Development and piloting of a plan for integrating mental health in primary care in Sehore district, Madhya Pradesh, India

Rahul Shidhaye; Sanjay Shrivastava; Vaibhav Murhar; Sandesh Samudre; Shalini Ahuja; Rohit Ramaswamy; Vikram Patel

doi:10.1192/bjp.bp.114.153700

Development and piloting of a plan for integrating mental health in primary care in Sehore district, Madhya Pradesh, India

Br J Psychiatry. 2016 Jan;208 Suppl 56(Suppl 56):s13-20. doi: 10.1192/bjp.bp.114.153700. Epub 2015 Oct 7.

Authors

Rahul Shidhaye¹, Sanjay Shrivastava², Vaibhav Murhar², Sandesh Samudre², Shalini Ahuja², Rohit Ramaswamy², Vikram Patel²

Affiliations

¹ Rahul Shidhaye, MD(Psych), MHS, Public Health Foundation of India, Bhopal, Madhya Pradesh, India, and CAPHRI School for Public Health and Primary Care, Maastricht University, The Netherlands; Sanjay Shrivastava, MBBS, Vaibhav Murhar, MA(Psychol), PRIME project (India), Sangath, India; Sandesh Samudre, BAMS, MPH, Shalini Ahuja, MHMPP, BPT, Public Health Foundation of India; Rohit Ramaswamy, PhD, MPH, Grad.Dipl.(Bios), Public Health Leadership and Maternal and Child Health, University of North Carolina, Chapel Hill, North Carolina, USA and Adjunct Faculty, Public Health Foundation of India; Vikram Patel, MRCPsych, PhD, FMedSci, London School of Hygiene & Tropical Medicine, London, UK, Public Health Foundation of India and Sangath, India rahul.shidhaye@phfi.org.
² Rahul Shidhaye, MD(Psych), MHS, Public Health Foundation of India, Bhopal, Madhya Pradesh, India, and CAPHRI School for Public Health and Primary Care, Maastricht University, The Netherlands; Sanjay Shrivastava, MBBS, Vaibhav Murhar, MA(Psychol), PRIME project (India), Sangath, India; Sandesh Samudre, BAMS, MPH, Shalini Ahuja, MHMPP, BPT, Public Health Foundation of India; Rohit Ramaswamy, PhD, MPH, Grad.Dipl.(Bios), Public Health Leadership and Maternal and Child Health, University of North Carolina, Chapel Hill, North Carolina, USA and Adjunct Faculty, Public Health Foundation of India; Vikram Patel, MRCPsych, PhD, FMedSci, London School of Hygiene & Tropical Medicine, London, UK, Public Health Foundation of India and Sangath, India.

Abstract

Background: The large treatment gap for mental disorders in India underlines the need for integration of mental health in primary care.

Aims: To operationalise the delivery of the World Health Organization Mental Health Gap Action Plan interventions for priority mental disorders and to design an integrated mental healthcare plan (MHCP) comprising packages of care for primary healthcare in one district.

Method: Mixed methods were used including theory of change workshops, qualitative research to develop the MHCP and piloting of specific packages of care in a single facility.

Results: The MHCP comprises three enabling packages: programme management, capacity building and community mobilisation; and four service delivery packages: awareness for mental disorders, identification, treatment and recovery. Challenges were encountered in training primary care workers to improve identification and treatment.

Conclusions: There are a number of challenges to integrating mental health into primary care, which can be addressed through the injection of new resources and collaborative care models.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Delivery of Health Care, Integrated / standards*
Developing Countries
Humans
India
Mental Disorders / therapy*
Mental Health Services / organization & administration*
Patient Care Planning / standards*
Pilot Projects
Primary Health Care / organization & administration*
Program Evaluation
Qualitative Research

Abstract

Publication types

MeSH terms

Grants and funding