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Early Community based Ayu-Emergency Intervention in Psychiatric Emergencies: A Community Based Participatory Research

Published online by Cambridge University Press:  01 September 2022

M. Voegeli*
Affiliation:
SAMU and CESU, Emergency Department, Mayotte, France AVP Research Foundation, Ayu-emergency, Coimbatore, India
P. Sharma
Affiliation:
Samata Ayurved Prakoshtha, Ayurveda, Jaipur, India
S. Sharma
Affiliation:
NMP Medical Research Institute, Integrative Therapies, Jaipur, India
B. Sharma
Affiliation:
D’Ultimate Life Sciences, Ayurveda, Bhilwara, India
I. Goyal
Affiliation:
NMP Medical Research Institute, Integrative Therapies, Jaipur, India
N. Sharma
Affiliation:
Aarogyam (UK) CIC, Ayurveda Research, Leicester, United Kingdom
S. Lakshmanan
Affiliation:
NMP Medical Research Institute, Integrative Therapies, Jaipur, India
A. Venu
Affiliation:
Aarogyam (UK) CIC, Ayurveda Research, Leicester, United Kingdom
*
*Corresponding author.

Abstract

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Introduction

Psychiatry emergencies in India is major challenge for emergency service providers due to rapid growth of various behavioural, higher morbidity and mortality rate. Despite, psychiatry conditions are neglected area related to stigma, share, lack of awareness, and superstitious beliefs. There is an urgent need for specialist psychiatric emergency services, which can fill the huge gap between policymakers and health service providers joined together.

Objectives

Present feasibility study has been undertaken to evaluate the safety and efficacy of combined emergency and Ayurveda medicine management of psychiatric emergencies in community-based settings.

Methods

Ayu-Emergency Care project was developed in partnership with policy makers, researchers and health care providers, a collaborative platform of emergency medicine and Ayurveda medicine (Indian Traditional Medicine) for developing whole-system perspective, where providers work in a coordinated and joined-up way. Twenty trained care providers in psychiatry emergency and Ayurveda management worked in partnership with community-based organisation.

Results

Patients with major clinical difficulties, in the acute phase were treated and managed by Ayu-Emergencypractitioners. Severe Agitation and violence relating to substance abuse, anxiety disorder and psychosis were the most common admission diagnoses. 2-weeks results indicate that Ayurveda intervention can reduce anxiety(p<0.01), aggression (p< 0.001) and agitation (p<0.01) significantly with no side effects reported. Intervention found to be clinically beneficial and cost-efficient alternative to out-of-home placements (i.e., Incarceration, psychiatric hospitalisation).

Conclusions

The study’s findings highlight safety, efficacy and feasibility of intervention. Patients both prefer and seem to benefit from community-based ayu-psychiatric care, and early-intervention community program could be a good model for such care.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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