experience taking center stage in these inquiries.

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State of Geriatric Mental Health in India

Cited by 36 publications

References 24 publications

Geriatric Telepsychiatry: Promoting Access to Geriatric Mental Health Care Beyond the Physical Barriers

Geriatric Telepsychiatry: Promoting Access to Geriatric Mental Health Care Beyond the Physical Barriers

Best of Times, Worst of Times: Occupational Mental Health Research in India

The Architecture of the Primary Mental Healthcare System for Older People in India – What Public Policies Tell Us

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