Facebook

PHFI

Working towards a healthier India
PHFI is helping to build institutional and systems capacity in India for strengthening education, training, research and policy development in the area of Public Health.

Projects under Mental Health PDF Print

Mental Health

The Centre for Chronic Conditions and Injuries collaborates with a network of institutions to improve health outcomes for people affected by Mental, Neurological and Substance use (MNS) disorders, and to reduce inequalities in access to care. These goals are pursued through promoting research, building capacity and undertaking advocacy activities to address the 'treatment gap' in which the majority of people with MNS disorders worldwide are not able to access evidence-based care – particularly in low and middle-income countries.  There is a huge disparity between the significant impact of MNS disorders and the limited availability of mental health services in certain regions. MNS disorders are common among people of all ages, and can be highly debilitating. The conditions that have the greatest impact include:

  • autism, mental retardation and epilepsy in childhood
  • depression, psychoses and alcohol use disorders in adulthood
  • dementia in old age
  • Mental health is closely linked to physical health, and MNS disorders can seriously exacerbate infectious diseases as well as non-communicable diseases such as cardiovascular disease, diabetes and stroke.

    To address the global and regional under-provision of evidence-based mental health care, the Centre is involved in:

    • Policy and practice relevant research
    • Strengthening capacity in the health system to scale up evidence-based interventions
    • Disseminating evidence to a wide range of stakeholders
    • Advocating for the rights of persons with MNS disorders
    • Forging partnerships with governments, professional and civil society groups and the private sector.

    Emerging Mental Health Systems in Low-and Middle-Income Countries (EMERALD)

    Name Funding Body Duration Status Team
    Emerging Mental Health Systems in Low-and Middle-Income Countries (EMERALD)  European Commission under the 7th Framework Programme  November 2011 to October 2017  Ongoing PI: Dr Rahul Shidhaye

     

    About

    A five year European Commission grant, involving six countries (Uganda, South Africa, Ethiopia, India, Nepal and Nigeria), EMERALD aims to reduce the mental health treatment gap by improving the knowledge base on how to enhance health system performance in low-and middle-income countries (LAMICs). Specifically, the EMERALD project aims to identify key health system barriers to, and solutions for, the scaled-up delivery of mental health services in and by doing so improve mental health outcomes in a fair and efficient way.

    Objectives Adequate, fair and sustainable resourcing: To identify health system resources, financing mechanisms and information needed to scale-up mental health services and move towards universal coverage.

    Service provision: To evaluate the context, process, experience and health system implications of mental health service implementation. Improved coverage and goal attainment: To develop, use and monitor indicators of mental health service coverage and system performance.

    Impact

    Emerald study aims to identify key health system barriers to, and solutions for, the scaled-up delivery of mental health services in low- and middle-income countries (LAMICs). The Emerald consortium is therefore innovative in bringing together a team working collaboratively across health systems, research, service user, family member NGO and govt organisations and boundaries. The study is capable to deliver high quality and precise capacity development materials to our key target group, & has played key leadership in developing WHO mhGAP implementation guide, which is now committed to taking the health system strengthening steps necessary for its realisation.

    Publications

    Evidence for effective interventions to reduce mental-health-related stigma and discrimination. Thornicroft G., Mehta N., Clement S., Evans-Lacko S., Doherty M., Rose D., Koschorke M., Shidhaye R., O’Reilly C., Henderson C. Journal: The Lancet

    Link: PubMed

    Depression among patients with tuberculosis: determinants, course and impact on pathways to care and treatment outcomes in a primary care setting in southern Ethiopia - a study protocol. Ambaw F, Mayston R, Hanlon C, Alem A. Journal: BMJ Open

    Link: PubMed

    Strengthening mental health systems in low- and middle-income countries: the Emerald programme. Semrau M, Evans-Lacko S, Alem A, Ayuso-Mateos JL, Chisholm D, Gureje O, Hanlon C, Jordans M, Kigozi F, Lempp H, Lund C, Petersen I, Shidhaye R, Thornicroft G. Journal: BMC Medicine

    Link: PubMed

    Health system governance to support integrated mental health care in South Africa: challenges and opportunities. Marais, D. and Petersen, I Journal: International Journal of Mental Health Systems

    Link: PubMed

    Media Coverage

    http://www.emerald-project.eu/dissemination/media/emerald-in-the-media/

    Website: http://www.emerald-project.eu/

    South Asian Hub for Advocacy, Research and Education on Mental Health (SHARE)

    Name Funding Body Duration Status Team
    South Asian Hub for Advocacy, Research and Education on Mental Health (SHARE) National Institute of Mental Health (NIMH) through the London School of Hygiene and Tropical Medicine (LSHTM) April 2012 – August 2016  Ongoing PI: Vikram Patel, Atif Rahman Co-Investigators: Fareed Minhas, Rahul Shidhaye, Mona Sharma, Anisha Lazarus, Bushra Razzaque, Daniela Fuhr, Revathi Krishna, Siham Sikandar, Ihlaq Ahmad

    About

    SHARE is a five year programme of research and capacity building in the South Asian region, with a primary core in PHFI and a secondary core in the Institute of Psychiatry, Pakistan. It is one of the five National Institute of Mental Health (NIMH) funded hubs for promoting global mental health research. The main aim of this project is to adapt the Thinking Healthy Program for peer-delivery and evaluate its impact on the mothers’ and child’s health.

