Health Condition 1: null- Common Mental Disorders
Conditions
Interventions
Intervention1: Mental health service: The Accreditated Social Health activists i.e. ASHAs in the community would screen for common mental disorders using PHQ9 and GAD 7 tools and would refer the scree
Sponsors
The WTDBT India Alliance
Eligibility
Inclusion criteria
Inclusion criteria: 1)All consenting adults >= 18 years of age
Exclusion criteria
Exclusion criteria: 1)Physical ill-health or any health condition that would prevent regular follow-up, and intellectual disability that prevents the participant from following instructions or responding to the questionnaire. 2)Participant not likely to stay in the community for the duration of the intervention.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The key quantitative outcome of the study is the change from baseline in the proportion of individuals who have accessed the health system for management of a mental disorder in the previous 12 months. Other outcomes will also be ascertained including process indicators.Timepoint: 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Proportion of individuals who had an ASHA-administered PHQ922 and GAD723Timepoint: 12 months;2)Proportion of individuals appropriately referred by the ASHA to the PHC doctorTimepoint: 12 months;3)Proportion of individuals appropriately referred by the PHC doctor for more specialised careTimepoint: 12 months;4)Proportion of individuals appropriately prescribed anti-depressant or anxiolytic treatmentTimepoint: 12 months;5)Proportion of individuals with a PHQ922 and/or GAD723 score â?¥10 amongst those who have accessed the health system for management of a mental disorder in the previous 12 monthsTimepoint: 12 months;6)Proportion of people in the community who show an improvement on the BACE24 scores and mental health KAB scores25 after the stigma awareness campaignTimepoint: 4 months;7)Proportion of screen positive people who accessed mental health services and felt stigmatizedTimepoint: 12 months;8)Proportion of community members and health care workers who show an increased attitude and knowledge about common mental disordersTimepoint: 12 months;9)Qualitative data will also be collected and the key questions that will be explored include: a)How ASHAs use the intervention? b)What effects it has on doctor practices? c)What are participant experiences of receiving the intervention? d) What are the stigma related barriers to seeking care? e)What are some important steps that can help in reducing stigma? f)What are some of the stigmatizing experiences of those who accessed mental health care? Timepoint: 12 months | — |
Countries
India
Contacts
Public ContactPallab K Maulik
George Institute For Global Health
Outcome results
None listed