A5070693146- Mental Health Treatment and Access
- Health disparities and outcomes
- Community Health and Development
- COVID-19 and Mental Health
- Digital Mental Health Interventions
- Psoriasis: Treatment and Pathogenesis
- Global Maternal and Child Health
- HIV/AIDS Impact and Responses
- Spondyloarthritis Studies and Treatments
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Policy Implementation Science
- Child and Adolescent Psychosocial and Emotional Development
- Healthcare Systems and Reforms
- Mental Health and Psychiatry
- Migration, Health and Trauma
- Healthcare Decision-Making and Restraints
- Ethics in Clinical Research
- Health Systems, Economic Evaluations, Quality of Life
Indian Law Institute
2017-2024
Centre for Mental Health
2020
Ruby Hall Clinic
2009
Global mental health [GMH] scholarship and practice has typically focused on the unmet needs barriers to in communities, developing biomedical psychosocial interventions for integration into formal care platforms response. In this article, we analyse four diverse settings disrupt emphasises system weaknesses, treatment gaps which can perpetuate harmful hierarchies colonial medical assumptions, or a ‘deficit model’. We draw experiential knowledge of community practitioners researchers working...
There are limited accounts of community-based interventions for reducing distress or providing support people with common mental disorders (CMDs) in low and middle-income countries. The recently implemented Atmiyata programme is one such health intervention focused on promoting wellness through community volunteers a rural area the state Maharashtra, India.This case study describes content process implementation how were trained to become champions mitras (friends). provide basic counselling...
Background: Explanations for mental disorders in India can be influenced by biomedicine, systems of traditional medicine and supernatural beliefs. Community beliefs about causes distress influence help-seeking behaviours. This study aimed to assess local knowledge understanding risks a rural area Maharashtra, the prevalence possible common disorders. Methods: A cross-sectional health literacy survey was undertaken late 2007. questionnaire administered 240 systematically sampled community...
The axial spondyloarthritis (axSpA) mainly affects young population and often leads to reduced mobility, but less is known about the impact it has on mental health. objective of this study was determine prevalence symptoms anxiety depression among axSpA patients explore underlying associated factors.A cross sectional survey-based conducted from a single center. A convenient sampling done include 100 patients. We included questions disease activity, sleep, fatigue, quality life (QoL), work...
Calls for "mutuality" in global mental health (GMH) aim to produce knowledge more equitably across epistemic and power differences. With funding, convening, publishing still concentrated institutions the North, efforts decolonize GMH emphasize need mutual learning instead of unidirectional transfers. This article reflects on mutuality as a concept practice that engenders sustainable relations, conceptual innovation, queries how can be shared.
Abstract Background Many community-based intervention models for mental health and wellbeing have undergone robust experimental evaluation; however, there are limited accounts of the implementation these evidence-based interventions in practice. Atmiyata piloted a community-led to identify understand challenges delivering such an intervention. The goal pilot evaluation is factors important larger-scale across entire district India. This paper presents results feasibility acceptability study...
Abstract Background Stepped-wedge cluster randomized trials (SW-CRTs) are increasingly popular in health-related research both high- and low-resource settings. There may be specific ethical issues that researchers face when designing conducting SW-CRTs Knowledge of these can help to improve the conduct a global health context. Methods We performed an analysis two studies using SW-CRT designs settings: Que Vivan Las Madres study conducted from 2014 2017 Guatemala Atmiyata 2018 rural parts...
Abstract Background While lay-health worker models for mental health care have proven to be effective in controlled trials, there is limited evidence on the effectiveness and scalability of these rural communities low- middle-income countries (LMICs). Atmiyata a community-led intervention using local community volunteers, called Champions, identify provide package community-based interventions health, including evidence-based counseling persons with common disorders (CMD). Methods The impact...
While effective lay-health worker models for mental health care have been demonstrated through efficacy trials, there is limited evidence of the effectiveness these implemented in rural LMIC settings.To evaluate impact a volunteer community-led intervention on reduction depression and anxiety symptoms improvement functioning, social participation among people living Gujarat, India.Stepped-wedge cluster randomized controlled trial was used to assess delivery psychosocial across 645 villages...
Abstract Background Informed by the UN Convention on Rights of Persons with Disabilities, Indian government replaced 1987 Mental Health Act transformative “Indian Healthcare Act, 2017” (IMHCA 2017), which gained presidential approval April 7, 2017. While new act aligns CRPD guidelines, emphasizing promotion, protection and realization complete equitable human rights, legal capacity, equality dignity for persons mental illness, it has faced diverse criticism from various stakeholders,...
Background: While lay-health worker models for mental health care have shown to be effective in controlled trials, there is limited evidence on the effectiveness of these implemented at scale rural communities LMICs. To narrow this gap, we evaluated impact Atmiyata, a community-led intervention involving trained community volunteers delivering 4-6 sessions psychosocial counselling treating common disorders scale. Methods: Stepped-wedge cluster randomized trial across 645 villages Mehsana...
Abstract Background: While lay-health worker models for mental health care have proven to be effective in controlled trials, there is limited evidence on the effectiveness and scalability of these rural communities low- middle-income countries (LMICs). Atmiyata a community-led intervention using local community volunteers, called Champions, identify provide evidence-based counselling persons with common disorders (CMD) as part package community-based interventions health. Methods: The impact...
Abstract Background: While lay-health worker models for mental health care have proven to be effective in controlled trials, there is limited evidence on the effectiveness and scalability of these rural communities low- middle-income countries (LMICs). Atmiyata a community-led intervention using local community volunteers, called Champions, identify provide package community-based interventions health, including evidence-based counseling persons with common disorders (CMD). Methods: The...
Abstract Background While lay-health worker models for mental health care have proven to be effective in controlled trials, there is limited evidence on the effectiveness and scalability of these rural communities low- middle-income countries (LMICs). Atmiyata a community-led intervention using local community volunteers, called Champions, identify provide evidence-based counselling persons with common disorders (CMD) as part package community-based interventions health. Methods The impact...
Abstract Background: While lay-health worker models for mental health care have proven to be effective in controlled trials, there is limited evidence on the effectiveness and scalability of these rural communities low- middle-income countries (LMICs). Atmiyata a community-led intervention using local community volunteers, called Champions, identify provide evidence-based counselling persons with common disorders (CMD) as part package community-based interventions health. Methods: The impact...
Abstract This study evaluates the effectiveness of a volunteer community-led psychosocial intervention on depression and anxiety symptoms among people living in rural Gujarat, India. Stepped-wedge cluster randomized controlled trial design implemented 645 villages Mehsana district, Primary outcome was improvement and/or using GHQ-12 at 3-month follow-up. Data analyzed generalized linear mixed effects models.Of 1191 participants (608- & 583-control) recruited, 1014 (85%) completed After...