    Participants: London School of Hygiene & Tropical Medicine and University of Liverpool (UK), Public Health Foundation of India and Sangath (India), Institute of Psychiatry and Human Development Research Foundation (Pakistan), Institute of Psychiatry (UK), Johns Hopkins School of Public Health (USA)

    Objectives: The broad, long range goal of SHARE (the South Asian Hub for Advocacy, Research and Education on mental health) is to establish a collaborative network of institutions in South Asia, building on the historic linkages between them, to carry out and to utilize research that answers policy relevant questions related to reducing the treatment gap for mental disorders in the region.

    Impact

    SHARE is an innovative program of research based on task sharing approach which involves the delivery of psychological interventions by the peers or laypersons, for maternal depression in 3 diverse contexts. The formation of a South Asian hub consisting of 12 partner institutes from 6 countries—India, Pakistan, Sri Lanka, Bangladesh, Afghanistan and Nepal works on development and implementation of capacity building programs for researchers at different career stages (early, middle and senior) in South Asian region

    Media Coverage

    http://www.sharementalhealth.org/index.php?option=com_content&view=article&id=27&Itemid=646

    Mona Sharma writes for Deccan Herald on 18th November, 2015- Read here

    Mona Sharma writes for DailyO on 3rd December, 2015— Read here

    Publications

    THINKING HEALTHY A manual for psychosocial management of perinatal depression (WHO generic field-trial version 1.0). Geneva: World Health Organization; 2015
    Download

    Peer Reviewed Journal Articles

    Chowdhary N, et al. The content and delivery of psychological interventions for perinatal depression by non-specialist health workers in low and middle income countries: A systematic review. Best Pract Res Clin Obstet Gynaecol. 2014 Jan;28(1):113-33.
    Download

    Patel V, et al. Grand challenges: integrating mental health services into priority health care platforms. PLoS Med. 2014 ;10(5):e1001448
    Download

    Singla D, et al “Someone like us”: Delivering maternal mental health through peers in two South Asian contexts. J Affect Disord. 2014 Oct;168:452-8
    Download

    Fuhr DC, et al. Effectiveness of peer-delivered interventions for severe mental illness and depression on clinical and psychosocial outcomes: a systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol. 2014 Nov;49(11):1691-702
    Download

    Fuhr DC, et al. Contribution of suicide and injuries to pregnancy-related mortality in low-income and middle-income countries:a systematic review and meta-analysis. The Lancet. Psychiatry. 2014 August; 1(3):213-225
    Download

    SHARE fellows

    Siriwardhana C, et al. An intervention to improve mental health care for conflict-affected forced migrants in low-resource primary care settings: a WHO MhGAP-based pilot study in Sri Lanka (COM-GAP study). Trials 2013 Dec; 14(1):423
    Download

    Adhikari R, et al Perceived behavioral problems of school aged children in rural Nepal: a qualitative study. Child and Adolescent Psychiatry and Mental Health 2015, 9:25
    Download

    SHARE Supplement Grant

    Kohrt B, et al. Cultural concepts of distress and psychiatric disorders: literature review and research recommendations for global mental health epidemiology. Int J Epidemiol. 2014 Apr;43(2):365-406.
    Download

    Kohrt B, et al. Authorship in Global Mental Health Research: Recommendations for Collaborative Approaches to Writing and Publishing. Ann Glob Health. 2014 Mar-Apr;80(2):134-42.
    Download

    Maternal mental health: Why it matters and what countries with limited resources can do
    Download

    Media Coverage

    http://www.sharementalhealth.org/index.php?option=com_content&view=article&id=27&Itemid=646

    Website:  www.sharementalhealth.org

    Program for improving mental health care (PRIME)

    Name Funding Body Duration Status Team
    Program for improving mental health care (PRIME) Department for International Development (DFID) through University of Cape town, South Africa May 2011 to April 2017 Ongoing PI: Rahul Shidhaye Project director: Vaibhav Murhar Clinical director: Sanjay Srivastava

    About

    PRIME is a six year research program consortium which aims to develop, evaluate and scale up a mental health care plan in primary and maternal health care in districts in three African (Uganda, South Africa, Ethiopia) and two South Asian countries (India and Nepal).

    Participants : World Health Organization, the Centre for Global Mental Health(incorporating London School of Hygiene & Tropical Medicine and King’s Health Partners, UK), Ministries of Health and research institutions in Ethiopia(Addis Ababa University),India(Public Health Foundation of India), Nepal(TPO Nepal), South Africa(University of Cape Town, Perinatal Mental Health Project, University of Kwazulu-Natal & HSRC) and Uganda(Makerere University / Butabika Hospital); and international NGOs such as Basic Needs, Healthnet TPO and Sangath.

    Objectives : Developing an integrated mental health care plan comprising packages of mental health care for delivery in primary health care and maternal health care. Evaluating the feasibility, acceptability and impact of the packages of care in primary health care and maternal health care. Evaluating the scaling up of these packages of care at the district-level.

