ORCID Profile
0000-0001-9365-7164
Current Organisation
Pravara Institute of Medical Sciences
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Publisher: Springer Science and Business Media LLC
Date: 20-06-2019
Publisher: Public Library of Science (PLoS)
Date: 18-02-2014
Publisher: Public Library of Science (PLoS)
Date: 15-09-2016
Publisher: Elsevier BV
Date: 07-2016
Publisher: Elsevier BV
Date: 03-2016
Publisher: Public Library of Science (PLoS)
Date: 27-12-2012
Publisher: Elsevier BV
Date: 09-2016
Publisher: Royal College of Psychiatrists
Date: 29-07-2019
DOI: 10.1192/BJO.2019.53
Abstract: The PRogramme for Improving Mental health care (PRIME) designed, implemented and evaluated a comprehensive mental healthcare plan (MHCP) for Sehore district, Madhya Pradesh, India. To provide quantitative measures of outputs related to implementation processes, describe the role of contextual factors that facilitated and impeded implementation processes, and discuss what has been learned from the MHCP implementation. A convergent parallel mixed-methods design was used. The quantitative strand consisted of process data on mental health indicators whereas the qualitative strand consisted of in-depth interviews and focus group discussions with key stakeholders involved in PRIME implementation. The implementation of the MHCP in Sehore district in Madhya Pradesh, India, demonstrated that it is feasible to establish structures (for ex le Mann-Kaksha) and operationalise processes to integrate mental health services in a ‘real-world’ low-resource primary care setting. The key lessons can be summarised as: (a) clear ‘process maps’ of clinical interventions and implementation steps are helpful in monitoring/tracking the progress (b) implementation support from an external team, in addition to training of service providers, is essential to provide clinical supervision and address the implementation barriers (c) the enabling packages of the MHCP play a crucial role in strengthening the health system and improving the context/settings for implementation and (d) engagement with key community stakeholders and incentives for community health workers are necessary to deliver services at the community-platform level. The PRIME implementation model could be used to scale-up mental health services across India and similar low-resource settings. None.
Publisher: Springer Science and Business Media LLC
Date: 12-10-2018
Publisher: Royal College of Psychiatrists
Date: 2016
DOI: 10.1192/BJP.BP.114.153858
Abstract: Few studies have evaluated the implementation and impact of real-world mental health programmes delivered at scale in low-resource settings. To describe the cross-country research methods used to evaluate district-level mental healthcare plans (MHCPs) in Ethiopia, India, Nepal, South Africa and Uganda. Multidisciplinary methods conducted at community, health facility and district levels, embedded within a theory of change. The following designs are employed to evaluate the MHCPs: (a) repeat community-based cross-sectional surveys to measure change in population-level contact coverage (b) repeat facility-based surveys to assess change in detection of disorders (c) disorder-specific cohorts to assess the effect on patient outcomes and (d) multilevel case studies to evaluate the process of implementation. To evaluate whether and how a health-system-level intervention is effective, multidisciplinary research methods are required at different population levels. Although challenging, such methods may be replicated across erse settings.
Publisher: Royal College of Psychiatrists
Date: 11-2015
DOI: 10.1192/BJP.BP.114.151944
Abstract: Most research on interventions to counter stigma and discrimination has focused on short-term outcomes and has been conducted in high-income settings. To synthesise what is known globally about effective interventions to reduce mental illness-based stigma and discrimination, in relation first to effectiveness in the medium and long term (minimum 4 weeks), and second to interventions in low- and middle-income countries (LMICs). We searched six databases from 1980 to 2013 and conducted a multi-language Google search for quantitative studies addressing the research questions. Effect sizes were calculated from eligible studies where possible, and narrative syntheses conducted. Subgroup analysis compared interventions with and without social contact. Eighty studies ( n = 422 653) were included in the review. For studies with medium or long-term follow-up (72, of which 21 had calculable effect sizes) median standardised mean differences were 0.54 for knowledge and −0.26 for stigmatising attitudes. Those containing social contact (direct or indirect) were not more effective than those without. The 11 LMIC studies were all from middle-income countries. Effect sizes were rarely calculable for behavioural outcomes or in LMIC studies. There is modest evidence for the effectiveness of anti-stigma interventions beyond 4 weeks follow-up in terms of increasing knowledge and reducing stigmatising attitudes. Evidence does not support the view that social contact is the more effective type of intervention for improving attitudes in the medium to long term. Methodologically strong research is needed on which to base decisions on investment in stigma-reducing interventions.
Publisher: Elsevier BV
Date: 09-2016
Location: No location found
Location: United States of America
No related grants have been discovered for Rahul Shidhaye.