A5026998551- Schizophrenia research and treatment
- Mental Health Treatment and Access
- Family Caregiving in Mental Illness
- Mental Health and Psychiatry
- Child and Adolescent Psychosocial and Emotional Development
- Mental Health and Patient Involvement
- Diet and metabolism studies
- Psychosomatic Disorders and Their Treatments
- Bipolar Disorder and Treatment
- Health disparities and outcomes
- Obsessive-Compulsive Spectrum Disorders
- Resilience and Mental Health
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Mental Health Research Topics
- COVID-19 and Mental Health
- Child and Adolescent Health
- Migration, Health and Trauma
- Chronic Disease Management Strategies
- Mindfulness and Compassion Interventions
- Healthcare Decision-Making and Restraints
- Eating Disorders and Behaviors
- Family and Disability Support Research
- Patient-Provider Communication in Healthcare
- Community Health and Development
- Psychiatric care and mental health services
Schizophrenia Research Foundation
2016-2025
All India Institute of Medical Sciences
2022-2024
Prince of Songkla University
2024
Creative Commons
2023
McGill University
2021
Douglas Mental Health University Institute
2021
Sartorius (United States)
2019
In 2008 the WPA General Assembly approved Action Plan of Association for triennium Presidency Professor Mario Maj. One items is production guidelines on practical issues interest to psychiatrists worldwide (1,2. The present document, providing guidance lessons learned and mistakes avoid in implementation community mental health care, part that project. subsequent publications we shall describe more detail particular challenges solutions identified various regions worldwide. Mental problems...
We still know little about whether and how the auditory hallucinations associated with serious psychotic disorder shift across cultural boundaries.To compare three different cultures, by means of an interview-based study.An anthropologist several psychiatrists interviewed participants from USA, India Ghana, each sample comprising 20 persons who heard voices met inclusion criteria schizophrenia, their experience voices.Participants in U.S.A. were more likely to use diagnostic labels report...
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...
This study compares 20 subjects, in each of three different settings, with serious psychotic disorder (they meet inclusion criteria for schizophrenia) who hear voices, and their voice-hearing experience. We find that while there is much similar, are notable differences the kinds voices people seem to In a California sample, were more likely describe as intrusive unreal thoughts; South Indian they them providing useful guidance; our West African morally good causally powerful. What we think...
Establishing structured peer support in mental health, particularly for people with schizophrenia, as a psychosocial intervention is early low and middle-income countries like India. Before implementing understanding the effectiveness of service which mode delivery will be suitable our culture, study aimed to understand if would accepted by different participants persons caregivers health professionals tertiary care center Chennai, India.The was conducted at outpatient department (OPD)...
Background Purported superior outcomes for treatment of psychosis in low- and middle-income (LMICs) compared with high-income (HICs) countries have not been examined the context early intervention services (EIS). Aims To compare 2-year clinical first-episode (FEP) treated EIS Chennai (LMIC) Montreal (HIC) using a similar protocol to identify factors associated any outcome differences. Method Patients FEP ( n = 168) 165) were on change level symptoms rate duration positive negative symptom...
Background Approximately 69%–89% of people with severe mental illnesses, particularly psychosis, experience a treatment gap in low- and middle-income countries (LMICs) due to factors such as low public spending on health weak healthcare systems. The PIECEs project aims assess the effectiveness cost-effectiveness solution-focused resource-oriented approach (DIALOG+) for improving quality life well-being psychosis India Pakistan. Methods research design this analysis is an economic evaluation...
Background: The Mental Health Care Act, 2017 led the Insurance Regulatory and Development Authority of India to issue directives which mandated every insurer make provisions for treatment persons with mental illness. While many insurance companies tried adhere directives, ground reality was far from desirable. Aims: An exploratory study conducted aim understanding status toward inclusion illness under health coverage in India. Methods: done two parts: (1) review policies (2) interview...
Background: Socio-cultural explanatory factors for mental health problems determine help seeking behaviors. The study aimed to understand the reasons mentally ill patients and their families in India choose seek from a religious site. Materials methods: Persons with illness were interviewed at sites using guideline questionnaire. Issues such as significant life events, explanations perceived abnormal behavior choosing specific site ‘treatment’ explored. Discussion: Seeking disorders is often...
Community care of the chronic mentally ill has always been prevalent in India, largely due to family involvement and unavailability institutions. In 80s, a few mental health clinics became operational some parts country. The Schizophrenia Research Foundation (SCARF), an NGO Chennai had established community clinic 1989 Thiruporur, which was functional till 1999. During this period various programmes such as training primary center staff, setting up referral system, Citizen's Group,...
Abstract Background It is unknown whether patient disengagement from early intervention services for psychosis as prevalent in low- and middle-income countries (LMICs) like India, it high-income (HICs). Addressing this gap, we studied two first-episode programs Montreal, Canada Chennai, India. We hypothesized lower service among patients higher engagement families that family would mediate cross-site differences disengagement. Methods Sites were compared on their 2-year rates conducting...
In order to facilitate case identification of incident (untreated and recent onset) cases psychosis controls in three sites India, Nigeria Trinidad, we sought understand how psychoses (or madness) were conceptualized locally. The evidence gathered also contributes a long history research on concepts madness diverse settings. We conducted focus group discussions individual interviews collect information about informants each site make sense respond madness. A coding framework was developed...
Importance Less than 10% of research on psychotic disorders has been conducted in settings the Global South, which refers broadly to regions Latin America, Asia, Africa, and Oceania. There is a lack basic epidemiological data distribution risks for psychoses that can inform development services many parts world. Objective To compare demographic clinical profiles cohorts cases rates untreated (proxy incidence) across within 3 economically socially diverse South. Two hypotheses were tested:...
Developing countries such as India face a major mental health care gap. Delayed or inadequate can have profound impact on treatment outcomes. We compared pathways to in first episode psychosis (FEP) between North and South inform solutions bridge the gap.Cross-sectional observation study of 'untreated' FEP patients (n = 177) visiting psychiatry department two sites (AIIMS, New Delhi SCARF, Chennai). duration untreated (DUP), service encounters, illness attributions socio-demographic factors...
Spontaneous dyskinesia and parkinsonism have been reported in never-medicated patients with schizophrenia but there has no previous study of the natural history these conditions.To determine prevalence spontaneous a group never-medicated, chronically ill on two occasions separated by an 18-month interval.Dyskinesia was assessed Abnormal Involuntary Movements Scale using Schooler Kane criteria for its presence; Simpson Angus scale; mental state Positive Negative Syndrome...
In south India, abnormal movements indistinguishable from tardive dyskinesia have been observed in chronically ill patients with schizophrenia who never received antipsychotic medication. The present study, using magnetic resonance imaging, examines brain structure such patients, those without dyskinesia, and normal control subjects.Chronically controls were identified villages of Chennai, India (each group, n = 31). Patients' mental state was assessed by the Positive Negative Syndrome Scale...
Background: There are some reports that diabetes and metabolic syndrome (MS) more prevalent among schizophrenia patients. However, there very few studies in India which have estimated the prevalence of MS Aims: The aim this study was to determine diabetes, obesity, subjects with without schizophrenia. Settings Design: This case control comprised "cases" i.e. recruited from a centre at Chennai "controls" healthy age- gender-matched psychiatric illness selected an ongoing epidemiological 1:4...