Mental health literacy in urban and rural communities in Kerala India: An interdisciplinary approach using applied theatre methodology

印度喀拉拉邦城乡社区的心理健康素养：采用应用戏剧方法的跨学科方法

• 批准号: ES/S00145X/1
• 负责人: Raghu Raghavan
• 金额: $ 73.67万
• 依托单位: De Montfort University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2018
• 资助国家: 英国
• 起止时间: 2018 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FS00145X%2F1
• 关键词: Mental; health; literacy; urban; rural

This highly collaborative international interdisciplinary partnership examines the applicability of the evidence based intervention of mental health literacy (MHL) for urban and rural communities through a multi-centre study in India using participatory theatre and media. We believe that our mutual sharing of research experiences, cultural identities and interdisciplinary exchanges will enable us to build our capacity for planning collaborative research of international significance. Our vision is to work towards the UN 2030 Agenda for Sustainable Development goals 3, 5, 8, and 10.The WHO estimates that mental and behavioural disorders account for about 12% of the global burden of diseases and this is likely to increase to 15% by 2020 . Our focus is in Kerala which has higher prevalence of mental ill-health (14.4%), suicidal risk (12.5%) and alcohol abuse than the rest of India. Thus there is a dire need to develop acceptable and affordable evidence based mental health interventions that are responsive to the local cultural and social contexts. Despite the high Human Development Index (HDI), stigma is widespread in Kerala and hence people with mental ill-health can internalise the public perceptions and become resistant to approach mental health facilities. Mental health literacy is proposed as an evidence based approach for enhancing tolerance, self-care, care for others and to reduce stigma. It is proposed that raising MHL can improve understanding about the risks to mental health, and methods of coping with these risks, thus promoting mental health for all. This project will extend partnerships and develop new collaborations between UK and Indian academics & researchers, service users, families, theatre practitioners and NGOs. Our plan is to conduct a multi-centre study using a 'theatre for development' (TFD) model, adopting a participatory approach to engage and empower urban and rural communities through co-production and co-creation of culturally appropriate knowledge and practice in promoting MHL. We will use participatory co-research methodology embracing the principles of co-production and use theatre and media for research engagement and data collection. Our mode of practice and co-production will draw heavily upon the methodologies employed under TFD but we will also incorporate and extend the community storytelling approaches in partnership with local communities and theatre workers to pilot an approach that allows communities, policymakers and professionals working with mental health to explore mental health as an issue of social justice and to promote MHL. It will do this by creating an interrogative performance space that brings together local practices and attitudes, professional orthodoxies, policy-related data and the latest understanding of mental illness in a way that allows multiple stakeholders to collectively imagine possible solutions. This project will also include widespread public engagement with people in creating mental health literacy through active public engagement programmes. The partnership will innovate and develop new knowledge by: (1) developing and promoting a culturally appropriate MHL programme (2) developing a participatory applied theatre model for promoting mental health literacy (3) co-producing a piece of applied theatre on MHL reflecting the lived experiences of urban and rural communities (4) public engagement of users, families and communities on talking about MHL and pathways of services. Our partnership will facilitate the development of lasting research partnerships combining knowledge of public mental health challenges with awareness of evidence based interventions and its cultural transferability, adding value to health humanities, mental health research and service development.

