The development of a lay health worker delivered collaborative community based intervention for people with schizophrenia in India.

BMC Health Services Research
Madhumitha BalajiVikram Patel

Abstract

Care for schizophrenia in low and middle income countries is predominantly facility based and led by specialists, with limited use of non-pharmacological treatments. Although community based psychosocial interventions are emphasised, there is little evidence about their acceptability and feasibility. Furthermore, the shortage of skilled manpower is a major barrier to improving access to these interventions. Our study aimed to develop a lay health worker delivered community based intervention in three sites in India. This paper describes how the intervention was developed systematically, following the MRC framework for the development of complex interventions. We reviewed the lierature on the burden of schizophrenia and the treatment gap in low and middle income countries and the evidence for community based treatments, and identified intervention components. We then evaluated the acceptability and feasibility of this package of care through formative case studies with individuals with schizophrenia and their primary caregivers and piloted its delivery with 30 families. Based on the reviews, our intervention comprised five components (psycho-education; adherence management; rehabilitation; referral to community agencies; and hea...Continue Reading

References

Nov 1, 1994·Acta Psychiatrica Scandinavica·R TharaW W Eaton
Aug 1, 1994·The British Journal of Psychiatry : the Journal of Mental Science·W XiongA Kleinman
Sep 15, 2000·BMJ : British Medical Journal·M CampbellP Tyrer
Oct 18, 2000·The Cochrane Database of Systematic Reviews·E Pekkala, L Merinder
Jun 5, 2001·The British Journal of Psychiatry : the Journal of Mental Science·S SimmondsP Tyrer
Jan 2, 2003·The British Journal of Psychiatry : the Journal of Mental Science·Sudipto ChatterjeeHelen A Weiss
May 27, 2005·PLoS Medicine·Sukanta SahaJohn McGrath
Jun 15, 2005·Acta Psychiatrica Scandinavica·S GroverP Kulhara
May 25, 2006·Current Opinion in Psychiatry·Alex J Mitchell, Darren Malone
May 25, 2006·Current Opinion in Psychiatry·James E Mitchell, Scott Crow
Jul 4, 2006·The British Journal of Psychiatry : the Journal of Mental Science·Wai-Tong ChienDavid R Thompson
Jan 2, 2007·The British Journal of Psychiatry : the Journal of Mental Science·Yu-Tao XiangGabor Sandor Ungvari
Oct 21, 2009·PLoS Medicine·Mari Jair de JesusGraham Thornicroft
Nov 3, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Sudipto ChatterjeeVikram Patel
Jan 14, 2011·Trials·Sudipto ChatterjeeUNKNOWN COmmunity care for People with Schizophrenia in India (COPSI) group

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Citations

Dec 5, 2012·The British Journal of Psychiatry : the Journal of Mental Science·Arthur Kleinman
Oct 13, 2012·International Review of Psychiatry·Thara Rangaswamy, John Sujit
Jan 29, 2013·Depression and Anxiety·Arthur Kleinman
Dec 3, 2014·Social Science & Medicine·Mirja KoschorkeVikram Patel
Jun 2, 2015·Epidemiology and Psychiatric Sciences·Rob Whitley
Dec 3, 2014·Journal of the American Academy of Child and Adolescent Psychiatry·Theresa S BetancourtNathan B Hansen
Oct 8, 2016·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Graham ThornicroftClaire Henderson
Jan 20, 2017·The International Journal of Eating Disorders·Alan E KazdinDenise E Wilfley
Mar 7, 2014·Transcultural Psychiatry·Vikram Patel
Jul 7, 2017·The International Journal of Social Psychiatry·Victoria N MutisoDavid M Ndetei
Jun 15, 2018·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Alan E Kazdin
Jun 30, 2018·Perspectives on Psychological Science : a Journal of the Association for Psychological Science·Alan E Kazdin
Apr 2, 2013·The Cochrane Database of Systematic Reviews·Veronica PittLynda Berends
Jul 24, 2014·International Journal of Mental Health Systems·Prianka PadmanathanShoba Raja
May 21, 2014·Current Opinion in Psychiatry·Tahilia J RebelloKathleen M Pike
Apr 4, 2017·Health & Social Care in the Community·Heather Yoeli, Mima Cattan
Jan 10, 2017·International Journal of Mental Health Systems·Laura Shields-ZeemanKaustubh Joag
Feb 18, 2020·Community Mental Health Journal·Ariana MarastutiMary-Jo D Good
Jul 22, 2017·Administration and Policy in Mental Health·Miya L BarnettAnna S Lau
Jan 1, 2016·International Journal of Health Promotion and Education·Mira AghiGlorian Sorensen
Mar 7, 2020·Clinical Child and Family Psychology Review·Christopher J CannonAndres De Los Reyes

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