A. Jilani, Rahul Saha, P. K. Dalal, R. Kallivayalil, Anshuman Tiwari, Sujita Kumar Kar
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引用次数: 8
Abstract
ABSTRACT Besides the availability of mental health services, the role of non-psychiatric healthcare providers (HCPs) and help seeking behaviour of patients/caregivers are important determinants of the pathway for early engagement with psychiatric services. We explored the help seeking behaviour of 151 persons with first episode non-affective psychosis for their preferences for making contacts/consultations with various types of HCPs; and the role of HCPs in psychiatric referrals using a modified encounter form of the World Health Organization. The most common type of the first and subsequent HCPs were faith healers, followed by local practitioners, general medical practitioners and mental health professionals. The average number of contacts before reaching the study centre was 7.19. Study centre referral was mainly by significant individuals/organizations in the community. The consequent pathway map of the pathway to psychiatric care was complex and multidirectional without a definite pattern of hierarchy of HCPs and was dominated by faith healers/local practitioners. In view of faith healers/local practitioners being the main type of HCPs in the pathway, and the non-HCPs individual/organizations being the most common referral source to study centre, the authors’advocate minimal mental health training of non-psychiatrist HCPs and non-HCPs individuals/organizations.
期刊介绍：
This title has ceased (2018). This important peer-review journal provides an innovative forum, both international and multidisciplinary, for addressing cross-cultural issues and mental health. Culture as it comes to bear on mental health is a rapidly expanding area of inquiry and research within psychiatry and psychology, and other related fields such as social work, with important implications for practice in the global context. The journal is an essential resource for health care professionals working in the field of cross-cultural mental health.Readership includes psychiatrists, psychologists, medical anthropologists, medical sociologists, psychiatric nurses and social workers, general practitioners and other mental health professionals interested in the area. The International Journal of Culture and Mental Health publishes original empirical research, review papers and theoretical articles in the fields of cross-cultural psychiatry and psychology. Contributions from the fields of medical anthropology and medical sociology are particularly welcome. A continuing dialogue between members of various disciplines in various fields is encouraged. The aim of the journal is to encourage its readers to think about various issues which have clouded cross-cultural development of ideas. The journal lays special emphasis on developing further links between medical anthropology, medical sociology, clinical psychiatry and psychology, and implications of the findings on service provisions. The journal is published four times a year. The style of reference is Harvard. All research articles in this journal, including those in special issues, special sections or supplements, have undergone rigorous peer review, based on initial editor screening and anonymized refereeing by at least two independent referees.
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