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SUNDAR: mental health for all by all
1Professor of International Mental Health and Wellcome Trust Senior Research Fellow in Clinical Science; The Centre for Global Mental Health, London School of Hygiene and Tropical Medicine; Sangath; and Centre for Chronic Conditions and Injuries, Public Health Foundation of India.
The SUNDAR approach trains lay people to deliver psychosocial interventions, making mental healthcare more accessible and effective. This innovative model redefines who provides and where care is delivered, promoting inclusivity and equity.
Area of Science:
- Global Mental Health
- Public Health Interventions
- Community Psychology
Background:
- Mental healthcare access remains a significant global challenge.
- Traditional models often face limitations in reach and scalability.
- Non-governmental organizations play a crucial role in addressing health disparities.
Purpose of the Study:
- To describe the rationale and principles of the SUNDAR approach.
- To present an innovative model for delivering psychosocial interventions.
- To outline a vision for an inclusive and effective mental healthcare system.
Main Methods:
- The SUNDAR (Services and Universal Needs Delivery through Appropriate Resources) approach trains lay health workers.
- Psychosocial interventions are delivered by supervised, non-specialist personnel.
- The model has been evaluated through multiple randomized controlled trials.
Main Results:
- The SUNDAR approach demonstrates feasibility and effectiveness in delivering mental healthcare.
- Randomized controlled trials support the efficacy of lay health worker-led interventions.
- The model is currently undergoing scale-up, indicating successful implementation.
Conclusions:
- The SUNDAR approach offers a scalable and sustainable model for mental healthcare delivery.
- Rethinking the 'what, who, and where' of mental healthcare is key to innovation.
- This approach promotes an empowering, inclusive, equitable, and effective mental healthcare system.