这种高度合作的国际跨学科伙伴关系通过在印度使用参与性戏剧和媒体进行的多中心研究，审查了基于证据的心理健康扫盲干预措施在城市和农村社区的适用性。我们相信，我们相互分享研究经验，文化认同和跨学科交流将使我们能够建立规划具有国际意义的合作研究的能力。我们的愿景是努力实现联合国2030年可持续发展议程的目标3、5、8和10。世界卫生组织估计，精神和行为障碍约占全球疾病负担的12%，到2020年可能增加到15%。我们的重点是在喀拉拉邦有较高的患病率精神疾病（14.4%），自杀风险（12.5%）和酗酒比印度其他地区。因此，迫切需要制定可接受的和负担得起的基于证据的心理健康干预措施，这些干预措施应符合当地的文化和社会背景。尽管人类发展指数很高，但在喀拉拉邦，耻辱感很普遍，因此精神病患者可能会内化公众的看法，并抵制接近精神卫生设施。心理健康知识普及是一种基于证据的方法，可以增强容忍、自我保健、照顾他人和减少耻辱感。建议提高MHL可以提高对心理健康风险的理解，以及应对这些风险的方法，从而促进所有人的心理健康。该项目将扩大伙伴关系，并在英国和印度的学者和研究人员，服务用户，家庭，戏剧从业者和非政府组织之间建立新的合作关系。我们的计划是采用“戏剧促进发展”（TFD）模式进行多中心研究，采用参与式方法，通过共同制作和共同创造文化上适当的知识和实践，促进MHL，使城市和农村社区参与并增强其权能。我们将使用参与式的共同研究方法，包括共同制作的原则，并使用戏剧和媒体进行研究参与和数据收集。我们的实践和合作制作模式将在很大程度上借鉴TFD下采用的方法，但我们还将与当地社区和戏剧工作者合作，结合和扩展社区讲故事的方法，以试行一种方法，使社区，政策制定者和从事精神卫生工作的专业人员能够将精神卫生作为社会正义问题进行探索，并促进MHL。为此，它将创建一个质疑性的表现空间，将当地的做法和态度、专业正统观念、政策相关数据和对精神疾病的最新理解汇集在一起，使多个利益攸关方能够共同想象可能的解决方案。该项目还将包括通过积极的公众参与方案，让人们广泛参与精神卫生扫盲。该伙伴关系将通过以下方式创新和开发新知识：（1）开发和推广文化上适当的MHL计划（2）开发参与式应用戏剧模式，以促进心理健康扫盲（3）共同制作一部关于MHL的应用戏剧，反映城市和农村社区的生活经验（4）用户，家庭和社区的公众参与，讨论MHL和服务途径。我们的伙伴关系将促进持久的研究伙伴关系的发展，将公共心理健康挑战的知识与基于证据的干预措施及其文化可转移性的认识相结合，为健康人文，心理健康研究和服务开发增加价值。

项目成果

The Routledge Companion to Performance and Medicine

劳特利奇绩效与医学伴侣

• DOI: 10.4324/9781003036500-27
• 发表时间: 2024
• 作者: Barrett A

How do Muslim service users, caregivers and community members in Malappuram, Kerala, India use their faith to address the challenges associated with mental ill health?

印度喀拉拉邦马拉普兰的穆斯林服务使用者、护理人员和社区成员如何利用他们的信仰来应对与精神疾病相关的挑战？

• 发表时间: 2023
• 期刊: Mental Health Religion and Culture
• 影响因子: 1.6
• 作者: Raghavan R

The MEHELP Handbook

MEHELP 手册

• 发表时间: 2022
• 作者: Raghavan R

Multiple Mental Health Literacies in a Traditional Temple Site in Kerala: The Intersection Between Beliefs, Spiritual and Healing Regimes.

喀拉拉邦传统寺庙遗址中的多种心理健康素养：信仰、精神和治疗制度之间的交叉点。

• DOI: 10.1007/s11013-022-09800-6
• 发表时间: 2023
• 期刊: Culture, medicine and psychiatry
• 作者: Raghavan R

Stigma and mental health problems in an Indian context. Perceptions of people with mental disorders in urban, rural and tribal areas of Kerala.

• DOI: 10.1177/00207640221091187
• 发表时间: 2023-03
• 期刊: The International journal of social psychiatry
• 作者: Raghavan R;Brown B;Horne F;Kumar S;Parameswaran U;Ali AB;Raghu A;Wilson A;Svirydzenka N;Venkateswaran C;Kumar M;Kamal SR;Barrett A;Dasan C;Varma A;Banu A
• 通讯作者: Banu A