Hostname: page-component-76fb5796d-25wd4 Total loading time: 0 Render date: 2024-04-26T08:38:24.677Z Has data issue: false hasContentIssue false
  • English
  • Français

SUNDAR: mental health for all by all

Published online by Cambridge University Press:  02 January 2018

Vikram Patel
Vikram Patel*
Affiliation:
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
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

This article describes the rationale and principles for the SUNDAR approach adopted by Sangath, an Indian non-governmental organisation: to use lay people, with appropriate training and supervision, to deliver psychosocial interventions for a range of mental health conditions. This approach has been evaluated in a number of randomised controlled trials and is now being scaled up. At the core of this innovation is revisiting the questions of what constitutes mental healthcare, who provides mental healthcare and where mental healthcare is provided. In doing so, SUNDAR offers a vision for a mental healthcare system which is empowering, inclusive, equitable and effective.

Type
Special Papers
Information
BJPsych International , Volume 12 , Issue 1 , February 2015 , pp. 21 - 23
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists 2015

References

Buttorff, C., Hock, R. S., Weiss, H. A., et al (2012) Economic evaluation of a task-shifting intervention for common mental disorders in India. Bulletin of the World Health Organization, 90, 813–821.Google Scholar
Chatterjee, S., Naik, S., John, S., et al (2014) Effectiveness and cost-effectiveness of a community based intervention for people with schizophrenia and their caregivers in India: the COPSI randomised controlled trial. Lancet, 383, 1385–1394.Google Scholar
Collins, P. Y., Patel, V., Joestl, S. S., et al (2011) Grand challenges in global mental health. Nature, 475, 27–30.Google Scholar
Dias, A., Dewey, M. E., D'Souza, J., et al (2008) The effectiveness of a home care program for supporting caregivers of persons with dementia in developing countries: a randomised controlled trial from Goa, India. PLoS ONE, 3(6), e2333.Google Scholar
Patel, V., Weiss, H. A., Chowdhary, N., et al (2011) Lay health worker led intervention for depressive and anxiety disorders in India: impact on clinical and disability outcomes over 12 months. British Journal of Psychiatry, 199, 459–466.Google Scholar
Patel, V., Belkin, G. S., Chockalingam, A., et al (2013a) Grand challenges: integrating mental health services into priority health care platforms. PLoS Medicine, 10(5), e1001448.Google Scholar
Patel, V. & Saxena, S., with De Silva, M. & Samele, C. (2013b) Transforming Lives, Enhancing Communities: Innovations in Mental Health. World Innovation Summit for Health. Available at http://www.wish-qatar.org/app/media/381 (accessed December 2014).Google Scholar
Shinde, S., Andrew, G., Bangash, O., et al (2013) The impact of a lay counselor led collaborative care intervention for common mental disorders in public and private primary care: a qualitative evaluation nested in the MANAS trial in Goa, India. Social Science and Medicine, 88, 48–55.Google Scholar
van Ginneken, N., Tharyan, P., Lewin, S., et al (2013) Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low- and middle-income countries. Cochrane Database of Systematic Reviews, 11, CD009149.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.