    Impact

    PRIME in its journey of more than 4 years has affected lives of many people who were not able to get appropriate treatment due to non-availability of treatment in primary care facilities. Evidences generated through PRIME on integration of mental health services and joint efforts of stakeholders, now creating an environment to scale up the approach in entire state of Madhya Pradesh.

    30 new districts in Madhya Pradesh now have “Mann Kaksh

    Media Coverage

    http://www.prime.uct.ac.za/research-uptake/prime-in-the-media

    One in four men consumes alcohol in rural MP: Study — Story in Hindustan Times on 6th January, 2016

    Publications

    Implementation Science for closing the treatment gap for mental disorders by translating evidence base into practice: experiences from the PRIME project.

    Shidhaye R1

    BMJ Open.2015 Dec 18;5(12):e009802. doi: 10.1136/bmjopen-2015-009802.

    http://www.ncbi.nlm.nih.gov/pubmed/26634667

    Epidemiological features of alcohol use in rural India: a population-basedcross-sectional study.

    Rathod SD1, Nadkarni A2, Bhana A3, Shidhaye R4.

    Int J MentHealthSyst.2015 Dec 30;9:40. doi: 10.1186/s13033-015-0031-9. eCollection 2015.

    http://www.ncbi.nlm.nih.gov/pubmed/26685035

    Closing the treatment gap for mental, neurological and substance use disorders by strengthening existing healthcare platforms: strategies for delivery and integration of evidence-based interventions.

    Shidhaye R1,Lund C2,Chisholm D3.

    http://www.ncbi.nlm.nih.gov/pubmed/26719762

    Integration of mental health into primary care in low- and middle-income countries: The PRIME mental healthcare plans. British Journal of Psychiatry Supplement

    Crick Lund, Mark Tomlinson, Vikram Patel

    Estimating the cost of implementing district mental healthcare plans in five low- and middle-income countries: the PRIME study. British Journal of Psychiatry Supplement

    Dan Chisholm, Soumitra Burman-Roy , Abebaw Fekadu, Tasneem Kathree, Dorothy Kizza, Nagendra P. Luitel, Inge Petersen, Rahul Shidhaye, Mary De Silva, Crick Lund

    Development of a scalable mental healthcare plan for a rural district in Ethiopia. British Journal of Psychiatry Supplement

    Abebaw Fekadu, Charlotte Hanlon, Girmay Medhin, Atalay Alem, Medhin Selamu, Tedla W. Giorgis, Teshome Shibre, Solomon Teferra, Teketel Tegegn, Erica Breuer, VikramPatel, Mark Tomlinson, Graham Thornicroft, Martin Prince, and Crick Lund

    Development and piloting of a plan for integrating Mental Health in primary care in Sehore District, Madhya Pradesh, India. British Journal of Psychiatry Supplement

    Rahul Shidhaye, Sanjay Shrivastava, Vaibhav Murhar, Sandesh Samudre, Shalini Ahuja, Rohit Ramaswamy, Vikram Patel

    Development and pilot-testing of a mental healthcare plan in Nepal. British Journal of Psychiatry Supplement

    Mark Jordans, Nagendra Prasad Luitel, Pooja Pokhrel, Vikram Patel

    Integrating mental health into chronic care in South Africa: the development of a district mental health plan. British Journal of Psychiatry Supplement

    Inge Petersen, Lara Fairall, Arvin Bhana, Tasneem Kathree, One Selohilwe, Carrie Brooke-Sumner, Gill Faris, Erica Breuer, Nomvula Sibanyoni, Crick Lund, Vikram Patel

    Development of a District MentalHealth Care Plan in Uganda. British Journal of Psychiatry Supplement

    Fred N Kigozi, Dorothy Kizza, Juliet Nakku, Joshua Ssebunnya, Sheila Ndyanabangi, Blandina Nakiganda, Crick Lund, Vikram Patel

    District Mental Health Care Plans for five low- and middle-income countries: commonalities, variations and evidence gaps. British Journal of Psychiatry Supplement

    Charlotte Hanlon, Abebaw Fekadu, Mark Jordans, Fred Kigozi, Inge Petersen, Rahul Shidhaye, Simone Honikman, Crick Lund, Martin Prince, Shoba Raja, Graham Thornicroft,Mark Tomlinson, Vikram Patel

    Planning and evaluating mental health servicesin low- and middle-income countries using Theory of Change. British Journal of Psychiatry Supplement

    Erica Breuer, Mary J De Silva, Rahul Shidaye, Inge Petersen, Juliet Nakku, Mark JD Jordans, Abebaw Fekadu, Crick Lund

    Evaluation of district mental healthcare plans: the PRIME consortiummethodology. British Journal of Psychiatry Supplement

    Mary J De Silva, Sujit D Rathod, Charlotte Hanlon, Erica Breuer, Dan Chisholm, Abebaw Fekadu, Mark Jordans, Fred Kigozi, Inge Petersen, Rahul Shidhaye, Girmay Medhin,Joshua Ssebunnya, Martin Prince, Graham Thornicroft, Mark Tomlinson, Crick Lund, Vikram Patel

    Accuracy of proactive case finding for mental disorders by community informants in Nepal.British Journal of Psychiatry

