Systematic Medical Appraisal, Referral and Treatment (SMART) Mental Health Programme for providing innovative mental health care in rural communities in India
Systematic Medical Appraisal, Referral and Treatment (SMART) Mental Health Programme for providing innovative mental health care in rural communities in India
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DOI：
10.1017/gmh.2015.11
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发表时间：
2015-01-01
影响因子：
3.9
通讯作者：
Patel, A.
中科院分区：
文献类型：
--
作者：
Maulik, P. K.;Devarapalli, S.;Patel, A.
背景。印度几乎没有精神卫生专业人员来治疗大量患有精神疾病的人。由于缺乏训练有素的卫生工作者，农村地区尤其处于不利地位。改善护理的方法可以是对乡村卫生工作者进行基本精神卫生保健方面的培训，并采用创新的服务提供方法。正在进行的系统医疗评估、转诊和治疗心理健康计划将评估印度安得拉邦农村地区采用混合方法的任务转移移动干预措施的可接受性、可行性和初步有效性。该研究的关键组成部分是反耻辱运动，然后是基于移动设备的心理健康服务干预。该研究将在农村地区的两个地点进行，干预期分别为 1 年和 3 个月。该计划使用基于移动设备的临床决策支持工具，供非医生卫生工作者和初级保健医生使用，以筛查、诊断和管理患有抑郁症、自杀风险和情绪压力的个人。该研究的主要目的是评估干预后筛查结果呈阳性的人在心理健康服务使用方面的变化。还将使用混合方法评估许多其他结果，特别侧重于减少耻辱、提高心理健康意识和其他过程指标。结论。该项目致力于实现世界卫生组织精神卫生行动计划和印度国家精神卫生计划和政策中概述的一系列目标。如果成功，下一阶段将涉及设计和进行整群随机对照试验。
Background. India has few mental health professionals to treat the large number of people suffering from mental disorders. Rural areas are particularly disadvantaged due to lack of trained health workers. Ways to improve care could be by training village health workers in basic mental health care, and by using innovative methods of service delivery. The ongoing Systematic Medical Appraisal, Referral and Treatment Mental Health Programme will assess the acceptability, feasibility and preliminary effectiveness of a task-shifting mobile-based intervention using mixed methods, in rural Andhra Pradesh, India.Method. The key components of the study are an anti-stigma campaign followed by a mobile-based mental health services intervention. The study will be done across two sites in rural areas, with intervention periods of 1 year and 3 months, respectively. The programme uses a mobile-based clinical decision support tool to be used by non-physician health workers and primary care physicians to screen, diagnose and manage individuals suffering from depression, suicidal risk and emotional stress. The key aim of the study will be to assess any changes in mental health services use among those screened positive following the intervention. A number of other outcomes will also be assessed using mixed methods, specifically focussed on reduction of stigma, increase in mental health awareness and other process indicators.Conclusions. This project addresses a number of objectives as outlined in the Mental Health Action Plan of World Health Organization and India's National Mental Health Programme and Policy. If successful, the next phase will involve design and conduct of a cluster randomised controlled trial.