...a commonsense care setting.
‘People selected on the basis of high motivation can work wonders can be seen from the excellent study carried out by Chatterjee S, Patel V, Chatterjee A, Weiss HA. The study used a three-tier model for the delivery of mental health services. The first tier was for the out-patient programme. The second tier employed mental health workers drawn from the local community. The third tier consisted of family members. The shared cultural idiom prompted greater adherence to treatment which was much higher compared to another group which used only out -patient services. This particular experiment can become a model not only for the treatment for mental disorders but also for primary healthcare in general.’ –stated - The story of Community Health in India, The National Mental Health Programme, Ministry of Health and Family Welfare. Government of India.
This study was deemed as a model study of community-based rehabilitation for chronic schizophrenia in rural India referred to as -‘The Barwani Experiment’ which was inclusive of ‘family caregivers’.
This study was also published in the British Journal of Psychiatry 2003 entitled –‘Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India.’
Some Observations:
1. The 'family caregivers' in India continue to play a key and crucial role in the care giving process of their family members with serious mental illness. This was exemplified in the research study in Barwani in rural India. Yet 'family caregivers' are strangely missing from the Mental Health Care Bill.
2. But then the Mental Health Care Bill pending before parliament in India has ‘establishments’ which are purportedly the community care centres.
References:
1. The story of Community Health in India, The National Mental Health Programme, Ministry of Health and Family Welfare. Government of India
2. The Mental Health Care Bill, as tabled in the Rajya Sabha in 2013
‘People selected on the basis of high motivation can work wonders can be seen from the excellent study carried out by Chatterjee S, Patel V, Chatterjee A, Weiss HA. The study used a three-tier model for the delivery of mental health services. The first tier was for the out-patient programme. The second tier employed mental health workers drawn from the local community. The third tier consisted of family members. The shared cultural idiom prompted greater adherence to treatment which was much higher compared to another group which used only out -patient services. This particular experiment can become a model not only for the treatment for mental disorders but also for primary healthcare in general.’ –stated - The story of Community Health in India, The National Mental Health Programme, Ministry of Health and Family Welfare. Government of India.
This study was deemed as a model study of community-based rehabilitation for chronic schizophrenia in rural India referred to as -‘The Barwani Experiment’ which was inclusive of ‘family caregivers’.
This study was also published in the British Journal of Psychiatry 2003 entitled –‘Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India.’
Some Observations:
1. The 'family caregivers' in India continue to play a key and crucial role in the care giving process of their family members with serious mental illness. This was exemplified in the research study in Barwani in rural India. Yet 'family caregivers' are strangely missing from the Mental Health Care Bill.
2. But then the Mental Health Care Bill pending before parliament in India has ‘establishments’ which are purportedly the community care centres.
References:
1. The story of Community Health in India, The National Mental Health Programme, Ministry of Health and Family Welfare. Government of India
2. The Mental Health Care Bill, as tabled in the Rajya Sabha in 2013