    Mark J. D.Jordans,Brandon A.Kohrt,Nagendra P.Luitel,Ivan H.Komproe,CrickLund

    Developing a mental health care plan in a low resource setting: the theory of change approach Developing a mental health care plan in a low resource setting: the theory of change approach BMC Health Services Research

    Maji Hailemariam,Abebaw Fekadu,Medhin Selamu,Atalay Alem,Girmay Medhin,Tedla Wolde Giorgis,Mary DeSilvaandErica Breuer

    Beyond the Biomedical: Community Resources for Mental Health Care in Rural Ethiopia PLOS One

    Medhin Selamu, Laura Asher, Charlotte Hanlon, Girmay Medhin, Maji Hailemariam, Vikram Patel, Graham Thornicroft, Abebaw Fekadu

    Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findings International Journal of Mental Health Systems
    Amit Makan, Abebaw Fekadu, Vaibhav Murhar, Nagendra Luitel, Tasneem Kathree, Joshua Ssebunya and Crick Lund

    Mental health care in Nepal: current situation and challenges for development of a district mental health care plan Conflict and Health
    Nagendra P Luitel, Mark JD Jordans, Anup Adhikari, Nawaraj Upadhaya, Charlotte Hanlon, Crick Lund and Ivan H Komproe

    Therapist competence in global mental health: Development of the ENhancing Assessment of Common Therapeutic factors (ENACT) rating scale Behaviour Research and Therapy

    Brandon A. Kohrt, Mark J.D. Jordans, Sauharda Rai, Pragya Shrestha, Nagendra P. Luitel, Megan K. Ramaiya, Daisy R. Singla and Vikram Patel

    Theory of Change: a theory-driven approach to enhance the Medical Research Council's framework for complex interventions Trials

    Mary J De Silva, Erica Breuer, Lucy Lee, Laura Asher, Neerja Chowdhary, Crick Lund and Vikram Patel

    Demand and access to mental health services: a qualitative formative study in Nepal BMC International Health & Human Rights

    Natassia F Brenman, Nagendra P Luitel, Sumaya Mall and Mark J D Jordans

    Acceptability and feasibility of using non-specialist health workers to deliver mental health care: Stakeholder perceptions from the PRIME district sites in Ethiopia, India, Nepal, South Africa, and Uganda Social Science & Medicine
    Emily Mendenhall, Mary J. De Silva, Charlotte Hanlon, Inge Petersen, Rahul Shidhaye, Mark Jordans, Nagendra Luitel, Joshua Ssebunnya, Abebaw Fekadu, Vikram Patel, Mark Tomlinson, Crick Lund

    Challenges and Opportunities for Implementing Integrated Mental Health Care: A District Level Situation Analysis from Five Low-and Middle-Income Countries PLOS One

    Charlotte Hanlon, Nagendra Luitel, Tasneem Kathree, Vaibhav Murhar, Sanjay Shrivasta, Girmay Medhin, Joshua Ssebunnya, Abebaw Fekadu, Rahul Shidhaye, Inge Petersen, Mark Jordans, Fred Kigozi, Graham Thornicroft, Vikram Patel, Mark Tomlinson, Crick Lund, Erica Breuer, Mary De Silva, Martin Prince

    Using workshops to develop Theories of Change in fivelow and middle income countries: lessons from the Programme for Improving Mental health carE (PRIME) International Journal of Mental Health Systems

    Erica Breuer, Mary J De Silva, Abebaw Fekadu, Nagendra Prasad Luitel, Vaibhav Murhar, Juliet Nakku, Inge Petersen and Crick Lund

    Population level mental distress in rural Ethiopia BMC Psychiatry

    Abebaw Fekadu, Girmay Medhin, Medhin Selamu, Maji Hailemariam, Atalay Alem, Tedla W Giorgis, Erica Breuer, Crick Lund, Martin Prince and Charlotte Hanlon

    Suicide and suicide attempts in people with severe mentaldisorders in Butajira, Ethiopia: 10 year follow-up of apopulation-based cohort BMC Psychiatry

    Teshome Shibre, Charlotte Hanlon, Girmay Medhin, Atalay Alem, Derege Kebede, Solomon Teferra, Gunnar Kullgren, Lars Jacobsson and Abebaw Fekadu

    Psychiatric stigma and discrimination in South Africa: perspectives from key stakeholders BMC Psychiatry

    Egbe CO, Brooke-Sumner C, Kathree T, Selohilwe O, Thornicroft G, Petersen I.

    Poverty and mental health: Towards a research agenda for low and middle-income countries. Commentary on Tampubolon and Hanandita (2014) Social Science & Medicine

    Crick Lund

    World Health Assembly adopts Comprehensive Mental Health Action Plan 2013-2020 The Lancet

    Shekhar Saxenaa, Michelle Funk, Dan Chisholm

    Effect of psychosocial interventions on social functioning in depression and schizophrenia: a meta-analysis. British Journal of Psychiatry.

