Mental health related stigma, service provision and utilization in Northern India: situational analysis.
Mental health related stigma, service provision and utilization in Northern India: situational analysis.
复制标题
印度北部心理健康相关的耻辱、服务提供和利用：情况分析。
DOI：
10.1186/s13033-023-00577-8
复制
发表时间：
2023-04-27
影响因子：
3.6
通讯作者：
Maulik, Pallab K.
中科院分区：
文献类型：
--
作者：
Kaur, Amanpreet;Kallakuri, Sudha;Mukherjee, Ankita;Wahid, Syed Shabab;Kohrt, Brandon A.;Thornicroft, Graham;Maulik, Pallab K.
污名化、歧视、求助不力、缺乏心理健康专业人员、服务和设施不足都对心理健康治疗差距产生了不利影响。社区对服务的利用受到文化信仰和识字水平的影响。鉴于印度北方的一个邦哈里亚纳邦与心理健康相关的污名、服务提供和利用方面的信息很少，我们进行了一项情况分析。这涉及：（a）定性的关键线人访谈;（B）卫生设施记录审查;（c）政策文件审查，以了解印度北方法里达巴德地区的当地情况。在研究开始前获得了研究的伦理批准。在COVID-19大流行期间，对13名参与者（平均年龄= 38.07岁）进行了电话深入访谈，其中包括4名社区卫生工作者，4名精神疾病患者，5名服务提供者（初级卫生保健医生和精神卫生专家）。从当地初级卫生和专科设施收集了卫生设施审查数据，同时对关键政策文件进行了严格分析，以提供服务和减轻污名化活动。使用主题分析来分析采访数据中的模式。我们发现对精神疾病的认识和知识不足，对信仰和传统治疗师的信仰，资源稀缺（药物，训练有素的专业人员和精神卫生住院和门诊诊所），难以获得适当的精神卫生设施，以及寻求精神卫生保健的高成本。政策文件中与精神卫生有关的规定与其在基层和地区一级的执行之间存在重大差距。
Stigma, discrimination, poor help seeking, dearth of mental health professionals, inadequate services and facilities all adversely impact the mental health treatment gap. Service utilization by the community is influenced by cultural beliefs and literacy levels. We conducted a situational analysis in light of the little information available on mental health related stigma, service provision and utilization in Haryana, a state in Northern India. This involved: (a) qualitative key informant interviews; (b) health facility records review; and (c) policy document review to understand the local context of Faridabad district in Northern India. Ethical approvals for the study were taken before the study commenced. Phone call in-depth interviews were carried out with a purposive sample of 13 participants (Mean = 38.07 years) during the COVID-19 pandemic, which included 4 community health workers, 4 people with mental illness, 5 service providers (primary health care doctors and mental health specialists). Data for health facility review was collected from local primary health and specialist facilities while key policy documents were critically analysed for service provision and stigma alleviation activities. Thematic analysis was used to analyse patterns within the interview data. We found poor awareness and knowledge about mental illnesses, belief in faith and traditional healers, scarcity of resources (medicines, trained professionals and mental health inpatient and outpatient clinics), poor access to appropriate mental health facilities, and high costs for seeking mental health care. There is a critical gap between mental health related provisions in policy documents and its implementation at primary and district level.
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DOI：
10.1016/j.ssmmh.2021.100024
发表时间：
2021-12-01
期刊：
SSM-MENTAL HEALTH
影响因子：
--
作者：
Kaur, Amanpreet;Kallakuri, Sudha;Maulik, Pallab K.
通讯作者：
Maulik, Pallab K.
DOI：
10.1016/j.ssmmh.2021.100009
发表时间：
2021-12-01
期刊：
SSM-MENTAL HEALTH
影响因子：
--
作者：
Kemp, Christopher G.;Mntambo, Ntokozo;Petersen, Inge
通讯作者：
Petersen, Inge
影响因子：
3.1
作者：
Kishore, Jugal;Gupta, Avni;Bantman, Patrick
通讯作者：
Bantman, Patrick
影响因子：
2.5
作者：
Daniel M;Maulik PK;Kallakuri S;Kaur A;Devarapalli S;Mukherjee A;Bhattacharya A;Billot L;Thornicroft G;Praveen D;Raman U;Sagar R;Kant S;Essue B;Chatterjee S;Saxena S;Patel A;Peiris D
通讯作者：
Peiris D
影响因子：
73.3
作者：
Corrigan, Patrick W.
通讯作者：
Corrigan, Patrick W.