Abstract
Auxiliary Nurse Midwife (ANMs) and Accredited Social Health Activists (ASHAs) are well suited to cater to the mental health needs of the communities. Integrating primary mental health care into the general healthcare is one of the important objectives of the District Mental Health Program (DMHP) to reduce the treatment gap. As a part of an ICMR funded trial to evaluate the effectiveness of NIMHANS-ECHO blended training program, the ASHAs and ANMs were trained to identify and refer cases from the community. We aim to describe a series of cases identified by those workers from the community, highlighting their importance in our health care system.
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References
Directorate General of Health Services MoHFW, Government of India,. Indian Public Health Standards (IPHS), Guidelines for Sub-Centres, Revised 2012,. In: welfare MoHF, editor. New Delhi2012.
Reddy SK, Thirthalli J, Channaveerachari NK, Reddy KN, Ramareddy RN, Rawat VS, et al. Factors influencing access to psychiatric treatment in persons with schizophrenia: a qualitative study in a rural community. Indian J Psychiatry. 2014;56(1):54–60. https://doi.org/10.4103/0019-5545.124714.
Murthy RS. National Mental Health Survey of India 2015-2016. Indian J Psychiatry. 2017;59(1):21–6. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_102_17.
Jacob K. Repackaging mental health programs in low- and middle-income countries. Indian J Psychiatry. 2011;53(3):195–8. https://doi.org/10.4103/0019-5545.86798.
Das A. Primary (mental) health care and the National Mental Health Program. Indian J Psychol Med. 2018;40(6):503–6. https://doi.org/10.4103/ijpsym.ijpsym_337_18.
Mehrotra K, Chand P, Bandawar M, Rao Sagi M, Kaur SGA, et al. Effectiveness of NIMHANS ECHO blended tele-mentoring model on Integrated Mental Health and Addiction for counsellors in rural and underserved districts of Chhattisgarh, India. Asian journal of psychiatry. 2018;36:123–7. https://doi.org/10.1016/j.ajp.2018.07.010.
Thirthalli J, Zhou L, Kumar K, Gao J, Vaid H, Liu H, et al. Traditional, complementary, and alternative medicine approaches to mental health care and psychological wellbeing in India and China. Lancet Psychiatry. 2016;3(7):660–72. https://doi.org/10.1016/s2215-0366(16)30025-6.
Manjunatha N, Kusmar CN, Math SB, Thirthalli J. Designing and implementing an innovative digitally driven primary care psychiatry program in India. Indian J Psychiatry. 2018;60(2):236–44. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_214_18.
Ministry of Health and Family Welfare GoI. Guidelines for Implementing District Level Activities under the National Mental Health Programme (NMHP) during the 12th Plan Period,. In: Ministry of Health and Family Welfare, editor. New Delhi2015.
Acknowledgements
The researchers would like to thank the patients and their respective families, the health care professionals of the state of Karnataka including the health administrators, DMHP teams, Primary care doctors, Accredited Social Health Activists (ASHA) workers, Auxiliary Nurse midwives (ANMs) for their contribution in effective implementation of the trial. This work is supported by the Indian Council Medical Research (ICMR) under Capacity Building Projects for National Mental Health Program, ICMR-NMHP. We thank Dr. Soumya Swaminathan (then Secretary, Dept. of Health Research, DHR), Dr. Balram Bhargav (current Secretary DHR), Prof. V.L. Nimgaonkar, Prof. Smita N. Deshpande, Dr. Ravinder Singh and Dr. Harpreet Singh. We thank the faculty of ‘Cross-Fertilized Research Training for New Investigators in India and Egypt’ (D43 TW009114, HMSC File No. Indo-Foreign/35/M/2012-NCD-1, funded by Fogarty International Centre, NIH). We are also thankful to National Coordinating Unit of ICMR for NMHP Projects for their constant support and guidance. We thank Data Management Unit of ICMR for designing the database. The content of this manuscript is solely the responsibility of the authors and does not necessarily represent the official views of NIH or ICMR. NIH and ICMR had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Funding
Indian Council of Medical Research vide sanction letter no.5/4–4/151/M/2017/NCD-1.
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Ibrahim, F.A., Nirisha, L., Barikar, M. et al. Identification of Psychiatric Disorders by Rural Grass-Root Health Workers: Case Series & Implications for the National Mental Health Program of India. Psychiatr Q 92, 389–395 (2021). https://doi.org/10.1007/s11126-020-09807-5
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DOI: https://doi.org/10.1007/s11126-020-09807-5