    Mary De Silva, Sara Cooper, H Li, Crick Lund, Vikram Patel

    Closing the treatment gap for depression co-morbid with HIV in South Africa: Voices of afflicted women Health

    Inge Petersen, Jill Hanass Hancock, Arvin Bhana, Kaymarlin Govender, Members of Programme for Improving Mental Health Care (PRIME)

    Setting priorities for mental health care in Nepal: a formative studyBMC Psychiatry

    Mark Jordans, Nagendra Luitel, Mark Tomlinson, Ivan Komproe

    Global mental health: a sustainable post Millennium Development Goal?International Health.

    Mark Tomlinson

    PRIME: A Programme to Reduce the Treatment Gap for Mental Disorders in Five Low- and Middle-Income Countries PLOS Medicine.

    Crick Lund, Mark Tomlinson, Mary De Silva, Abebaw Fekadu, Rahul Shidhaye, Mark Jordans, Inge Petersen, Arvin Bhana, Fred Kigozi, Martin Prince, Graham Thornicroft, Charlotte Hanlon, Ritsuko Kakuma, David McDaid, Shekhar Saxena, Dan Chisholm, Shoba Raja, Sarah Kippen-Wood, Simone Honikman, Lara Fairall, Vikram Patel

    Capacity building in global mental health research Harvard Review of Psychiatry

    Graham Thornicroft, Sara Cooper, Tine Van Bortel, Ritsuko Kakuma, Crick Lund

    Stepped Care for Maternal Mental Health: A Case Study of the Perinatal Mental Health Project in South Africa. PLOS Medicine.

    Simone Honikman, Thandi van Heyningen, Sally Field, Emily Baron, Mark Tomlinson

    Putting Evidence into Practice: The PLoS Medicine Series on Global Mental Health Practice. PLOS Medicine.

    Vikram Patel, Rachel Jenkins, Crick Lund, the PLoS Medicine Editors

    Why does mental health not get the attention it deserves? An application of the Shiffman and Smith framework. PLOS Medicine.

    Mark Tomlinson, Crick Lund

    Poverty and mental health: A review of practice and policies. Neuropsychiatry

    Crick Lund

    The measurement of poverty in psychiatric epidemiology in LMICs: critical review and recommendations. Social Psychiatry & Psychiatric Epidemiology

    Sara Cooper, Crick Lund, Ritsuko Kakuma

    2nd Lancet Series on Global Mental Health

    A renewed agenda for global mental health. The Lancet.

    Vikram Patel, Niall Boyce, Pamela Y Collins, Shekhar Saxena, Richard Horton

    Poverty and mental disorders: breaking the cycle in low-income and middle-income countries The Lancet

    Crick Lund, Mary De Silva, Sophie Plagerson, Sara Cooper, Dan Chisholm, Jishnu Das, Martin Knapp, Vikram Patel

    Scale up of services for mental health in low-income and middle-income countries The Lancet

    Julian Eaton, Layla McCay, Maya Semrau, Sudipto Chatterjee, Florence Baingana, Ricardo Araya, Christina Ntulo, Graham Thornicroft, Shekhar Saxena

    Human resources for mental health care: current situation and strategies for action The Lancet

    Ritsuko Kakuma, Harry Minas, Nadja van Ginneken, Mario R Dal Poz, Keshav Desiraju, Jodi E Morris, Shekhar Saxena, Richard M Scheffler

    Media coverage

    http://www.prime.uct.ac.za/research-uptake/prime-in-the-media

    Website: http://www.prime.uct.ac.za/

    PRogram for Effective Mental health Interventions in Under-resourced health systeMs (PREMIUM)

    Name Funding Body Duration Status Team
    PRogram for Effective Mental health Interventions in Under-resourced health systeMs (PREMIUM) Wellcome Trust October 2010 – September 2016 Ongoing Principal investigator: Prof Vikram Patel;
    Project Director: Dr Neerja Chaudhary;
    Trial manager: Dr Benedict Weobong;
    Intervention team coordinator: Dr Abhijit Nadkarni, Arpita Anand.

     

    About

    PREMIUM is a program working on two high priority mental health disorders, Depression and Alcohol Use Disorders. Both of these are important public health problems worldwide with high prevalence rates, high levels of disability and potentially fatal consequences through suicide, road traffic accidents or health complications such as liver cirrhosis.

    PREMIUM is developing culturally appropriate psychological treatments for delivery by non-specialist health workers (NSHW) in primary health care settings.

    Participants : PREMIUM is being implemented through a partnership between Sangath and the Centre for Global Mental Health, London School of Hygiene & Tropical Medicine. Other partners are: the Directorate of Health Services, Government of Goa; the Public Health Foundation of India; and Oxford University

    Objectives :

    • To define the steps of a systematic methodology for the development of new culturally appropriate psychological treatment for delivery by NSHW

    • To test this methodology in the development of treatment for Depressive Disorder and Harmful Drinking

    • To evaluate the clinical benefit and cost effectiveness of the resulting treatments using RCTs

    • To develop a framework for scaling up psychological treatment delivered by NSHW

    Impact

    The primary 3 months outcome evaluation results for PREMIUM treatment effectiveness and cost-effectiveness are expected to be published by April 2016.

