Background: The large treatment gap for mental disorders in India underlines the
need for integration of mental health in primary care.
Aims: To operationalise the delivery of the World Health Organization Mental
Health Gap Action Plan interventions for priority mental disorders and
to design an integrated mental healthcare plan (MHCP) comprising
packages of care for primary healthcare in one district.
Method: Mixed methods were used including theory of change workshops,
qualitative research to develop the MHCP and piloting of specific
packages of care in a single facility.
Results: The MHCP comprises 3 enabling packages: programme management,
capacity building and community mobilisation; and four service delivery
packages: awareness for mental disorders, identification, treatment and
recovery. Challenges were encountered in training primary care workers
to improve identification and treatment.
Conclusions: There are a number of challenges to integrating mental health into
primary care, which can be addressed through the injection of new
resources and collaborative care models.
This research is supported by the Department for International Development’s Programme for Improving Mental Health Care (PRIME) which is led by University of Cape Town.
Shidhaye, R.; Shrivastava, S.; Murhar, V.; Samudre, S.; Ahuja, S.; Ramaswamy, R.; Patel, V. Development and piloting of a plan for integrating mental health in primary care in Sehore district, Madhya Pradesh, India. British Journal of Psychiatry (2015) 208 (s56) s13-s20. [DOI: 10.1192/bjp.bp.114.153700]
Development and piloting of a plan for integrating mental health in primary care in Sehore district, Madhya Pradesh, India