Indian Journal of PsychiatryIndian Journal of Psychiatry
Home | About us | Current Issue | Archives | Ahead of Print | Submission | Instructions | Subscribe | Advertise | Contact | Login 
    Users online: 235 Small font sizeDefault font sizeIncrease font size Print this article Email this article Bookmark this page
Search Again
 Back
 Table of Contents
 
 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Article Access Statistics
 Reader Comments
 Email Alert
 Add to My List
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed962    
    Printed49    
    Emailed1    
    PDF Downloaded269    
    Comments [Add]    

Recommend this journal

 
SPECIAL ARTICLE
Year : 2004  |  Volume : 46  |  Issue : 3  |  Page : 195-212

Urban Mental Health Services in India : How Complete or Incomplete?


1 Institute of Human Behaviour & Allied Sciences (IHBAS), Dilshad Garden, Delhi -110095, India
2 Chhatrapati Sahu Ji Maharaj University, Upgraded K.G. Medical College (KGMC), Lucknow, U.P., India
3 Institute of Mental Health (IMH), Chennai, Tamilnadu, India
4 Indian Council of Medical Research (ICMR), Ansari Nagar, New Delhi, India

Correspondence Address:
Nimesh G Desai
Prof. & Head, Dept. of Psychiatry and Medical Superintendent, Institute of Human Behaviour & Allied Sciences (IHBAS), Dilshad Garden, Delhi -110095
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 21224901

Rights and PermissionsRights and Permissions

The information about Urban Mental Health Services has been nearly nonexistent in India, although the developed countries have been focusing on programmes for "Healthy Cities". The initiative taken as part of the WHO-ICMR Pilot Project on Urban Mental Health Services, with a public health perspective is being shared. The objectives of the Health Services Research (HSR) Arm of the project were to study the distribution and the availability of tertiary Mental Health Services, availability of human resources, average service load, mental health service gap, and perceptions of the users and the service providers, regarding the barriers in accessibility of mental health services, unmet service needs and strategies for improvement. The Research Methods involved Mapping Exercises with estimation of Service Loads and Qualitative Research Methods (QRM) like In-Depth Interviews (IDIs), Key Informant Interviews (KIIs), Free Listing and Focused Group Discussions (FGDs). The results indicate uneven availability of mental health services, human resource deficit specially for non-medical mental health professionals and mental health service gap (82% to96%). The average service load in the specialist mental health services is largely carried by the Govt. sector (half to two thirds), followed by the private sector (one third to half), with only a small portion by the NGO sector. The average mental health service load in the primary care general health services is largely carried by the private sector, with significant contribution from the non-formal service providers. The barriers to access, unmet needs and possible strategies as perceived by the community, users and service providers have been identified. The findings are discussed in the context of the mental health programmes and the public policy issues. The implications of the conclusions which suggest that Urban Mental Health Services are far from complete are highlighted.



[PDF]*

        

Print this article         Email this article