    1. New psychological treatments delivered by NSHW for Depression and Harmful Drinking

    2. A systematic methodology for the development of psychological treatments for delivery by non-specialist health workers in routine care settings which integrates global and local knowledge

    3. Framework for scale-up of the PREMIUM treatments through public health systems.

    Media Coverage http://www.sangath.com/inside_page.php?nav_id=242

    Publications

    • Treatment development papers

    Website: http://sangath.com/inside_page.php?nav_id=222

     

    Disease Control Priorities Network (DCPN)

    Name Funding Body Duration Status Team
    Disease Control Priorities Network (DCPN) Bill & Melinda Gates Foundation November 2009 to October 2015 Ongoing PI: Vikram Patel Volume coordinator: Rachana Parikh

     

    About

    DCPN is a global initiative, funded by the Gates Foundation, which aims to improve the efficacy of health resource spending in various contexts around the globe. The project aims to estimate the cost-effectiveness of the integration of evidence based practices into various platforms of care and evaluates the potential costs and benefits of allocating funding to a range of health service delivery platforms (such as hospitals and clinics), research and development of new health technologies, and new health interventions. This initiative includes a full volume devoted to MNS disorders.

    Participants : University of Washington, Center for Global Health Research, and Public Health Foundation of India"

    Objectives : Adequate, fair and sustainable resourcing: To identify health system resources, financing mechanisms and information needed to scale-up mental health services and move towards universal coverage. service provision: To evaluate the context, process, experience and health system implications of mental health service implementation. Improved coverage and goal attainment: To develop, use and monitor indicators of mental health service coverage and system performance.

    Impact

    full volume devoted to MNS disorders has been published in the Lancet

    Publications

    Addressing the Burden of Mental, Neurological and Substance Use Disorders: Key Messages from Disease Control Priorities, 3rd Edition – Anticipated publications: Mental, Neurological, and Substance Use Disorders

    Website: http://www.dcp-3.org/mentalhealth

    Premium for Adolescents (PRIDE)

    Name Funding Body Duration Status Team
    PRIDE (Premium for Adolescents) Wellcome Trust 2015 - 2020  Ongoing Vikram Patel- Principal Investigator
    Monica Arora- Project Advisor
    Prachi Khanderparker- Project Advisor
    Vikas Choudhry- Project Director
    Arpita Anand- Intervention Project Director
    Daniel Michelson- Intervention Co-Director
    Angela Joseph- Intervention Director (Del)
    Akanksha Joshi- Intervention coordinator
    Mona Sharma- Consultant
    Swapnil Gadhave - Research Director (Goa)
    Smita Parmar- Senior Research Associate
    Rachana Parikh- Consultant

    Administration
    Archana Patil- Administrative Coordinator
    Priyanka Sharma- Senior Administrative Executive
    Prachi Sharma- Administrative Executive

     

    About

    The global population of young people exceeds one billion with almost 90 % residing in low to middle income countries. Mental disorders account for a considerable burden in the formative years of adolescence and young adulthood. Depressive, anxiety and conduct disorders (the ‘common mental disorders’) account for over 75% of the burden of mental disorders in this age group. There is a considerable body of evidence to suggest that a range of psychological treatments are effective for treating mental disorders in adolescents. However, the vast majority of young people do not receive these treatments. There are many reasons for this ‘treatment gap’. Much of the existing evidence comes from high income countries, and there are questions about how relevant this evidence is for settings where interventions can only be delivered by non-specialized health workers, where the cultural explanations for mental health problems are rarely biomedical, and where the demand for mental health care is low.

    Aims

    The goal of PRIDE is to develop a psychosocial intervention targeting common mental disorders in school going adolescents comprising a combination of self-care and counselling delivered by lay counsellors, and to evaluate its effectiveness in reducing symptom severity and improving recovery rates in adolescents with these mental disorders. 

    Website: https://www.phfi.org/news-and-events/key-projects/pride

    Participants: London School of Hygiene & Tropical Medicine and University of Liverpool (UK), Public Health Foundation of India (Delhi, India) and Sangath (Goa, India)

    1. Vellakkal S, Patel V. Designing Psychological Treatments for Scalability: The PREMIUM Approach. PLoS One 2015;10:e0134189

    Systematic Review of Public Health Issues concerning Sexual Violence in India

    Name Funding Body Duration Status Team
    Systematic Review of Public Health Issues concerning Sexual Violence in India Bayer CropScience Limited and supported by Charité - Universitätsmediz in Berlin October 2015- September 2016 ongoing PI: Vikram Patel

     

    About

    Sexual Violence against women and children is a pervasive global problem. In the past few decades, there have been a number of studies on raising awareness about the magnitude and depth of severe consequences of sexual violence. Yet, a culture of silence persists, in speaking about sexual matters or disclosing incidences of violence. This is probably due to the fear of stigmatisation, poor response from law enforcement & dishonour associated with rape or sexual perversion. Studies have also highlighted both short and long term consequences of violence on a person’s health and behaviour. Child Sexual abuse (CSA) is another form of physical, sexual and emotional violence where most of the times the perpetrator of violence is known to the child and is in a position of power vis-à-vis a child; however, evidence on prevention of CSA in India is inadequate. This study aims to generate evidence on the interventions designed and implemented to address the issues of sexual violence against women and children in India.

