A5005479744- Mental Health Treatment and Access
- Schizophrenia research and treatment
- Mental Health and Psychiatry
- Health disparities and outcomes
- Family Caregiving in Mental Illness
- Child and Adolescent Psychosocial and Emotional Development
- Suicide and Self-Harm Studies
- Mental Health and Patient Involvement
- Primary Care and Health Outcomes
- Health, psychology, and well-being
- Psychiatric care and mental health services
- Homelessness and Social Issues
- Maternal Mental Health During Pregnancy and Postpartum
- Mental Health Research Topics
- Disability Education and Employment
- Global Maternal and Child Health
- Diabetes Management and Education
- Community Health and Development
- Customer Service Quality and Loyalty
- Employment and Welfare Studies
- Health Systems, Economic Evaluations, Quality of Life
- Digital Accessibility for Disabilities
- Musicology and Musical Analysis
- Technology Adoption and User Behaviour
- Aging and Gerontology Research
London School of Hygiene & Tropical Medicine
2016-2025
Atrium Health Wake Forest Baptist
2024
University of London
2008-2023
West Chester University
2019-2023
Louisiana State University
2023
King's College London
2014-2023
Harvard University
2001-2022
Sangath
2019
Goa Medical College
2019
University of Vermont
2018-2019
There is little evidence of the feasibility, acceptability and impact services for care people with psychotic disorders in low- middle-income countries.To describe scaling up a community-based rehabilitation programme very-low-resource setting.Longitudinal study who had been ill an average 8 years rural Indian community. All individuals received intervention package comprising psychotropic medications, psychoeducation, adherence management, psychosocial support livelihoods. The primary...
Stigma contributes greatly to the burden of schizophrenia and is a major obstacle recovery, yet, little known about subjective experiences those directly affected in low middle income countries. This paper aims describe stigma discrimination people living with (PLS) three sites India identify factors influencing negative discrimination. The study used mixed methods was nested randomised controlled trial community care for schizophrenia. Between November 2009 October 2010, data on four...
Stigma associated with schizophrenia significantly affects family caregivers, yet few studies have examined the nature and determinants of stigma its relationship to their knowledge about condition. This paper describes experiences reported by primary caregivers people living (PLS) in India. The study used mixed methods was nested a randomised controlled trial community care for schizophrenia. Between November 2009 October 2010, data on caregiver functional outcomes were collected from...
Over the past four decades, there has been increasing interest in Self-Help Groups, by mental health services users and caregivers, alike. Research high-income countries suggests that participation SHGs is associated with decreased use of inpatient facilities, improved social functioning among service users, caregiver burden. The formation become an important component programmes operated non-governmental organisations (NGOs) low-income countries. However, relatively little research...
Preventing depression in older adults living low- and middle-income countries is important because of the scarcity treatment resources risk disability, suicide, dementia.To assess whether an intervention for prevention provided by lay counselors effective from countries.This parallel-group randomized clinical trial with masked outcome assessment was performed 181 (≥60 years) subsyndromal depressive symptoms at rural urban primary care clinics Goa, India. The first participant entered on...
Summary In this analysis, we argue that the ‘treatment gap’ for common mental disorders often reflects lack of demand, arising because services fail to address needs disadvantaged communities. We propose a route forward global health, with explicit focus on action socioeconomic determinants psychological suffering.
<h3>Context</h3> We examined the relationship between socioeconomic status and response to treatment for depression among older adults. <h3>Methods</h3> Secondary analysis of pooled data from open-label phase 2 National Institute Mental Health–funded clinical trials nortriptyline hydrochloride or paroxetine combined with interpersonal psychotherapy (N = 248). used Cox proportional hazards regression analyses examine association status, indexed by census tract median annual household income...
That schizophrenia has a better prognosis in non-industrialized societies become an axiom international psychiatry; the evidence most often cited comes from three World Health Organization (WHO) cross-national studies. Although host of socio-cultural factors have been considered as contributing to variation course different settings, we little low-income countries that clearly demonstrates beneficial influence these variables. In this article, suggest finding outcomes developing needs...
Depressive and anxiety disorders, also referred to as common mental disorders (CMD), are widely prevalent in primary care settings low- middle-income countries (LAMIC) 1 associated with significant levels of disability, increased health costs reduced economic productivity 2–4. Although substantial proportions attenders LAMIC suffer from a CMD — estimates vary 10 30% 1,5– the vast majority patients do not receive effective treatments 6. This treatment gap persists even growing evidence base...
To compare and contrast three models of community mental health services in low-income settings.Primary secondary data collected before, during, after site visits to programs Nigeria, the Philippines, India.Qualitative case study methodology.Data were through interviews observations during programs, as well from reviews documentary evidence.A set narrative topics program indicators used countries. This allowed us identify a diversity service delivery models, common challenges, strengths...
The context of the study is increased assessment and treatment persons with mental illness in general hospital settings by health staff, as move away from hospitals gathers pace low middle income countries. purpose was to examine whether attitudes staff towards illness, extent training clinical experience, are associated different behaviours a patient than patients problem - diabetes. General professionals Malaysia were randomly allocated one two vignettes, describing other diabetes, invited...
Abstract We describe the development of an intervention strategy for indicated prevention depression in older adults living Goa, India. Of particular novelty, is deliverable by lay health counselors and grounded problem solving therapy primary care brief behavioral treatment insomnia. have named “DIL” (the Hindi word “heart” acronym “depression late life.”) Additional DIL strategies include psychoeducation self-management co-occurring medical disorders such as diabetes mellitus, together...
In the 19th century, psychiatric institutions were focus of thousands articles in leading English-language medical and journals. This area concern remained important through first half 20th with some decline number published second century as de-institutionalisation gathered pace. The about this topic has declined sharply past 25 years, are not any Grand Challenges Global Mental Health even though all kinds widely acknowledged to be among main sites human rights abuses. commentary we present...
Over the past thirty years, a substantial body of research has shown that many people experience long delays before receiving treatment after initial onset psychotic disorder. These are associated with poorer outcomes across multiple domains, over short, medium and term1, 2. This underpins initiatives to reduce average duration untreated psychosis (DUP) intervene early suffering improve outcomes. In recent meta-analysis2, marked variations in length DUP were found by continent. The pooled...
Abstract Background Yuli Veterans Hospital (YVH) has been the largest mental hospital for patients with chronic and severe illness in Taiwan past 50 years. While this used to be a symbol of hopelessness among their families an unspoken shame psychiatry health circles it now represents example how old, custodial can transformed into very different institution. In case study we will describe features transformation, which, over 20 years, aimed help extended stay inpatients integrate local...
The biggest barrier to treatment of common mental disorders in primary care settings is low recognition among health providers. This study attempts explore the explanatory models (CMD) with goal identifying how they could help improving recognition, leading effective care. paper describes findings a cross sectional qualitative nested within large randomized controlled trial (the Manas trial). Semi structured interviews were conducted 117 attendees (30 males and 87 females) suffering from...