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Management of priority mental disorders in the community
C R Chandrashekar1, M K Isaac, R L Kapur
1Psychiatrist, Community Psychiatry Unit, Department of Psychiatry, NIMHANS, Bangalore-560 029.
Indian Journal of Psychiatry
|November 9, 2011
Summary
This study explored managing priority mental disorders in rural India, focusing on schizophrenia, psychosis, and epilepsy. The community-based approach aimed for effective, low-drug interventions in underserved areas.
Area of Science:
- Public Health
- Psychiatry
- Rural Health Delivery
Background:
- Mental healthcare access remains a significant challenge in rural India.
- Developing effective, community-based models is crucial for underserved populations.
- Priority mental disorders require accessible and sustainable management strategies.
Purpose of the Study:
- To design a suitable model for mental health care delivery in rural India.
- To assess the detection and management of priority mental disorders in a community setting.
- To evaluate the outcomes of a low-drug intervention approach.
Main Methods:
- A study was conducted in 120 villages near a rural mental health center in Bangalore District.
- Over three and a half years, patients with schizophrenia, acute psychosis, Manic Depressive Psychosis (MDP), and epilepsy were managed.
- The intervention focused on using a minimum number of drugs.
Main Results:
- The study involved managing 51 cases of schizophrenia, 30 of acute psychosis, 27 of Manic Depressive Psychosis (MDP), and 268 cases of epilepsy.
- Community-based management with minimal medication was attempted.
- Experiences and outcomes of this management approach were documented.
Conclusions:
- Community-based management of priority mental disorders in rural India is feasible.
- A low-drug intervention strategy shows potential for managing conditions like schizophrenia, psychosis, and epilepsy.
- Further research is needed to refine and scale this model for broader impact.
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