Citation Information :
Kumar E, Saroj R, Satapathy A, Nanjayya SB, Sharma A. Pathways to Care in Patients approaching Community Mental Health Satellite Clinics in North India. J Postgrad Med Edu Res 2018; 52 (1):12-15.
Research into pathway to care (PC) in mental health in India has focussed on severe mental illness in mental hospitals.
Aim
To assess PC in a cohort of health care seeking subjects from a predominantly rural background approaching weekly community mental health satellite clinics in three towns in North India.
Materials and methods
104 consecutive patients over a period of 6 months were included in the study. PC was assessed using a validated instrument.
Results
A majority of the participants were diagnosed with common mental disorders (CMD). The mean duration of symptoms was 22.97 months and the mean number of treatment contacts was 1.11. Primary care physicians were the most common initial point of contact rather than native/religious healers.
Conclusion
In a CMD predominant treatment seeking population in a rural community where affordable mental health care and primary health care is available, there is high acceptability and utilization of such services.
Clinical significance
Community psychiatry services should ideally be situated alongside primary health care services
How to cite this article
Singh SM, Kumar E, Saroj R, Satapathy A, Nanjayya SB, Sharma A. Pathways to Care in Patients approaching Community Mental Health Satellite Clinics in North India. J Postgrad Med Edu Res 2018;52(1):12-15.
Help-seeking pathways: a unifying concept in mental health care. Am J Psychiatry 1993 Apr;150(4):554-561.
Pathway to psychiatric care in a tertiary mental health facility in Jaipur, India. Asian J Psychiatr 2012 Dec;5(4):303-308.
Pathway of care among psychiatric patients attending a mental health institution in central India. Indian J Psychiatry 2010Dec;52(4):333-338.
Pathways to care of alcohol-dependent patients: an exploratory study from a tertiary care substance use disorder treatment center. Int J High Risk Behav Addict 2016 Sep;5(3):e30342.
First care givers of mentally ill patients: a multicenter study. Indian J Med Sci 2001 Apr;55(4):203-208.
Help seeking behaviour of psychiatric patients before seeking care at a mental hospital. Int J Soc Psychiatry 2001 Winter;47(4):71-78.
The pathways to psychiatric care: a cross-cultural study. Psychol Med 1991 Aug;21(3):761-774.
Human development report 2010: changes in parameters and perspectives. Indian J Public Health 2011 Oct-Dec;55(4):272-275.
; Vanneman, R. India human development survey-II (IHDS-II), 2011-12. Ann Arbor (MI): Inter-university consortium for political and social research; 2015.
Health systems in India. J Perinatol 2016 Dec;36(Suppl 3):S9-S12.
Pathways to mental health care in Bangladesh, India, Japan, Mongolia, and Nepal. Asia Pac J Public Health 2015 Mar;27(2):NP1847-NP1857.
Pathways to tertiary care adopted by individuals with psychiatric illness. Asian J Psychiatr 2015 Aug;16:32-35.
Help-seeking behaviors among caregivers of schizophrenia and other psychotic patients: a hospital-based study in two geographically and culturally distinct Indian cities. Indian J Psychol Med 2012 Oct-Dec;34(4):338-345.
An experience of community mental health program in rural areas of Jharkhand. Ind Psychiatry J 2009 Jan-Jun;18(1):47-50.
Reactions to psychiatry referral in patients presenting to medical and surgical outpatient services. Indian J Psychol Med 2017 Sep-Oct;39(5):605-610.
Medical attribution of common mental disorders in a rural Indian population. Asian J Psychiatr 2010 Sep;3(3):142-144.