    Objectives

    The study’s findings will be based on the following objectives:

    1. To assess the quality of available data to identify the gaps in current strategies applied to address sexual violence in India

    2. To identify best practices or help-seeking behaviour to prevent sexual violence

    3. Review legal and policy frameworks to understand how these are being used in different states of India

    Website: upcoming

    Fogarty Global Health Fellowship

    Name Funding Body Duration Status Team
    Fogarty Global Health Fellowship Vanderbilt-Emory-Cornell-Duke University Consortium of the Fogarty International Centre,  Supported by National Institute of Health, USA ten months (September 2015 – June 2016) ongoing Mentors: Dr Rahul Shidhaye, PHFI and Dr Mohammad K Ali, Emory University

    Fellow: Rachana Parikh

     

    Research topic

    Analysis of India’s National Mental Health Policy and its implications on providing integrated care for mental disorders equitably in low resource settings.

    Lancet Series on Global Mental Health

    Name Funding Body Duration Status Team
    Lancet Series on Global Mental Health The Lancet October 2015-2017 ongoing PI: Vikram Patel

     

    About

    In 2007, The Lancet published a ground-breaking series of papers about global mental health. These papers helped to catalyse a growing movement that, in the years since, has enjoyed numerous successes in promoting and delivering good mental health as a foundation stone of fulfilling and prosperous lives worldwide. But there have been setbacks, too; and many challenges still remain. To mark the 10th anniversary of this Series, The Lancet and its sister journal The Lancet Psychiatry therefore plan to publish a Commission online and in print in 2017.

    Objectives

    1. to prepare a report card on the progress of the global community and countries in response to the call for action of the 2007 series.

    2. to review the major new scientific developments and innovations in the field which have a bearing not only on facilitation of the call to action but to global health more generally, such as digital technologies, neuroscience-informed epidemiology and interventions, psychological treatments, and advances in the science of specific disorders (eg, autism and dementia).

    Innovation in Science Pursuit for Inspired Research (INSPIRE)

    Name Funding Body Duration Status Team
    Innovation in Science Pursuit for Inspired Research (INSPIRE) Faculty Scheme under 'Assured Opportunity for Research Career (AORC)' Government of India, Ministry of Science & Technology, Department of Science & Technology (DST) 2012-17 ongoing PI: Supriya Bhavnani

     

    About

    INSPIRE is a programme funded exclusively by the Government of India. The Central Government approved INSPIRE programme in November 2008 at a total cost of Rs.1979.25 crores for the 11th Plan Period and Honourable Prime Minister launched the Programme on 13th December 2008.

    INSPIRE Faculty Scheme opens up an 'Assured Opportunity for Research Career (AORC)' for young researchers in the age group of 27-32 years. It is expected to augment high quality scientific manpower in scientific and educational institutions. It provides attractive opportunities to young achievers for developing independent scientific profiles and intends helping them emerge as S&T leaders in the long term.

    Aims and objectives

    The aims of this project are:

    1. Map the pathway to care for Autism Spectrum Disorders in an Indian population

    2. Elucidate the time delay between symptom recognition by parents and a formal diagnosis

    3. Analyse the relative contribution of potential reasons to the delayed diagnosis. These could include –

      1. Individual factors; e.g. age, sex and presence of co-morbidities

    Family factors; e.g. socio-economic status, parental education, conflicting opinions

    Expected impact

    By informing about the pathway that families follow to obtain a diagnosis of ASD, this project will be able to highlight areas that can potentially be targeted by programmes that aim to make the process of obtaining a diagnosis easier for them. Also, since it is well accepted that early intervention is capable of improving the outcome of children with ASD, this work will contribute towards the effort to obtain a diagnosis as early as possible so as to have access to such interventions.

    Website: http://www.inspire-dst.gov.in/inspire.html

    The Innovative Young Biotechnologist Award (IYBA)

    Name Funding Body Duration Status Team
    The Innovative Young Biotechnologist Award (IYBA) Government of India, Ministry of Science & Technology, Department of Biotechnology (DBT) 2014-17 ongoing PI: Supriya Bhavnani

     

    About

    The Innovative Young Biotechnologist Award (IYBA), initiated in 2005, is a career-oriented prize to identify and nurture outstanding young scientists with innovative ideas and desire of pursuing research in biotechnology.

    The focus of this project is to aid in detection of Autism Spectrum Disorders in low resource community settings by developing tools that can be administered by non-specialist health workers. Currently, the gold standard for ASD diagnosis involves lengthy and costly clinical observations of child behaviour by highly trained specialists such as developmental paediatricians, psychiatrists or clinical psychologists. However, neuroscientific research into ASD has resulted in a number of biomarkers being explored that may be capable of identifying the condition in children. The aim of this project is to assess the feasibility of developing low cost tools which are capable of detecting these biomarkers and testing their ability to discriminate children with ASD from typically developing children in an Indian population.

