The Systematic Medical Appraisal Referral and Treatment Mental Health Project: Quasi-Experimental Study to Evaluate a Technology-Enabled Mental Health Services Delivery Model Implemented in Rural India

Journal of Medical Internet Research
Pallab K MaulikAnushka Patel

Abstract

Although around 10% of Indians experience depression, anxiety, or alcohol use disorders, very few receive adequate mental health care, especially in rural communities. Stigma and limited availability of mental health services contribute to this treatment gap. The Systematic Medical Appraisal Referral and Treatment Mental Health project aimed to address this gap. This study aimed to evaluate the effectiveness of an intervention in increasing the use of mental health services and reducing depression and anxiety scores among individuals at high risk of common mental disorders. A before-after study was conducted from 2014 to 2019 in 12 villages in Andhra Pradesh, India. The intervention comprised a community antistigma campaign, with the training of lay village health workers and primary care doctors to identify and manage individuals with stress, depression, and suicide risk using an electronic clinical decision support system. In total, 900 of 22,046 (4.08%) adults screened by health workers had increased stress, depression, or suicide risk and were referred to a primary care doctor. At follow-up, 731 out of 900 (81.2%) reported visiting the doctor for their mental health symptoms, compared with 3.3% (30/900) at baseline (odds ra...Continue Reading

References

Jun 3, 2004·JAMA : the Journal of the American Medical Association·Koen DemyttenaereUNKNOWN WHO World Mental Health Survey Consortium
Mar 10, 2005·JAMA : the Journal of the American Medical Association·Amit X GargR Brian Haynes
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Kaveh G ShojaniaJeremy Grimshaw
Sep 3, 2009·Psychiatric Services : a Journal of the American Psychiatric Association·Pallab K MaulikCatherine P Bradshaw
Jul 8, 2011·Nature·Pamela Y CollinsDan J Stein
Jan 1, 2010·Indian Journal of Psychiatry·Sandeep GroverAjit Avasthi
Dec 2, 2011·The British Journal of Psychiatry : the Journal of Mental Science·Vikram PatelBetty R Kirkwood
Mar 24, 2012·Journal of the American College of Cardiology·Rohina JoshiBruce Neal
Mar 22, 2013·Annual Review of Public Health·Ronald C Kessler, Evelyn J Bromet
Sep 12, 2014·Journal of Cardiovascular Translational Research·David PeirisKishor Mogulluru
Dec 3, 2016·The British Journal of Psychiatry : the Journal of Mental Science·Graham ThornicroftRonald C Kessler
Jan 27, 2019·The British Journal of Psychiatry : the Journal of Mental Science·Pallab K MaulikGraham Thornicroft

❮ Previous
Next ❯

Citations

Jul 18, 2020·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Jukka-Pekka Onnela
Nov 30, 2020·Asian Journal of Psychiatry·Amanpreet KaurPallab K Maulik
Jul 28, 2020·The Lancet. Psychiatry·Sudha Kallakuri, Pallab K Maulik
Mar 30, 2021·JMIR Mental Health·Luke Balcombe, Diego De Leo
Oct 9, 2021·Journal of Public Health·Sudha KallakuriPallab K Maulik

❮ Previous
Next ❯

Software Mentioned

SMART
GAP
mhGAP
IG
VISHRAM
OpenMRS
mh

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.