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Development and piloting of a plan for integrating mental health in primary care in Sehore district, Madhya Pradesh, India

Published online by Cambridge University Press:  02 January 2018

Rahul Shidhaye*
Affiliation:
Public Health Foundation of India, Bhopal, Madhya Pradesh, India, and CAPHRI School for Public Health and Primary Care, Maastricht University, The Netherlands
Sanjay Shrivastava
Affiliation:
PRIME project (India), Sangath, India
Vaibhav Murhar
Affiliation:
PRIME project (India), Sangath, India
Sandesh Samudre
Affiliation:
Public Health Foundation of India
Shalini Ahuja
Affiliation:
Public Health Foundation of India
Rohit Ramaswamy
Affiliation:
Public Health Leadership and Maternal and Child Health, University of North Carolina, Chapel Hill, North Carolina, USA and Adjunct Faculty, Public Health Foundation of India
Vikram Patel
Affiliation:
London School of Hygiene & Tropical Medicine, London, UK, Public Health Foundation of India and Sangath, India
*
Rahul Shidhaye, Public Health Foundation of India, 19, Rishi Nagar, Char Imli, Bhopal, Madhya Pradesh, India. Email: rahul.shidhaye@phfi.org
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Abstract

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Background

The large treatment gap for mental disorders in India underlines the need for integration of mental health in primary care.

Aims

To operationalise the delivery of the World Health Organization Mental Health Gap Action Plan interventions for priority mental disorders and to design an integrated mental healthcare plan (MHCP) comprising packages of care for primary healthcare in one district.

Method

Mixed methods were used including theory of change workshops, qualitative research to develop the MHCP and piloting of specific packages of care in a single facility.

Results

The MHCP comprises three enabling packages: programme management, capacity building and community mobilisation; and four service delivery packages: awareness for mental disorders, identification, treatment and recovery. Challenges were encountered in training primary care workers to improve identification and treatment.

Conclusions

There are a number of challenges to integrating mental health into primary care, which can be addressed through the injection of new resources and collaborative care models.

Type
Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
Copyright
Copyright © Royal College of Psychiatrists, 2016

Footnotes

This study is an output of the PRogramme for Improving Mental health carE (PRIME). This research has been funded by UK aid from the UK government. However, the views expressed do not necessarily reflect the UK government's official policies. V.P. is supported by a Wellcome Trust senior clinical fellowship.

Declaration of interest

None.

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