    Website: http://www.dbtindia.nic.in/funding-mechanism-2/awards

    Vidharbha Stress and Health Program (VISHRAM)

    Name Funding Body Duration Status Team
    Vidharbha Stress and Health Program (VISHRAM) Sir Jamsetji Tata Trust November 2011 to October 2015 Completed Principal investigator: Dr Vikram Patel Co-investigators: Dr Neerja Chowdhary and Dr Rahul Shidhaye

     

    About

    VISHRAM is a four year community based mental health program. The mission of VISHRAM is to establish a sustainable rural mental health program to address psychosocial distress of rural communities in the Vidarbha region of Maharashtra that have witnessed drought, economic distress and suicides. VISHRAM is led by Public Health Foundation of India and Sangath in collaboration with two implementing NGOs namely Prakriti and Watershed Organisation Trust (WOTR).

    Objectives Assess mental health needs and resources for the provision of mental health care Train health workers in various aspects of psychosocial and mental health care Deliver evidence-based psychosocial and mental health interventions Advocate to raise awareness and demand for mental health care Monitor and evaluate the impact of the programme Establish collaborations with partners in Vidarbha region with the aim of scaling up

    Impact With the purpose of generating evidence base on the implementation and scaling up of treatment programs for priority mental disorders, VISHRAM has developed a mental health care plan, based on the WHO model of organization of mental health services, which aims to deliver services in a stepped fashion at four levels of the health system: self-care, informal community care, primary care and specialist care. In the last year, VISHRAM has been able to consolidate a strong collaboration between VISHRAM (led by Sangath) and the Directorate of Health Services, Government of Maharashtra and also strengthen its collaborations with Institute of Psychological Health Thane, Jawaharlal Medical College Wardha and NKP Salve Institute of Medical Sciences and Research, Nagpur. We believe that such collaboration can become a model for the district mental health program not only in Vidarbha but elsewhere in the country.

    Media Coverage

    "Two Initiatives, Two Approaches, One Cause – Addressing Mental Illness in Rural India http://www.thebetterindia.com/36072/public-health-foundation-of-india-mental-illness-rural-india/

    Journey to the Heart of India

    http://blogs.lshtm.ac.uk/students/2013/04/19/annette-ruth-blog/

    Out of the Shadows: How a pioneering approach to treating mental illness is helping to fight one of the world’s most neglected diseases.

    http://www.aljazeera.com/programmes/peopleandpower/2015/10/shadows-151029073123574.html

    How Health Reforms Can Save Indian Farmers

    http://sites.ndtv.com/cultivatinghope/video-details-page/how-health-reforms-can-save-indian-farmers-401425/

    Website: http://www.sangath.com/details.php?nav_id=185

    China-India Mental Health Alliance Project

    Name Funding Body Duration Status Team
    China-India Mental Health Alliance Project China Medical Board February 2013 to October, 2015 Completed PI: Vikram Patel, Michael R Phillips

     

    About

    This initiative, funded by the China Medical Board, is aimed to build partnerships between leading mental health researchers and advocates in China and India around priority areas related to MNS disorders.

    Objectives: The objective of this alliance is to enable dialogue between key stakeholders in each country and landscaping papers comparing the current status of mental health and mental health services in the two countries to be published in Lancet/ Lancet Psychiatry as a series.

    Publications

    "Anticipated Publications –

    1) The Burden of Mental, Neurological and Substance Use Disorders in China and India.

    2) The magnitude and health system responses to the mental health treatment gap in India and China.

    3) The ethical and practical foundations of the new mental health laws in China and India.

    Rethinking suicide: lessons from China and India.

    4) Prevalence, methods, risk factors and interventions for suicidal behaviour in China and

    India: a systematic review.

    5) Systematic review of prevalence of Mental Disorders in China and India.

    6) Traditional, complementary, and alternative medicine approaches to mental healthcare and psychological well-being in India and China. Historical developments in Psychiatry in China and India."

    Personality traits, personality disorders and alcohol relapse in urban India

    Name Funding Body Duration Status Team
    Personality traits, personality disorders and alcohol relapse in urban India Fogarty International Center Completed

     

    About

    This study is collaboration between CCDC, NIMHANS, Bangalore and Washington University in St. Louis, USA. The study uses a longitudinal design to study personality factors of 200 participants incorporating both, self and informant reports in relation to alcohol relapse in a hospital based setting.

    Personal social network and CVD risk behaviour in urban Delhi. Psychiatric determinants of CVD

    Name Funding Body Duration Status Team
    Personal social network and CVD risk behaviour in urban Delhi. Psychiatric determinants of CVD PHFI and Wellcome Trust Completed

     

    About

    This mental health project is collaboration between CCDC and the University of Southampton and was initiated in October 2011. The propose of the project, which is part of the ongoing CARRS surveillance study, is to examine the prevalence of co-morbid Axis I psychiatric disorders including alcohol use disorders and tobacco consumption, and suicide risks among 1500 community residents with cardiovascular diseases and their risk factors.

    Psychiatric determinants of cardiovascular disease

    Name Funding Body Duration Status Team
    Psychiatric determinants of cardiovascular disease PHFI and Wellcome Trust Completed

     

    About

    This mental health project is collaboration between CCDC and the University of Southampton and was initiated in October 2011. The propose of the project, which is part of the on-going CARRS surveillance study, is to examine the prevalence of co-morbid Axis I psychiatric disorders including alcohol use disorders and tobacco consumption, and suicide risks among 1500 community residents with cardiovascular diseases and their risk factors.

 
Last Modified : September 2, 2016, 3:39 pm